中药内服加熏洗配合西药治疗痔疮术后肿痛对照观察

Traditional Chinese Medicine Fumigation Plus Western Medicine in the Treatment of Hemorrhoids Postoperative Pain Control Observation

[目的]观察中药内服加熏洗配合西药治疗痔疮术后肿痛疗效。[方法]将84例患者随机分为治疗组和对照组各42例。对照组采用西药治疗,便后常规坐浴换药;治疗组在对照组的基础上加用中药内服,1剂/d,水煎分2次口服;中药熏洗,15min/次,2次/d。观察术后1-3d每天排便及便后患者的疼痛情况(VAS法),术后出血情况及术后创面水肿情况,于术后第7d评价疗效。[结果]术后第2、3d治疗组VAS评分均低于对照组。治疗组术后出血情况轻于对照组;术后创面水肿轻于对照组;治疗组疗效优于对照组。[结论]中药内服加熏洗能明显减轻痔疮术后疼痛、减少术后出血渗出、减轻创面水肿,临床疗效高,值得推广使用。

[Objective] To observe the traditional Chinese medicine fumigation treatment of hemorrhoids postoperative pain clinical curative effect.[Methods]84 patients were randomly divided into treatment group and control group with 42 cases in each group.The control group treated by routine treatment,after bath dressing;the treatment group in the control group based on the use of traditional Chinese medicine 1 doses of d,2 oral Decoction;Chinese herbal fumigation and washing,15min,2/d.Observation of postoperative 1-3d day after defecation and pain in patients with(VAS method),postoperative bleeding and postoperative wound edema after operation,the 7d evaluation of efficacy.[Results]After second,3 days VAS scores in treatment group were lower than those in control group the treatment group postoperative hemorrhage lighter than the control group;postoperative wound edema lighter than the control group;the curative effect in treatment group than in control group.[Conclusion]Traditional Chinese medicine fumigation can significantly reduce pain after hemorrhoidectomy,decrease postoperative bleeding,reduce the exudation of wound edema,high clinical curative effect,is worth popularizing.