苦参汤坐浴加内括约肌松解术对嵌顿痔的治疗效果评价

Evaluation of the Therapeutic Effect of Kushen Decoction and Internal Sphincter Relaxation on Incarcerated Hemorrhoids

目的探索嵌顿痔患者接受苦参汤坐浴联合内括约肌松解术的临床价值。方法随机选择2021年5月—2023年5月莆田市荔城区医院接治的80例嵌顿痔患者为研究对象,通过随机抽签法作分为对照组与观察组,各40例。对照组采用高锰酸钾溶液坐浴联合内括约肌松解术治疗,观察组以苦参汤坐浴联合内括约肌松解术治疗。比较两组临床总疗效、临床指标时间、术后不同时间点疼痛程度以及相关并发症发生情况。结果观察组临床总有效率为95.00%高于对照组的75.00%,差异有统计学意义(χ2=6.274,P=0.012)。观察组水肿回纳时间、创面愈合时间、总住院时间均短于对照组,差异有统计学意义(P<0.05)。术后1 d、术后3 d以及出院时,观察组视觉模拟评分法(Visual Analogue Scale,VAS)评分均明显比对照组低,差异有统计学意义(P<0.05)。观察组并发症发生率比对照组低,差异有统计学意义(P<0.05)。结论嵌顿痔患者在接受内括约肌松解术治疗的基础上采取苦参汤坐浴可促进临床疗效进一步提升,缩短临床康复时间,缓解术后疼痛程度,降低术后并发症发生率。

Objective To explore the clinical value of Kushen decoction and internal sphincter relaxation in patients with incarcerated hemorrhoids.Methods 80 cases of incarcerated hemorrhoids treated in Licheng District Hospital of Putian City from May 2021 to May 2023 were randomly selected as the study objects,and were divided into control group and observation group by random drawing method,with 40 cases in each group.The control group was treated with potassium permanganate solution sitz bath combined with internal sphincter release,and the observation group was treated with Kushen decoction sitz bath combined with internal sphincter release.The total clinical efficacy,clini⁃cal index time,postoperative pain degree at different time points and the occurrence of related complications were compared between the two groups.Results The total clinical effective rate of observation group was 95.00%,which was higher than that of control group 75.00%,and the difference was statistically significant(χ^(2)=6.274,P=0.012).The retention time of edema,wound healing time and total hospital stay in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The Visual Analogue Scale(VAS)score of the observation group was significantly lower than that of the control group on the 1st and 3rd d after surgery and at the time of discharge,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Kushen decoction sitz bath on the basis of internal sphincterolysis treatment for incarcerated hemorrhoids can further improve the clinical effect,shorten the clinical rehabilitation time,relieve postoperative pain and reduce the incidence of postoperative complications.