激光坐浴机联合痔疮外洗液坐浴治疗混合痔术后水肿的临床疗效观察

发布时间：2018-12-06 16:00

【摘要】：目的:观察激光坐浴机联合痔疮外洗液坐浴方治疗混合痔外剥内扎术(Milligan-Morgan术,M-M术)后水肿的临床疗效,通过记录患者治疗前、后肛缘水肿评分及相关症状的变化,探讨激光坐浴机联合痔疮外洗液坐浴方治疗混合痔混合痔外剥内扎术后创面水肿的机制。方法:将80例混合痔混合痔外剥内扎术后患者按随机数表分配方法分为观察组、对照组各40例。观察组采用激光坐浴机联合痔疮外洗液坐浴,对照组采用激光坐浴机联合高锰酸钾溶液坐浴,以7天为一个疗程,均予治疗两个疗程,分别记录治疗后第3、7、14天每个患者伤口水肿及疼痛的评分变化,并记录两组治疗后住院天数。结果:(1)临床疗效比较:观察组总有效率94.73%,对照组总有效率81.57%,两组比较差异有统计学意义(P0.05),认为观察组疗效优于对照组。(2)水肿评分比较:治疗第3天、第7天、第14天后,对两组治疗后水肿评分进行统计分析,两组治疗后水肿评分差异有统计学意义(P0.05);(3)疼痛评分比较:治疗第3天、第7天、第14天后,对两组治疗后疼痛评分进行统计分析,两组治疗后疼痛评分差异有统计学意义(P0.05);(4)治疗后住院天数比较:对两组治疗后住院天数进行统计分析,两组治疗后住院天数差异有统计学意义(P0.05)。结论:激光坐浴机联合痔疮外洗液的临床疗效优于激光坐浴机联合高锰酸钾溶液,激光坐浴机联合痔疮外洗液治疗痔术后水肿可有效地降低水肿体积评分,减轻术口疼痛,缩短患者住院时间。
[Abstract]:Objective: to observe the clinical effect of laser sitting bath combined with external hemorrhoids washing solution in the treatment of edema after mixed hemorrhoid exfoliation and internal ligation (Milligan-Morgan, M-M), and to record the changes of anus edema score and related symptoms before and after treatment. To explore the mechanism of laser sitting bath combined with external hemorrhoids washing solution for treatment of wound edema after external exfoliation and internal ligation of mixed hemorrhoids. Methods: 80 cases of mixed hemorrhoids after external exfoliation and internal ligation were randomly divided into observation group (n = 40) and control group (n = 40). The observation group was treated with laser sitting bath machine combined with hemorrhoids external bath, the control group with laser sitting bath machine combined with potassium permanganate solution sitting bath, 7 days as a course of treatment. The scores of wound edema and pain were recorded on day 14 and the days of hospitalization after treatment were recorded. Results: (1) comparison of clinical efficacy: the total effective rate of observation group was 94.73m and that of control group was 81.57. The difference between the two groups was statistically significant (P0.05). The results showed that the curative effect of the observation group was better than that of the control group. (2) comparison of edema scores: on the 3rd, 7th and 14th day after treatment, the edema scores of the two groups were statistically analyzed. There was significant difference in edema score between the two groups after treatment (P0.05). (3) comparison of pain scores: on the 3rd, 7th and 14th day after treatment, the pain scores of the two groups were statistically analyzed, and the difference between the two groups was statistically significant (P0.05). (4) comparison of the days of hospitalization after treatment: the days of hospitalization after treatment in two groups were statistically analyzed, and the difference between the two groups after treatment was statistically significant (P0.05). Conclusion: the clinical effect of laser sitting bath combined with external hemorrhoids lotion is better than that of laser sitting bath combined with potassium permanganate solution. Laser sitting bath combined with external hemorrhoids lotion can effectively reduce the score of edema volume and relieve the pain of surgical mouth after hemorrhoids operation. Shorten the patient's hospitalization time.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R266

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