中药熏洗护理对混合痔术后疼痛及水肿的疗效分析

Analysis of the curative effect of traditional Chinese medicine fumigation and washing nursing on postoperative pain and edema of mixed hemorrhoids

目的:探讨中药熏洗护理对混合痔术后疼痛及水肿的临床疗效。方法:选取2019年1月-2019年12月行手术治疗的混合痔患者144例,随机分为两组,各72例。对照组在常规治疗基础上增加0.05%碘伏溶液熏洗,2次/d;观察组在常规治疗基础上给予中药熏洗,2次/d。比较两组患者疼痛评分(VAS)、疼痛消失时间、水肿评分、水肿消退时间及创面愈合时间。结果:观察组术后1 d、术后3 d和术后7 d疼痛评分均明显低于对照组,疼痛消失时间明显短于对照组,差异均有统计学意义(P<0.05)。观察组术后3 d和7 d水肿评分均明显低于对照组,差异有统计学意义(P<0.05)。观察组水肿消退时间、伤口愈合时间均明显短于对照组,差异有统计学意义(P<0.05)。结论:中药熏洗护理能够明显改善混合痔患者术后疼痛及水肿等症状,促进伤口愈合,效果显著。

Objective:To explore the clinical effect of traditional Chinese medicine fumigation and washing nursing on postoperative pain and edema of mixed hemorrhoids.Methods:From January 2019 to December 2019,144 patients with mixed hemorrhoids who underwent surgical treatment were selected,they were randomly divided into the two groups with 72 cases in each group.The control group was given 0.05%iodophor solution fumigation and washing on the basis of conventional treatment,2 times a day.The observation group was given traditional Chinese medicine fumigation and washing on the basis of conventional treatment,2 times a day.The pain score(VAS),pain disappearance time,edema score,edema resolution time and wound healing time were compared between the two groups.Results:The pain scores of the observation group were significantly lower than those of the control group at 1 d,3 d and 7 d after the operation,and the pain disappeared time was significantly shorter than that of the control group,the differences were statistically significant(P<0.05).The edema scores of the observation group were significantly lower than those of the control group at 3 and 7 days after operation,the difference was statistically significant(P<0.05).The edema subsidence time and wound healing time of the observation group were significantly shorter than those of the control group,the difference was statistically significant(P<0.05).Conclusion:Traditional Chinese medicine fumigation and washing care can significantly improve postoperative pain and edema in patients with mixed hemorrhoids,promote wound healing,and have a significant effect.