硝黄解毒汤坐浴在环状混合痔术后的作用  

Effect of Sitz Bath with Traditional Chinese Medicine after Operation of Circular Mixed Hemorrhoids

作　　者：杨春景[1] 杨灵景 蒋斌[2] 杨良机 YANG Chun-jing;YANG Ling-jing;JIANG Bin(Chinese Medicine Hospital in Huangyan District,Taizhou City,Taizhou 318020,China)

机构地区：[1]浙江省台州市黄岩区中医院中医科,台州318020 [2]浙江省台州市黄岩区中医院普外科,台州318020

出　　处：《中国中西医结合外科杂志》2020年第1期76-78,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:探讨中药硝黄解毒汤坐浴对行环状混合痔切除的患者术后康复及术后并发症的影响。方法:选取行环状混合痔外剥内扎改良术的患者116例,按照随机数字表法分为对照组和观察组各58例,对照组给予常规治疗,观察组在对照组治疗基础上加用中药硝黄解毒汤坐浴,对两组的治疗效果及快速康复情况进行比较。结果:观察组的总有效率显著高于对照组(96.55%vs 77.59%),差异有统计学意义(P<0.05);对照组术后尿潴留、导尿、肛门坠胀和肛门溢液人数(分别为16、14、14、15例)明显高于观察组(分别为6、5、5、6例,均P<0.05);对照组首次排气时间(16.65±3.37)h、首次排便时间(32.68±4.97)h、伤口愈合时间(22.42±3.19)d和住院时间(6.82±1.12)d,均明显长于观察组分别为(12.43±2.79)h、(27.22±4.13)h、(14.16±2.68)d、(4.15±0.85)d,差异均有统计学意义。结论:中药硝黄解毒汤坐浴可以促进环状混合痔切除患者术后快速康复,相关并发症更少,住院时间明显缩短。Objective To explore how to speed up the recovery of patients after circumferential mixed hemorrhoidectomy and reduce the incidence of postoperative complications.Methods Totally 116 patients who underwent hemorrhoidectomy because of circular mixed hemorrhoids were randomly selected.According to the random number table method,they were divided into control group and observation group with 58 patients in each group.Patients in the control group were treated with conventional Western medicine,while patients in the observation group were treated with traditional Chinese medicine(TCM)Xiaohuang Jiedu Decoction sitz bath on the basis of conventional treatment in the control group.The therapeutic effect and rapid rehabilitation of the two groups were compared.Results The total effective rate of the observation group was was 96.55%,which was significantly higher than that of the control group(77.59%,P<0.05).The number of patients with urinary retention(16 cases),catheter catheterization(14 cases),anal bulge(14 cases)and anal discharge(15 cases)in the control group was significantly higher than that in the observation group(6 cases,5 cases,5 cases and 6 cases in turn,P<0.05).The first exhaust time[(16.65±3.37)h],first defecation time[(32.68±4.97)h],wound healing time[(22.42±3.19)d]and hospitalization time[(6.82±1.12)d]in the control group were significantly longer than those in the observation group[(12.43±2.79)h,(27.22±4.13)h,(14.16±2.68)d and(4.15±0.85)d in turn,P<0.05].Conclusion Hip bath with TCM can promote the rapid recovery of patients after circumferential mixed hemorrhoidectomy,with fewer complications and shorter hospitalization time,which is worthy of promotion.

关 键 词：硝黄解毒汤 坐浴疗法 环状混合痔 手术 

分 类 号：R657.1[医药卫生—外科学]