五倍子汤熏洗联合特定电磁波谱照射治疗环状混合痔术后患者的效果

Effects of Wubeizi decoction fumigation combined with TDP irradiation in treatment of postoperative patients with circular mixed hemorrhoids

目的:观察五倍子汤熏洗联合特定电磁波谱(TDP)照射治疗环状混合痔术后患者的效果。方法:选取2020年12月至2021年12月该院收治86例环状混合痔术后患者进行前瞻性研究,按照随机数字表法将其分为观察组和对照组各43例。对照组采用TDP照射治疗,观察组在对照组基础上联合五倍子汤熏洗治疗,两组均治疗7 d。比较两组临床疗效、临床相关指标(创面水肿消失时间、创面愈合时间、住院时间)水平、术后不同时间(术后1、3、7 d)临床症状(创面疼痛、肛门水肿、肛门出血)评分,以及不良反应发生率。结果:观察组治疗总有效率为97.67%(42/43),高于对照组的79.07%(34/43),差异有统计学意义(P<0.05);观察组创面水肿消失时间、创面愈合时间、住院时间均短于对照组,差异有统计学意义(P<0.05);术后3、7 d,两组创面疼痛、肛门水肿、肛门出血等临床症状评分均低于术后1 d,且观察组低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:五倍子汤熏洗联合TDP照射治疗环状混合痔术后患者可提高治疗总有效率,改善临床相关指标水平,降低临床症状评分,效果优于单用TDP照射治疗。

Objective:To observe effects of Wubeizi decoction fumigation combined with thermal design power(TDP) irradiation in treatment of postoperative patients with circular mixed hemorrhoids.Methods:A prospective study was conducted on 86 patients with circumferential mixed hemorrhoids who were admitted to the hospital from December 2020 to December 2021.According to the random number table method,they were divided into observation group and control group,43 cases in each group.The control group was treated with TDP irradiation,while the observation group was treated with Wubeizi decoction fumigation on the basis of that of the control group.Both groups were treated for 7 d.The clinical efficacy,the clinical related indicators(wound edema disappearance time,wound healing time,hospitalization time),the clinical symptoms(wound pain,anal edema,anal bleeding) scores at different time after the surgery(1,3,7 d after the surgery),and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 97.67%(42/43),which was higher than 79.07%(34/43) of the control group,and the difference was statistically significant(P<0.05).The wound edema disappearance time,the wound healing time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).3 d and 7 d after the surgery,the scores of clinical symptoms such as wound pain,anal edema and anal bleeding in the two groups were lower than those on the 1 d after the surgery,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Wubeizi decoction fumigation combined with TDP irradiation in the treatment of the postoperative patients with circular mixed hemorrhoids can improve the total effective rate of treatment,improve the levels of clinical related indicators,and reduce the clinical symptom scores.Moreover,it is superior to single TDP irradiation.