注射切扎术联合生肌促愈膏口服治疗Ⅱ~Ⅳ度混合痔49例疗效观察  

Clinical Efficacy of Injection Ligation Combined with Shengji Cuyu Medicinal Paste in Treatment of 49 Cases of Mixed Hemorrhoids with GradeⅡ~Ⅳ

作　　者：周金莉[1] 顾俊[1] 杜燕红[1] 徐琴[1] 须海丰 罗志渊[1] ZHOU Jin-li;GU Jun;DU Yan-hong;XU Qin;XU Hai-feng;LUO Zhi-yuan(Taicang Hospital of Traditional Chinese Medicine,Taicang,Jiangsu 215400)

机构地区：[1]太仓市中医医院,江苏太仓215400

出　　处：《中国肛肠病杂志》2024年第1期27-29,共3页Chinese Journal of Coloproctology

摘　　要：目的:观察注射切扎术联合生肌促愈膏口服治疗Ⅱ~Ⅳ度混合痔的疗效。方法:将我院2022年7月至2023年7月手术治疗的98例Ⅱ~Ⅳ度混合痔患者随机分为观察组和对照组,每组49例。2组患者均采用注射切扎术治疗,术后均常规补液抗炎预防感染,观察组患者加生肌促愈膏口服,术后连续治疗10 d,比较2组患者的疗效、疼痛评分、创面渗出评分、创面愈合时间及住院时间。结果:观察组患者总有效率为97.96%,对照组为95.92%,2组比较差异无统计学意义(P>0.05);在治疗第3天和第7天,观察组患者创面疼痛评分明显低于对照组(P<0.05),手术后第7天,观察组患者创面渗液评分低于对照组(P<0.05);观察组患者创面愈合时间和住院时间均短于对照组(P<0.05)。结论:注射切扎术联合生肌促愈膏口服治疗Ⅱ~Ⅳ度混合痔疗效显著,不仅能减轻患者术后疼痛,减少创面渗液,而且还可以缩短患者创面愈合时间和住院时间,临床效果满意。Objective To observe the clinical efficacy of injection ligation combined with Shengji Cuyu Medicinal Paste orally in the treatment of mixed hemorrhoids with gradeⅡ~Ⅳ.Methods Total 98ca-ses of mixed hemorrhoids with gradeⅡ~Ⅳtreated by operation in our hospital from July 2022to July 2023were randomly divided into the observation group and the control group,with 49cases in each group.All patients in both groups were treated with injection ligation,and routine fluid supplementation was per-formed after operation to prevent inflammation and infection.Patients in the observation group were given Shengji Cuyu Medicinal Paste orally,and were treated continuously for 10days after operation.The effica-cy,pain score,wound exudation score,wound healing time and hospital stay of the two groups were com-pared.Results The total effective rate was 97.96%in the observation group and 95.92%in the control group,and there was no statistical significance between the two groups(P>0.05).On the 3rd and 7th day of treatment,the wound pain score of the observation group was significantly lower than that of the control group(P<0.05).On the 7th day after operation,the wound exudation score of the observation group was lower than that of the control group(P<0.05).The wound healing time and hospital stay of the observation group were shorter than those of the control group(P<0.05).Conclusion Injection ligation combined with Shengji Cuyu Medicinal Paste orally in the treatment of mixed hemorrhoids with gradeⅡ~Ⅳis effective,which can not only alleviate postoperative pain,reduce wound exudation,but al-so shorten wound healing time and hospital stay,and the clinical effect is satisfactory.

关 键 词：混合痔 注射切扎术 生肌促愈膏 

分 类 号：R657.18[医药卫生—外科学]