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促愈熏洗方联合艾灸治疗Ⅲ期痔病术后临床疗效观察

Observation on the clinical efficacy of Cuyu Xunxi Recipe combined with moxibustion in the treatment of postoperative grade Ⅲ hemorrhoids
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摘要 目的探讨促愈熏洗方联合艾灸对Ⅲ期痔病术后疼痛、出血、水肿、住院天数及创面愈合时间的影响。方法选取接受手术治疗的213例Ⅲ期痔病术后患者,分为促愈熏洗方+艾灸组、促愈熏洗方组、痔疾洗液组,各71例。促愈熏洗方+艾灸组予促愈熏洗方坐浴联合自动灸疗仪治疗,促愈熏洗方组予促愈熏洗方坐浴治疗,痔疾洗液组予痔疾洗液坐浴治疗。观察各组患者疼痛、出血、水肿症状改善情况、住院天数及创面愈合时间差异。结果术后1、3、7、21天,促愈熏洗方+艾灸组疼痛评分明显优于促愈熏洗方组与痔疾洗液组(P<0.05);促愈熏洗方+艾灸组在3、7、21天出血积分明显低于痔疾洗液组(P<0.05);术后第7、21天促愈熏洗方+艾灸组与促愈熏洗方组水肿评分低于痔疾洗液组(P<0.05);促愈熏洗方+艾灸组与促愈熏洗方组在改善手术1周后水肿方面具有明显优势;促愈熏洗方+艾灸组与促愈熏洗方组创面愈合时间均少于痔疾洗液组(P<0.05);促愈熏洗方+艾灸组较痔疾洗液组住院天数明显减少(P<0.05)。结论促愈熏洗方联合艾灸可有效缓解Ⅲ期痔病术后疼痛、出血、水肿症状,缩短创面愈合时间,提高临床疗效与生活质量。 Objective To explore the effect of Cuyu Xunxi Recipe combined with moxibustion on postoperative pain,bleeding,edema,length of hospital stay,and wound healing time in patients with grade Ⅲ hemorrhoids.Methods A total of 213postoperative patients with grade Ⅲ hemorrhoids who received surgical treatment were selected and divided into Cuyu Xunxi Recipe and moxibustion group,Cuyu Xunxi Recipe group and hemorrhoid washing solution group,with 71 cases in each goup.Cuyu Xunxi Recipe and moxibustion group received Cuyu Xunxi Recipe sitz bath combined with automatic moxibustion instrument.Cuyu Xunxi Recipe group recieved sitz bath treatment with Cuyu Xunxi Recipe.Hemorrhoid wshing solution group received sitz bath treatment with hemorrhoid washing solution.Pain,bleeding,the improvement of edema symptoms,length of hospital stay,and the def ference in wound healing time among patients in each group were observed.Results On the 1st,3rd,7th,and 21st day after surgery,the pain scores in Cuyu Xunxi Recipe and moxibustion group were significantly better than those in Cuyu Xunxi Recipe group and hemorrhoid washing solution group(P<0.05).On days 3,7,and 21,the bleeding scores in Cuyu Xunxi Recipe and moxibustion group were significantly lower than those in hemorrhoid washing solution group(P<0.05).On the 7th and 21st day after surgery,the edema scores in Cuyu Xunxi Recipe and moxibustion group and Cuyu Xunxi Recipe group were lower than those in hemorrhoid washing solution group(P<0.05).Cuyu Xunxi Recipe and moxibustion group and Cuyu Xunxi Recipe group had significant advantages in improving edema one week after surgery.The wound healing time in Cuyu Xunxi Recipe and moxibustion group and Cuyu Xunxi Recipe group was shorter than that in hemorrhoid washing solution group(P<0.05).The hospitalization days in Cuyu Xunxi Recipe and moxibustion group were significantly reduced compared with hemorrhoid washing solution group(P<0.05).Conclusion Cuyu Xunxi Recipe combined with moxibustion can effectively relieve the symptoms of postope
作者 张海岩 茅闻婧 吴闯 黄烃 徐烽 杨巍 ZHANG Haiyan;MAO Wenjing;WU Chuang;HUANG Ting;XU Feng;YANG Wei(Baoshan Hospital of Intergrated Traditional Chinese and Western Medicine,Shanghai 201900,China;Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China)
出处 《长春中医药大学学报》 2024年第4期415-418,共4页 Journal of Changchun University of Chinese Medicine
基金 国家自然科学基金(81704078) 上海市宝山区中医特色重点专科建设汇报(BSZK-2018-A12) 上海市宝山区科学技术委员会科技创新专项资金项目(2023-E-16) 宝山区中西医结合医院优秀青年专家培养计划(2022BY002) 杨巍全国名老中医药专家传承工作室。
关键词 Ⅲ期痔病术后 促愈熏洗方 穴位敷贴 坐浴 postoperative grade Ⅲ hemorrhoids Cuyu Xunxi Recipe acupoint application sitz bath
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