苦参汤加味坐浴熏洗治疗痔疮术后48例临床观察

Clinical effect of sitz bath and fumigation-washing therapy with Jiawei Kushen decoction in postoperative treatment of hemorrhoids:An analysis of 48 cases

目的:观察苦参汤加味坐浴熏洗对痔疮术后的恢复效果。方法:将96例已行痔疮手术患者随机分为治疗组和对照组,每组各48例。治疗组采用苦参汤加味坐浴熏洗治疗,对照组采用西医常规治疗,比较2组术后恢复情况(创面愈合时间、首次排便时间、术后住院时间)、疼痛程度[视觉模拟评分量表(VAS)评分]以及并发症的发生情况。结果:治疗组创面愈合以及术后住院时间均短于对照组,首次排便时间早于对照组,差异均有统计学意义(P<0.05)。术后2组不同时间节点的VAS评分均有不同程度下降,且治疗组下降幅度更大(P<0.05),并发症总发生率治疗组为10.41%(5/48),明显低于对照组的27.08%(13/48),差异亦有统计学意义(P<0.05)。结论:苦参汤加味坐浴熏洗不仅可以促进痔疮患者术后创面恢复,还可以减轻患者的疼痛,降低并发症发生率,值得临床推广运用。

Objective:To investigate the clinical effect of sitz bath and fumigation-washing therapy with Jiawei Kushen decoction on the postoperative recovery of hemorrhoids.Methods:A total of 96 patients who had undergone hemorrhoid surgery were randomly divided into treatment group and control group,with 48 patients in each group.The patients in the treatment group were given sitz bath and fumigation-washing therapy with Jiawei Kushen decoction,and those in the control group were given conventional Western medicine treatment.The two groups were compared in terms of postoperative recovery(wound healing time,time to first defecation,and length of postoperative hospital stay),degree of pain[Visual Analogue Scale(VAS)score],and complications.Results:Compared with the control group,the treatment group had significantly shorter wound healing time,length of postoperative hospital stay,and time to first defecation(P<0.05).After treatment,the VAS scores of two groups decreased at different time points,and the treatment group had a significantly greater reduction than the control group(P<0.05).The treatment group had a significantly lower overall incidence rate of complications than the control group[10.41%(5/48)vs 27.08%(13/48),P<0.05].Conclusion:Sitz bath and fumigation-washing therapy with Jiawei Kushen decoction can not only promote postoperative wound healing in patients with hemorrhoids,but also alleviate pain and reduce the incidence rate of complications,and therefore,it holds promise for clinical application.