锡类散在80例混合痔术后换药中的疗效观察

Curative Effect Observation of Xilei Powder on Dressing Change of 80 Cases after Mixed Hemorrhoids Surgery

目的 探讨锡类散应用于混合痔术后换药的效果。方法 选取2019年3-12月在本院行外剥内扎术手术治疗的混合痔患者80例,随机分为对照组和治疗组,每组40例。对照组采用常规换药,治疗组以锡类散喷涂换药,比较两组术后24h、3d和7d的创面疼痛程度、水肿程度、创面的渗液评分及最终的愈合时间等指标。结果两组患者最终的治愈率和好转率无明显差异,无统计学意义(P>0.05)。术后24d,两组患者的疼痛评分、创面的水肿评分及创面的渗液评分无明显差异,无统计学意义(P>0.05);但是在术后3d和术后7d,治疗组患者的疼痛评分、创面的水肿评分及创面的渗液评分均明显低于对照组,差异均有统计学意义(P<0.05)。结论锡类散应用于混合痔术后换药可以减轻患者疼痛,缩短术后的愈合周期,容易操作,值得临床推广应用。

Objective To investigate effect of Xilei powder on dressing change after mixed hemorrhoid surgery.Methods The paper chose 80 patients with mixed hemorrhoids with external dissection and internal ligation surgery in our hospital from March to December 2019,and divided them into control group and treatment group randomly,with 40 cases in each group.Control group was treated wtih routine dressing changes,while treatment group wtih tin powder spray dressing changes.Pain level,edema level,wound exudation scores and final healing time were compared between two groups 24 hours,3 days and 7 days after surgery.Results There was no significant difference in final cure rate and improvement rate between two groups,with no statistical significance(P>0.05).24 days after surgery,there was no significant difference in pain scores,wound edema scores and wound exudation scores between two groups,with no statistical significance(P>0.05).However,on the 3rd and 7th postoperative days,pain scores,wound edema scores and wound exudation scores of treatment group were significantly lower than control group,with statistical significance(P<0.05).Conclusion Xilei powder can reduce pain,shorten postoperative healing cycle in dressing change after mixed hemorrhoid surgery,which is easy to operate,and is worthy of clinical promotion and application.