摘要
目的:研究接受外剥内扎术治疗的混合痔患者术后联合应用中药坐浴与复方角菜酸酯栓治疗对其创面愈合与肛门功能产生的影响。方法:回顾性分析148例自2020年10月至2021年10月在厦门大学附属福州第二医院接受外剥内扎术的混合痔患者临床资料,依照患者术后治疗方式的差异将其分成对照组与观察组,各74例。术后两组患者均应用复方角菜酸酯栓,观察组患者术后联合中药坐浴治疗,比较两组患者术后恢复情况、肛门功能改善情况以及并发症情况。结果:观察组患者治疗总有效率为97.30%,高于对照组的87.84%,差异具有统计学意义(P<0.05)。观察组患者术后水肿、渗出物及疼痛消失用时以及创面愈合用时均短于对照组,差异具有统计学意义(P<0.05)。干预后1周观察组患者肛管舒张压、肛管最大收缩压、肛管静息压均大于对照组,肛管高压带长度短于对照组,差异具有统计学意义(P<0.05)。观察组患者术后并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。结论:外剥内扎术治疗的混合痔患者术后采用中药坐浴与复方角菜酸酯栓联合治疗可缩短创面愈合时间,还有助于减少相关并发症。
Objective To study and analyze the effect of traditional Chinese medicine sitz bath and compound carrageate suppositories on wound healing and anal function in patients with mixed hemorrhoids treated with external stripping and internal ligation.Methods Clinical data of 148 patients with mixed hemorrhoids who received external stripping and internal ligation in Fuzhou Second Hospital Affiliated to Xiamen University from October 2020 to October 2021 were retrospectively analyzed,and were divided into control group and observation group,74 cases in each group according to the differences in postoperative treatment.All patients were treated with compound carrageate suppository after surgery.Patients in the observation group were treated with compound carrageate suppository combined with traditional Chinese medicine sitz bath after surgery.Postoperative recovery,improvement of anal function and complications were compared between the two groups.Results The total effective rate of the observation group was 97.30%,which was higher than that of the control group(87.84%),the difference was statistically significant(P<0.05).The time for postoperative edema,exudate and pain to disappear and wound healing in the observation group were significantly shorter,and the differences were statistically significant(P<0.05).One week after intervention,diastolic pressure,maximum systolic pressure and resting pressure of anal canal in the observation group were all higher than those in the control group,while the length of anal canal high pressure band was shorter than that in the control group,with statistical significance(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion In patients with mixed hemorrhoids treated with external stripping and internal ligation,the combination of traditional Chinese medicine sitz bath and compound carrageate suppositories can shorten the wound healing time and he
作者
赵孟煜
郑凌艳
ZHAO Meng-yu;ZHENG Ling-yan(Fuzhou Second Hospital Affiliated to Xiamen University,Fujian Fuzhou 350001)
出处
《深圳中西医结合杂志》
2023年第4期47-49,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
混合痔
中药坐浴
复方角菜酸酯栓
Mixed hemorrhoids
Traditional Chinese medicine sitz bath
Compound carrageate suppository
