止痛如神汤加减疗法对痔疮术后患者肛缘水肿的影响观察

Effect Observation of Modified Divine Pain-Relief Decoction Combined with Hemorrhoid Surgery on Anal Edge Edema of Patients

目的研究止痛如神汤加减疗法对痔疮术后患者肛缘水肿的影响。方法按照简单随机法将2021年5月—2023年5月在本院普外科行痔疮手术治疗的120例患者分为实验组和对照组,实验组(n=60)采取止痛如神汤加减疗法,对照组(n=60)采取常规治疗。评估临床疗效,统计症状改善时间,检测患者肛肠动力学指标,观察患者术后不同时间点的疼痛程度,并对上述指标进行组间对比。结果治疗后,实验组总有效率高于对照组(P<0.05);实验组症状改善时间短于对照组(P<0.05);实验组肛肠动力学指标低于对照组,直肠静息压高于对照组(P<0.05);治疗后1d、3d及7d时,实验组疼痛视觉模拟评分(VAS)较对照组更低(P<0.05)。结论痔疮术后患者采用止痛如神汤加减疗法治疗能减轻肛缘水肿,改善肛肠动力学指标,降低疼痛程度,值得推荐。

Objective To study effect of modified divine pain-relief decoction on patients with hemorrhoid surgery.Methods The paper chose 120 patients with hemorrhoid surgery in general surgery department from May 2021 to May 2023,and divided them into experimental group and control group with simple random method.Experimental group(n=60)was treated with modified divine pain-relief decoction,while control group(n=60)with routine therapy.Clinical effect was evaluated between two groups,time for symptom improvement was calculated,anal motility indicators were detected,pain degree at different time points after surgery was observed,and above indicators were compared.Results Total effective rate of experimental group was higher than control group,with significant difference(P<0.05).Improvement time of symptoms in experimental group was shorter than control group,with statistical value(P<0.05).After treatment,anal motility indicators in experimental group were lower than control group,and rectal resting pressure was higher than control group.There was significant difference between the groups,(P<0.05).At 1 day,3 days,and 7 days after treatment,pain visual analogue scale(VAS)scores in experimental group were lower,with statistical value(P<0.05).Conclusion Divine pain-relief decoction can reduce anal edge edema,improve anorectal motility indicators,and reduce pain of hemorrhoid surgery patients,which is worthy of reference.