Clinical Observation of Chinese Medicinal Prescriptions for Swelling and Pain in The Postoperative Treatment of Mixed Hemorrhoids

Objective:To observe the clinical effect of traditional Chinese medicine(TCM)on reducing swelling and pain in patients with mixed hemorrhoids.Methods:Sixty patients with mixed hemorrhoids who were admitted to the Hospital of Traditional Chinese Medicine of Qiqihar from January 2023 to January 2024 were selected and divided into two groups.The treatment group(n=30)was treated with mixed hemorrhoid ligation combined with traditional Chinese swelling and pain medicine,and the control group(n=30)was only treated with mixed hemorrhoid ligation.The pain level,edema score,and prognosis of the two groups after the intervention were analyzed.The clinical efficacy was used as the evaluation criterion to compare the clinical effects of different treatment options.Results:After the treatment,the pain score,edema score,and prognostic wound score of the treatment group were all lower than those of the control group(P 0.05).The total clinical effectiveness of the treatment group(100%)was higher than that of the control group(76.67%),(χ^(2)=4.2857,P<0.05).Conclusion:The application of traditional Chinese swelling and pain medicine in treating patients with mixed hemorrhoids effectively reduced the patient’s pain,reduced the degree of wound edema,promoted wound healing,and improved the patient’s prognosis.The curative effect was significant and had a positive impact.

自拟消肿方联合冰硝散治疗三踝骨折肿胀的疗效观察

目的探讨应用自拟消肿方内服联合冰硝散外敷对三踝骨折患者肿胀问题的临床治疗效果。方法选取2020年1月-2021年7月在山东中医药大学附属医院骨科入院治疗的三踝骨折患者76例,采用随机数字表法分为对照组(38例)和治疗组(38例)。对照组应用20%甘露醇注射液进行消肿治疗,治疗组在对照组消肿治疗方案的基础上,给予自拟消肿方汤药内服,同时联合冰硝散外敷进行消肿治疗。比较两组用药1 d、3d、5d后的肿胀值、肿胀程度及不良反应情况,并分析其临床疗效。结果治疗1d后,两组肿胀值均较治疗前无明显变化(P>0.05);治疗3d后,两组肿胀值均较治疗前降低(P<0.05),且治疗组显著低于对照组(P<0.01);治疗5d后,两组肿胀值均较治疗前显著降低(P<0.01),且治疗组显著低于对照组(P<0.01)。治疗后,两组肿胀评分均较治疗前显著降低(P<0.01),且治疗组低于对照组(P<0.05)。治疗后,治疗组临床总有效率(94.74%)高于对照组(84.21%,P<0.05)。结论内服自拟消肿方联合外敷冰硝散能快速缓解三踝骨折肿胀情况,有利于缩短手术等待时间,值得临床推广应用。

手法复位小夹板固定联合“蛇难爬”消肿散改良方外敷治疗老年人桡骨下端骨折的临床研究

目的:观察手法复位小夹板固定联合“蛇难爬”消肿散改良方外敷对老年人闭合性C1型Colles骨折的临床疗效及其对骨代谢指标的影响。方法:选取2022年1月至2023年9月收治的老年人C1型Colles骨折患者50例作为研究对象,依据治疗方法的不同分为观察组(25例)和对照组(25例)。观察组患者采用手法复位小夹板固定联合“蛇难爬”消肿散改良方外敷方案,对照组患者采用手法复位小夹板固定并用普通无菌纱布外敷方案。比较两组患者临床疗效及治疗后疼痛、肿胀程度、关节解剖结构关系、骨折愈合情况、腕关节功能、骨质代谢指标。结果:观察组患者在腕部肿胀消退程度、视觉模拟量表(VAS)评分、断端骨痂生长时间、腕关节功能方面均优于对照组,差异有统计学意义(P<0.05),而在腕关节解剖结构关系方面两组患者差异无统计学意义(P>0.05),但明显好于治疗前,差异有统计学意义(P<0.01),直至治疗后第12周差异有统计学意义(P<0.05)。与治疗前比较,两组患者治疗后骨钙素水平和血清总Ⅰ型胶原氨基端升高,且观察组变化和对照组相比更显著,差异有统计学意义(P<0.05)。结论:手法复位小夹板固定能恢复并维持腕关节的正常解剖结构关系,联合“蛇难爬”消肿散改良方外敷可显著减轻骨折处疼痛、肿胀,改善骨代谢,促进老年患者骨折愈合。