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中国初级卫生保健:2018,32(6):74-75
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混合痔手术后应用中药坐浴对减轻疼痛及促进创面愈合的作用
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中文摘要: 目的 探讨中药坐浴用于混合痔手术后的效果。方法 按照随机数字表法,将我院2016年7月—2017年6月收治的80例混合痔术后患者分为对照组和观察组,每组各40例。入选对象均符合手术治疗指征并行手术治疗。对照组术后采用中药熏洗,观察组术后采用中药坐浴。采用视觉模拟法(VAS)评价两组患者术后1 d、7 d时疼痛程度,记录两组患者术后创面愈合时间、创面水肿和肉芽生长情况,评价两组的临床疗效。结果 两组患者术后1 d时VAS评分比较,P>0.05;术后7 d时VAS评分比较,P<0.05;观察组术后创面愈合时间为(10.22±2.48) d,明显短于对照组的(15.36±3.41) d,P<0.05;观察组术后创面水肿发生率明显低于对照组,创面肉芽生长良好率明显高于对照组,P<0.05。观察组临床治疗有效率明显高于对照组,P<0.05。结论 混合痔术后采用中药坐浴的效果较中药熏洗效果显著,因此,值得推广应用。
中文关键词: 混合痔  中药熏洗  手术  中药坐浴  作用
Abstract:OBJECTIVE To explore the effect of traditional Chinese medicine bath for mixed hemorrhoid operation. METHODS 80 patients with mixed hemorrhoids who were treated in our hospital from July 2016 to June 2017 were divided into control group and observation group according to random number table method, 40 cases in each group. The selected objects were in line with the indications for surgical treatment, concurrent surgical treatment; postoperative control group fumigation with traditional Chinese medicine; observation group after taking traditional Chinese medicine bath. Visual acuity (VAS) was used to evaluate the degree of pain at 1 and 7 days after operation. The wound healing time was recorded in both groups. The edema and granulation growth of the two groups were recorded. Evaluate the two groups curative effect. RESULTS The VAS scores of the two groups at 1 day after operation were compared, P>0.05; VAS scores at 7 days after operation were compared, P<0.05; wound healing time in the observation group was (10.22±2.48) days, which was significantly shorter than that in the control group (15.36±3.41) d, P<0.05. The incidence of postoperative wound edema in the observation group was significantly lower than that in the control group. The good growth rate of granulation in the wound surface was significantly higher than that in the control group(P<0.05). Clinical observation group effective rate was significantly higher than the control group, P<0.05. CONCLUSION Mixed hemorrhoid surgery using traditional Chinese medicine bathing effect than traditional Chinese fumigation significant, it can be worth promoting.
文章编号:3201806028     中图分类号:R657+1    文献标志码:
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