硝英方不同温度和时间治疗方案对混合痔术后创面愈合的影响  

Effect of different temperature and time treatment of Xiaoying Fang on wound healing after mixed hemorrhoid surgery

作　　者：焦刚 于厚仁 刘红庆 张明铭 王晶晶 Jiao Gang;Yu Houren;Liu Hongqing;Zhang Mingming;Wang Jingjing(Department of Proctology,Fuyang Traditional Chinese Medicine Hospital,Fuyang 236000,China)

机构地区：[1]阜阳市中医医院肛肠科,阜阳236000

出　　处：《中国医师进修杂志》2024年第12期1131-1135,共5页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨不同温度和时间硝英方坐浴对混合痔术后患者创面愈合的影响。方法前瞻性选择2020年9月至2023年10月在阜阳市中医医院行手术治疗的160例混合痔患者为研究对象,按随机数字表法分组,剔除退出患者,最终入选157例,分别为观察1组39例、观察2组40例、观察3组38例和观察4组40例,四组术后均采用硝英方坐浴,观察1组坐浴温度和时间为38~41℃、10 min,观察2组为38~41℃、15 min,观察3组为42~45℃、10 min,观察4组为42~45℃、15 min。比较四组患者治疗后伤口疼痛、水肿、创面肉芽生长情况以及切口愈合情况。结果治疗第3、5天,观察1组和观察2组视觉模拟量表(VAS)评分低于观察3组和观察4组[(4.33±1.19)、(4.43±1.13)分比(5.15±1.05)、(5.40±1.26)分,(2.46±1.25)、(2.63±0.54)分比(3.61±1.22)、(3.85±1.05)分],差异有统计学意义(P<0.05);观察2组伤口水肿评分显著低于观察1组、观察3组和观察4组[(1.43±0.50)分比(2.21±0.83)、(2.05±0.84)、(1.98±0.86)分,(0.88±0.22)分比(1.38±0.54)、(1.00±0.23)、(0.93±0.25)分],差异有统计学意义(P<0.05)。治疗第3、5、7天,观察2组创面肉芽生长评分显著低于观察1组、观察3组和观察4组[(0.80±0.08)分比(1.36±0.13)、(1.42±0.13)、(1.53±0.15)分,(0.65±0.18)分比(1.08±0.17)、(1.07±0.21)、(1.03±0.10)分,(0.35±0.08)分比(0.74±0.17)、(0.97±0.15)、(0.78±0.09)分],差异有统计学意义(P<0.05)。四组术后7 d创面愈合情况比较差异有统计学意义(H=9.84,P<0.05),观察2组创面愈合总有效率最高,为92.50%(37/40)。结论硝英方最佳坐浴温度和时间为38~41℃、15 min。ObjectiveTo investigate the effect of different temperature and time treatment of Xiaoying Fang on wound healing after mixed hemorrhoid surgery.MethodsA total of 160 patients with mixed hemorrhoids who underwent surgical treatment in Fuyang Hospital of Traditional Chinese Medicine from September 2020 to October 2023 were prospectively selected as the study objects,according to the random number table method and the patients who withdrew were excluded,and 157 cases were finally enrolled,and the patients were divided into observation group 1(39 cases),observation group 2(40 cases),observation group 3(38 cases)and observation group 4(40 cases).The four groups were all treated with Xiaoying Fang hip bath after surgery.The temperature and time of hip bath in group 1 were observed at 38-41℃for 10 min,group 2 at 38-41℃for 15 min,group 3 at 42-45℃for 10 min,and group 4 at 42-45℃for 15 min.Wound pain,edema,wound granulation growth and wound healing were compared between the four groups after treatment.ResultsAt the 3rd and 5th day of treatment,the visual analogue scale(VAS)scores in the observation group 1 and observation group 2 were lower than those in the observation group 3 and observation group 4:(4.33±1.19),(4.43±1.13)scores vs.(5.15±1.05),(5.40±1.26)scores;(2.46±1.25),(2.63±0.54)scores vs.(3.61±1.22),(3.85±1.05)scores,there were statistical differences(P<0.05).The wound edema scores in the observation group 2 were lower than that in the observation group 1,observation group 3 and observation group 4:(1.43±0.50)scores vs.(2.21±0.83),(2.05±0.84),(1.98±0.86)scores;(0.88±0.22)scores vs.(1.38±0.54),(1.00±0.23),(0.93±0.25)scores,there were statistical differences(P<0.05).On the 3rd,5th and 7th day of treatment,the wound granulation growth scores in the observation group 2 was lower than that in the observation group 1,observation group 3 and observation group 4:(0.80±0.08)scores vs.(1.36±0.13),(1.42±0.13),(1.53±0.15)scores;(0.65±0.18)scores vs.(1.08±0.17),(1.07±0.21),(1.03±0.10)scores;(0.3

关 键 词：痔切除术 硝英方 坐浴 临床方案 

分 类 号：R266[医药卫生—中医外科学]