直肠黏膜内脱垂术后复方黄柏液坐浴疗效观察  

Efficacy of Compound Huangbai Liquid(复方黄柏液)Sitz Bath after Rectal Mucosal Prolapse Surgery

作　　者：王旭涛[1] 张亮亮 蔡欣悦 廖辉 WANG Xutao;ZHANG Liangliang;CAI Xinyue;LIAO Hui(Xindu District People′s Hospital of Chengdu,Chengdu 610500,Sichuan,China)

机构地区：[1]成都市新都区人民医院,四川成都610500

出　　处：《辽宁中医杂志》2024年第9期112-115,共4页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的分析复方黄柏液坐浴在直肠黏膜内脱垂患者选择性直肠黏膜切除(tissue-selecting therapy,TST)术后的应用效果。方法选取2021年1月—2022年12月医院收治的184例行TST治疗的直肠黏膜内脱垂患者为研究对象,采用随机数字表余数分组法分为常规组(92例)与坐浴组(92例)。常规组给予创面清洁、换药等常规术后处理,坐浴组联合复方黄柏液坐浴治疗,疗程为2周。记录两组临床疗效,比较两组治疗前(即术后2 d)、治疗1周、治疗2周时肛门疼痛[视觉模拟评分法(visual analogue scale,VAS)]及创面水肿评分差异,并在术前及术后8周时,评估排便功能[中文版便秘患者症状自评量表(Chinese version of patient assessment of constipation symptom,PAC-SYM)],记录两组术后并发症发生情况。结果坐浴组临床疗效高于常规组(P<0.05)。治疗后,两组肛门VAS评分及创面水肿均较治疗前下降(P<0.05),且随时间的延长而降低(P<0.05),坐浴组治疗1周、2周时上述评分均显著低于常规组(P<0.05)。术后8周时,两组粪便性状、直肠症状、腹部症状PAC-SYM评分均较术前显著降低,且坐浴组术后直肠症状、腹部症状评分低于常规组(P<0.05)。两组术后均未出现肛门狭窄、肛门失禁等并发症。结论复方黄柏液坐浴治疗可促进直肠黏膜内脱垂TST术后疼痛缓解,减轻术后创面水肿,加速转归。Objective To analyze the application effect of Compound Huangbai Liquid(复方黄柏液)sitz bath on patients with rectal mucosal prolapse after after tissue-selecting therapy(TST).Methods A total of 184 patients with rectal mucosal prolapse who underwent TST from January 2021 to December 2022 were selected as the study subjects,and they were divided into conventional group(92 cases)and sitz bath group(92 cases)by the remainder grouping method of the random number table method.The conventional group received wound surface cleaning,dressing change and other conventional postoperative treatments,and the sitz bath group was treated with Compound Huangbai Liquid sitz bath on this basis,and both groups were treated for 2 weeks.The clinical efficacy in the two groups was recorded,and the differences in anal pain[visual analogue scale(VAS)]and wound surface edema score were compared between the two groups before treatment(i.e.,2 days after surgery)and at 1 and 2 weeks of treatment.The defecation function[Chinese version of patient assessment of constipation symptom(PAC-SYM)]was evaluated before surgery and at 8 weeks after surgery,and the postoperative complications in the two groups were recorded.Results The clinical efficacy in sitz bath group was higher than that in the conventional group(P<0.05).After treatment,the scores of anal VAS and wound surface edema were decreased in both groups compared with those before treatment(P<0.05),and the above scores were decreased with the extension of time(P<0.05),and the scores in sitz bath group were significantly lower than those in conventional group at 1 and 2 weeks of treatment(P<0.05).At 8 weeks after surgery,the PAC-SYM scores of stool property,rectal symptom and abdominal symptom in both groups were significantly decreased compared with those before surgery,and the scores of rectal symptom and abdominal symptom in sitz bath group after surgery were lower than those in conventional group(P<0.05).No complications such as anal stricture and anal incontinence were found in b

关 键 词：直肠黏膜内脱垂 复方黄柏液 坐浴 TST 术后 创面 

分 类 号：R26[医药卫生—中医外科学]