五倍子汤熏洗结合四黄膏外敷治疗痔术后疼痛39例临床观察

发布时间：2018-02-25 00:09

本文关键词： 痔术后疼痛五倍子汤四黄膏　出处：《中国民族民间医药》2017年05期 　论文类型：期刊论文

【摘要】：目的:观察五倍子汤熏洗结合四黄膏外敷对痔术后疼痛的临床疗效。方法:选取78例痔术后疼痛住院患者,按随机数字表法随机分为治疗组和对照组各39例。两组术后均予常规治疗,在常规治疗的基础上,对照组予1∶5000高锰酸钾溶液熏洗,治疗组予五倍子汤熏洗结合四黄膏外敷,观察并记录两组肛门疼痛视觉模拟评分(VAS)及并发症状。结果:两组术后第1天,VAS评分差异无统计学意义(P0.05);术后第3天及第7天,VAS评分差异均有统计学意义(P0.05)。对照组有2例出现术后轻度肛门水肿症状,经持续观察后症状减轻,有2例出现术后出血症状,经持续观察和换药后症状消失,有1例疼痛剧烈,口服止痛药后症状缓解。治疗组有1例出现术后出血症状,经持续观察和换药后症状消除。结论:五倍子汤熏洗结合四黄膏外敷能有效减轻痔术后患者的疼痛症状,并减少并发症的发生,是治疗痔术后疼痛的安全有效方式,值得推广应用。
[Abstract]:Objective: to observe the clinical effect of Chinese gall decoction fumigation and washing combined with Sihuang ointment on postoperative hemorrhoids pain. Methods: 78 patients with postoperative hemorrhoids pain were selected. On the basis of routine treatment, the control group was given 1: 5 000 potassium permanganate solution fumigation, and the treatment group was treated with Chinese gall soup fumigation and external application of Sihuang ointment. The visual analogue score of anal pain (VAS) and complications were observed and recorded. Results: there was no significant difference in VAS score between the two groups on the 1st day after operation (P 0.05), but on the 3rd and 7th day after operation, there were significant differences in VAS score between the two groups (P 0.05). There were 2 cases with mild anal edema after operation in the group A, After continuous observation, there were 2 cases of postoperative bleeding symptoms, 1 case of severe pain, 1 case of postoperative bleeding symptoms, 1 case of severe pain after continuous observation, 1 case of treatment group, 1 case of postoperative bleeding symptoms, 1 case of severe pain relief after oral administration of painkillers, 1 case of treatment group, 1 case of postoperative bleeding symptoms, and 1 case of treatment group. Conclusion: the combination of Chinese gall decoction and Sihuang ointment can effectively reduce the pain symptoms of patients after hemorrhoids operation and reduce the occurrence of complications. It is a safe and effective way to treat postoperative pain of hemorrhoids. It is worth popularizing and applying.
【作者单位】：广州中医药大学深圳医院;广州中医药大学;广东省中医院;
【分类号】：R266

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