消痔方熏洗联合太宁栓对出血性内痔自动套扎术后患者创面愈合及疼痛的改善作用

Study on improvement effects of fumigation and washing of Xiaozhi Formula combined with Taining Suppository on wound healing and pain of patients with hemorrhagic internal hemorrhoids after RPH

目的:探究消痔方熏洗联合太宁栓对出血性内痔自动套扎术(RPH)后患者创面愈合及疼痛的改善作用。方法:选取2019年1月—12月我院收治的出血性内痔患者120例,按照随机数字表法均分为两组,对照组给予太宁栓,研究组在对照组的基础上给予消痔方熏洗。比较两组治疗疗效、症状积分、疼痛程度、内痔出血和痔核黏膜评分以及创面愈合时间。结果:研究组总有效率(90.0%,54/60)高于对照组(75.0%,45/60),差异有统计学意义(P<0.05)。治疗后,两组患者术后尿潴留、肛门坠胀、便血和肛门失禁症状积分较治疗前显著降低,且研究组术后尿潴留、肛门坠胀、便血和肛门失禁症状积分明显低于对照组(P<0.05)。治疗后,两组患者疼痛视觉模拟(VAS)评分明显低于治疗前,且研究组VAS评分明显低于对照组(P<0.05)。治疗后,两组患者内痔出血和痔核黏膜评分明显低于治疗前,且研究组内痔出血和痔核黏膜评分明显低于对照组(P<0.05)。研究组创面愈合时间较对照组明显缩短(P<0.05)。结论:消痔方熏洗联合太宁栓治疗出血性内痔RPH术后患者能促进临床症状好转,缩短创面愈合时间,缓解疼痛程度,改善便血,治疗效果显著。

Objective To investigate the improvement effects of fumigation and washing of Xiaozhi Formula combined with Taining Suppository on the wound healing and pain of patients with hemorrhagic internal hemorrhoids after RPH.Methods A total of 120 patients with hemorrhagic internal hemorrhoids admitted to our hospital from January 2019 to December 2019 were regarded as the research objects.They were grouped into two groups according to the random number table.The control group(n=60)was given Taining Suppository,and the study group(n=60)was given fumigation and ashing of Xiaozhi Formula on the basis of the control group.The therapeutic effect,symptom score,pain degree,hemorrhoid hemorrhage score,hemorrhoid mucosa score and wound healing time of the two groups were compared.Results The total effective rate of the study group(90.0%,54/60)was higher than that of the control group(75.0%,45/60)(P<0.05).After treatment,the scores of urinary retention,anal distention,bloody stool and anal incontinence symptoms of the two groups were obviously lower than those before treatment.The scores of urinary retention,anal distention,bloody stool and anal incontinence in the study group were obviously lower than those in the control group(P<0.05).After treatment,VAS score in both groups were obviously lower than those before treatment,and the VAS score of the study group was obviously lower than that of the control group(P<0.05).After treatment,the scores of hemorrhoid hemorrhage and hemorrhoid mucosa in the two groups were obviously lower than those before treatment(P<0.05).The scores of hemorrhoid hemorrhage and hemorrhoid mucosa in the study group were obviously lower than those in the control group(P<0.05).The wound healing time of the study group was obviously shorter than that of the control group(P<0.05).Conclusion Fumigation and washing of Xiaozhi Formula combined with Taining Suppository can improve the clinical symptoms,shorten the wound healing time,relieve the pain and improve the hematochezia in patients with internal hemorrhoids after RPH.The treatment effect is remarkable.