促愈熏洗方联合大黄外敷对混合痔环切术后的康复作用  

Rehabilitation effects of Cuyu Xunxi decoction combined with rhubarb external application in the patients with mixed hemorrhoid undergoing circumferential operation

作　　者：翟珍珠 汤玉洁 张丹丹 ZHAI Zhenzhu;TANG Yujie;ZHANG Dandan(Department of Colorectal Surgery,Zhengzhou Hospital of Colorectal and Anal Diseases,Zhengzhou 450000,China;Department of Oncology,Suixian People′s Hospital,Zhengzhou 450000,China;Hernorrhoid Fistula,Zhengzhou Hospital of Colorectal and Anal Diseases,Suixian 476900,China)

机构地区：[1]郑州市大肠肛门病医院大肠外科,郑州450000 [2]郑州市大肠肛门病医院痔瘘科,郑州450000 [3]睢县人民医院肿瘤科,睢县476900

出　　处：《华夏医学》2024年第4期173-178,共6页Acta Medicinae Sinica

基　　金：河南省医学科技攻关联合共建项目(LHGJ20219331)。

摘　　要：目的探讨促愈熏洗方联合大黄外敷对混合痔吻合器痔上黏膜环切术(PPH)后的康复作用。方法选取2023年1月至2023年12月收治的拟行PPH术治疗的混合痔患者104例,采用随机原则分为大黄外敷组和联合组(促愈熏洗方联合大黄外敷),每组52例。两组PPH术后均行常规护理,大黄外敷组在此基础上进行大黄外敷治疗,联合组在大黄外敷组基础上加用促愈熏洗方熏洗治疗。比较两组康复进程、术后并发症、肛门功能、疼痛程度、生活质量。结果联合组康复时间短于大黄外敷组,并发症总发生率1.92%,低于大黄外敷组13.46%,差异有统计学意义(P<0.05)。治疗后,联合组疼痛视觉模拟评分法评分(VAS)、Wexner便秘评分(WCS)低于大黄外敷组,世界卫生组织生存质量测定表(WHOQOL)评分高于大黄外敷组(P<0.05)。结论促愈熏洗方联合大黄外敷能降低混合痔患者PPH术后并发症,促进康复,提高患者生活质量。Objective To investigate the rehabilitation effects of Cuyu Xunxi decoction combined with rhubarb external application on the rehabilitation in the patients with mixed hemorrhoids undergoing procedure for prolapse and hemorrhoids(PPH).Methods 104 patients with mixed hemorrhoids treated with PPH from January 2023 to December 2023 were selected and randomly divided into the rhubarb external application group and Cuyu Xunxi group,with 52 cases in each group.The patients in 2 groups were received routine nursing care after PPH.The patients in rhubarb external application group were received rhubarb external application and the patients in Cuyu Xunxi group were received Cuyu Xunxi decoction on the basis of rhubarb external application.The recovery process,postoperative complications,anal function,pain degree and quality of life were compared between the two groups.Results All kinds of recovery time in Cuyu Xunxi group were shorter than those in rhubarb external application group,and the total complication rate in Cuyu Xunxi group was lower than that in rhubarb external application group,showing a statistically significant difference(P<0.05).After operation,visual analogue score(VAS)and Wexner constipation scoe(WCS)in Cuyu Xunxi group were lower than those in rhubarb external application group,and World Health Organization Quality of Life(WHOQOL)score was higher than that in rhubarb external application group(P<0.05).Conclusion Cuyu Xunxi decoction combined with rhubarb external application reduces the incidence of complications in the patients with mixed hemorrhoids undergoing PPH,accelerates the progress of rehabilitation,reduces postoperative pain,improves anal function and improves quality of life.

关 键 词：混合痔 吻合器痔上黏膜环切术 促愈熏洗方 大黄外敷 

分 类 号：R574.8[医药卫生—消化系统]