中药坐浴熏洗配合红光治疗对混合痔外剥内扎术后创面愈合及肛缘水肿的影响

Effect of Chinese Medicine Sitting Bath Fumigation with Feux Rouges Therapy on Wound Healing and Anal Margin Edema after Mixed Hemorrhoids External Peeling and Internal Ligation Surgery

目的探究中药坐浴熏洗配合红光治疗对混合痔外剥内扎术后的影响,并观察创面愈合及肛缘水肿的程度。方法选择2022年5月—2023年2月东台市中医院收治的86例混合痔患者为研究对象,所有患者入院后,完成肛门镜检等相关诊断措施,并实施混合痔外剥内扎术。术后按随机数表法分为观察组与对照组,每组43例。对照组采用红光治疗措施,观察组在采用红光治疗的基础上,联合中药坐浴熏洗。对比两组患者创面愈合时间,术后一周肛缘水肿和疼痛程度,肛门失禁评分和排便控制评分,疼痛、水肿评分、创面愈合、肛门下坠和便血症状消失时间。结果治疗3、7 d后,观察组肛缘水肿(1.12±0.13)分、(1.01±0.11)分和疼痛程度(6.74±0.41)分、(4.48±0.21)分明显低于对照组的(1.22±0.21)分、(1.08±0.17)分、(7.05±0.51)分、(5.65±0.36)分,差异有统计学意义(t=2.483、2.267、3.106、18.408,P均<0.05)。治疗3、7 d后,观察组肛门失禁评分、排便控制评分均低于对照组,差异有统计学意义(P均<0.05)。观察组创面愈合时间、肛门下坠时间、便血症消失时间均短于对照组,差异有统计学意义(P均<0.05)。结论在对混合痔外剥内扎术后的患者进行辅助治疗中,采用中药坐浴熏洗联合红光治疗效果强于单一使用红光治疗,其不仅能加快创面愈合的恢复速度,还能明显减轻肛缘水肿等不适状况。

Objective To investigate the effect of traditional Chinese medicine sitting bath fumigation together with feux rouges treatment on mixed hemorrhoids after external peeling and internal ligation,and to observe the degree of wound healing and anal margin edema.Methods A total of 86 patients with mixed hemorrhoids admitted to Dongtai Hospital of Traditional Chinese Medicine from May 2022 to February 2023 were selected as the study objects.After admission,all the patients underwent anoscopy and other related diagnostic measures,and performed external strip⁃ping and internal ligation of mixed hemorrhoids.After operation,they were divided into observation group and control group by random number table method,43 cases in each group.The control group was treated with feux rouges,and the observation group was treated with red light,combined with traditional Chinese medicine sit-bath fumigation.The wound healing time,the degree of anal edema and pain one week after surgery,the scores of anal incontinence and defecation control,the scores of pain and edema,and the time for wound realing,anal fall and blood in stool to disap⁃pear were compared between the two groups.Results After 3 and 7 d of treatment,Anal edema(1.12±0.13)points,(1.01±0.11)points and pain degree(6.74±0.41)points,(4.48±0.21)points in the observation group were significantly lower than those in the control group(1.22±0.21)points,(1.08±0.17)points,(7.05±0.51)points,(5.65±0.36)points,the differences were statistically significant(t=2.483,2.267,3.106,18.408,all P<0.05).After 3 and 7 d of treatment,the scores of anal incontinence and defecation control in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).Wound healing time,anal fall time and disappear⁃ance time of stool blood in the observation group were shorter than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion In the adjuvant treatment of patients after external peeling and inter⁃nal ligation of mixed hemorrhoids,the effect of using traditional Chinese medicine sitting bath fumigation combined with feux rouges treatment was stronger than that of single use of feux rouges treatment.It can not only accelerate the recovery speed of wound healing,but also reduce the discomfort of anal margin edema.