湿润烧伤膏联合自拟中药汤剂在混合痔外剥内扎术后创面中的应用效果分析

Clinical Efficacy of MEBO Combined with Hospital⁃made Chinese Herbal Decoction in the Postoperative Wounds of Milligan⁃Morgan Hemorrhoidectomy for Mixed Hemorrhoids

目的研究探讨湿润烧伤膏联合自拟中药汤剂治疗混合痔外剥内扎术后创面的临床效果。方法选取2020年3月至2023年3月南阳医学高等专科学校附属中医院收治的90例混合痔患者作为研究对象,按照不同治疗方法将其分为观察组(45例)和对照组(45例),观察组患者于混合痔外剥内扎术后采用湿润烧伤膏联合自拟中药汤剂熏蒸坐浴治疗局部创面,对照组患者于混合痔外剥内扎术后采用凡士林油纱联合自拟中药汤剂熏蒸坐浴治疗局部创面,对比观察两组患者术后创面疼痛情况、肛周水肿与肛门坠胀情况以及创面愈合时间。结果术后第3、7天,观察组患者创面疼痛评分均明显低于对照组(t=2467、2427,P=0016、0017);术后第7天,观察组患者肛周水肿及肛门坠胀评分均明显低于对照组(t=2482、4052,P=0015、0001);观察组患者创面愈合时间明显短于对照组(t=2292,P=0024)。结论湿润烧伤膏联合自拟中药汤剂治疗混合痔外剥内扎术后创面,可有效降低创面疼痛程度,改善肛周水肿以及肛门坠胀等临床症状,加快创面愈合,疗效显著。

Objective To study the clinical efficacy of MEBO combined with hospital-made Chinese herbal decoc-tion in the postoperative wounds of Milligan-Morgan hemorrhoidectomy for mixed hemorrhoids.Methods 90 patients with mixed hemorrhoids admitted to The Affiliated Hospital of TCM of Nanyang Medical College from March 2020 to March 2023 were enrolled as research objects and divided,based on the treatments they received,into study group(n=45)and control group(n=45).After Milligan-Morgan hemorrhoidectomy for mixed hemorrhoids,the wounds of patients in the study group were treated with MEBO plus fumigation and sitz bath with hospital-made Chinese herbal decoction,whereas the wounds of patients in the control group were treated with Vaseline gauze plus fumigation and sitz bath with hospital-made Chinese herbal decoction.Postoperative wound pain,perianal edema,anal distention,and wound healing time were compared between the two groups.Results Respectively on day 3 and 7 after surgery,the wound pain scores of patients were both obviously lower in the study group compared with the control group(t=2467 and 2427,P=0016 and 0017).On day 7 after surgery,the scores of perianal edema and anal distention of patients were markedly lower in the study group(t=2482 and 4052,P=0015 and 0001).The wound healing time of patients were significantly shorter in the study group compared with the control group(t=2292,P=0024).Conclusion In the treatment of postoperative wounds of Milligan-Morgan hemorrhoidectomy for mixed hemorrhoids,MEBO combined with hospital-made Chinese herbal decoction can effectively relieve wound pain of patients,improve their relevant clinical symptoms including perianal edema and anal distention,and speed up wound healing,and the clinical efficacy is definite.