痔洗散熏蒸与坐浴在混合痔患者接受外剥内扎术后的临床疗效观察

发布时间：2018-07-28 21:41

【摘要】：目的：通过观察混合痔患者接受外剥内扎术后,在术后恢复期间,使用痔洗散熏蒸与坐浴两种治疗方式的组合方案,以对各种组合方案的疗效对比结果,探求熏蒸与坐浴的优劣,并获得最佳治疗组合,提高手术效果。方法：将符合病例纳入标准的,经过筛选的患者共计80例,随机分成4组,为观察A、B、C、D组,观察A组自术后第一天开始每天取痔洗散30g浸热水1500ml,先对肛门切口熏蒸10-15分钟,待水温合适后将整个肛门浸入药液坐浴20-30分钟。观察B组坐浴不熏蒸,观察C组只熏蒸不坐浴,观察D组不熏蒸也不坐浴。分别统计手术后3天、6天、9天的肛门切口疼痛程度、肛门切口水肿程度、肛门切口肉芽生长情况、肛门切口创面分泌物量,其中肛门切口疼痛程度、肛门切口水肿程度、还需要统计术后第1天情况,还有患者出院时的主观感受评分、患者住院天数、患者手术切口完全愈合的天数等指标。结果：术后第3天和术后第6天,观察A组在肛门切口疼痛程度、肛门切口水肿程度、肛门切口创面分泌物量等指标上均明显均优于其他三组,有明显新差异(P0.05)；在肛门切口肉芽生长情况上,仅在术后第3天时优于其他三组,有明显新差异(P0.05)；观察B组和观察C组在术后第3天、术后第6天中,在肛门切口疼痛程度指标上均明显均优于观察D组,有明显新差异(P0.05)；观察B、C两组仅在术后第3天,在肛门切口创面分泌物量明显优于观察D组；而在肛门切口水肿程度方面,观察C组明显优于观察B组(P0.05)；其中A、B、C三组均能在手术切口愈合时间中显著优于D组(P0.05),且观察A组在其中更优于其他三组(P0.05)；患者出院时的主观感受方面,仅观察A组显著优于D组(P0.05)；但四组患者在出院天数上无明显差异(P0.05)。结论：痔洗散在混合痔外剥内扎硬注射术后恢复期间,将熏蒸和坐浴联合运用的临床效果最佳,各项指标均优于其他三组,有能效提高手术疗效,减少术后并发症,减轻患者痛苦,提高患者对手术的评价,且在术后越早使用效果越好,相关治疗方法和药物值得在肛肠科中推广。
[Abstract]:Objective: to observe the combination of hemorrhoids fumigation and sitting bath in patients with mixed hemorrhoids after external exfoliation and internal ligation. To explore the advantages and disadvantages of fumigation and sitting bath, and to obtain the best treatment combination to improve the effect of surgery. Methods: a total of 80 patients who met the criteria were randomly divided into 4 groups. Group A took 30 g of hemorrhoid powder to soak hot water daily from the first day after operation, and fumigated the anal incision for 10-15 minutes. Immerse the whole anus in the bath for 20-30 minutes after the water temperature is suitable. No fumigation in group B, no fumigation in group C, and no fumigation and no sitting bath in group D. The degree of anal incision pain, the degree of anal incision edema, the growth of granulation of anal incision, the amount of secretion of anal incision wound, the degree of anal incision pain and the degree of anal incision edema were counted. It is also necessary to count the first day after operation, the subjective feeling score of the patient when discharged from hospital, the days of hospitalization, the days of complete healing of the surgical incision, and so on. Results: on the 3rd and 6th day after operation, the degree of pain, edema and secretion of anal incision in group A were significantly better than those in other three groups (P0.05). On the third day after operation, the growth of granulation in anal incision was better than that in the other three groups (P0.05), while the growth of granulation in group B and C was observed on the third day after operation, and on the sixth day after operation. The indexes of pain degree of anal incision were significantly better than that of group D (P0.05), the volume of secretion in group B C was significantly better than that in group D on the third day after operation, but the degree of edema in anal incision was higher than that in group D. Group C was significantly better than group B (P0.05), and group C was significantly better than group D in the healing time of surgical incision (P0.05), and group A was better than other three groups (P0.05). Only group A was significantly better than group D (P0.05), but the four groups had no significant difference in discharge days (P0.05). Conclusion: the combined use of fumigation and sitting bath is the best clinical effect during the recovery of mixed hemorrhoids after external peeling and internal ligation and hard injection, and all the indexes are superior to the other three groups. It can improve the efficiency of the operation and reduce the postoperative complications. In order to alleviate the pain of patients and improve the evaluation of surgery, the earlier the operation is used, the better the effect is. The related treatment methods and drugs are worth popularizing in anorectal department.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R266

【相似文献】