摘要
目的:观察止痛如神汤加减对混合痔术后患者疼痛及创面愈合的影响。方法:选取混合痔患者87例,按随机数字表法分为观察组45例和对照组42例。对照组给予常规外剥内扎手术治疗,术后给予常规护理措施。观察组在对照组基础上加用止痛如神汤加减治疗。比较2组术后第2天、第4天及第6天视觉模拟评分法(VAS)评分,统计疼痛消失时间、创面愈合时间、创面水肿消失时间,并评价临床疗效。结果:观察组总有效率为97.78%,高于对照组85.71%,差异有统计学意义(P<0.05)。术后第2天、第4天,观察组VAS评分低于对照组,差异有统计学意义(P<0.05);术后第6天,2组VAS评分比较,差异无统计学意义(P>0.05)。观察组疼痛消失时间、创面愈合时间、创面水肿消失时间均短于对照组,差异有统计学意义(P<0.05)。结论:止痛如神汤加减可以缓解混合痔术后患者疼痛程度,缩短疼痛时间,减轻水肿,促进创面愈合。
Objective:To observe the effect of modified Zhitong Rushen tang on pain and wound healing in patients after operation for mixed hemorrhoids.Methods:A total of 87 cases of patients with mixed hemorrhoids were selected and divided into the observation group and the control group according to the random number table method,with 45 and 42 cases in each group respectively.The control group was operated with routine external dissection and internal ligation and given routine nursing measures after operation;the observation group was additionally treated with modified Zhitong Rushen tang based on the treatment of control group.The Visual Analogue Scale(VAS) scores on the 2^(nd),4^(th) and 6^(th) postoperative days in the two groups were compared;the disappearance time of pain and the healing time of wound,and wound edema were counted;the clinical effects were evaluated.Results:The total effective rate was 97.78% in the observation group,higher than that of 85.71%in the control group,the difference being significant(P<0.05).On the 2^(nd) and 4^(th) postoperative days,the VAS scores in the observation group were lower than those in the control group,the difference being significant(P<0.05);on the 6^(th) postoperative day,there was no significant difference being found in the comparison of VAS scores between the two groups(P>0.05).The disappearance time of pain and wound edema,and the healing time of wound in the observation group were shorter than those in the control group,the difference being significant(P<0.05).Conclusion:Modified Zhitong Rushen tang for patients after operation for mixed hemorrhoids can relieve their pain degree,shorten the disappearance time of pain,relieve edema and promote wound healing.
出处
《新中医》
CAS
2022年第9期34-36,共3页
New Chinese Medicine
关键词
混合痔
术后
止痛如神汤
疼痛
水肿
创面愈合
Mixed hemorrhoids
After operation
Zhitong Rushen tang
Pain
Edema
Wound healing
