中药熏洗治疗对混合痔患者PPH术后创面愈合及疼痛程度的影响  

Effect of Traditional Chinese Medicine Fumigation on Wound Healing and Pain Degree After PPH in Patients with Mixed Hemorrhoids

作　　者：王称平 WANG Chengping(Department of General Surgery,Yushan Boai Hospital,Yushan 334700,Jiangxi,China)

机构地区：[1]玉山博爱医院普外科,江西玉山334700

出　　处：《医学信息》2025年第8期131-135,共5页Journal of Medical Information

摘　　要：目的 探究中药熏洗治疗对混合痔患者吻合器痔上黏膜环形切除术(PPH)术后创面愈合及疼痛程度的影响。方法 选取2021年1月-2023年12月玉山博爱医院收治的60例混合痔患者作为研究对象,按照随机数字表法将其分为研究组与对照组,每组30例。对照组采用常规基础治疗,研究组采用中药熏洗治疗。比较两组术后愈合情况、疼痛程度(VAS评分、VRS评分、PPI评分)、肛周水肿评分、生活质量(精力、社会功能、生理职能、生理机能、躯体疼痛、情感职能、精神健康)、并发症(尿潴留、便秘、肛门狭窄、切口感染、创口出血)发生率。结果 与对照组术后总愈合率的73.33%比较,研究组术后总愈合率更高,达96.67%(P<0.05);与治疗前比较,两组治疗后VAS评分、VRS评分、PPI评分降低,且与对照组比较,研究组治疗后VAS评分、VRS评分、PPI评分更低(P<0.05);与治疗前比较,两组治疗后7、14 d肛周水肿评分降低,且与对照组比较,研究组治疗7、14 d肛周水肿评分更低(P<0.05);与治疗前比较,两组治疗后生活质量各维度评分升高,且与对照组比较,研究组治疗后生活质量各维度评分更高(P<0.05);与对照组比较,研究组并发症发生率更低(P<0.05)。结论 中药熏洗治疗能够提高混合痔患者PPH术后愈合效果和生活质量,改善患者疼痛程度和肛周水肿,降低患者术后并发症发生率,值得临床应用。Objective To explore the effect of traditional Chinese medicine fumigation and washing on wound healing and pain degree after the procedure for prolapse and hemorrhoids(PPH) in patients with mixed hemorrhoids.Methods A total of 60 patients with mixed hemorrhoids admitted to Yushan Boai Hospital from January 2021 to December 2023 were selected as the research objects.According to the random number table method,they were divided into study group and control group,with 30 patients in each group.While,in the control group,patients were treated with routine basic treatment,and in the study group,patients were treated with traditional Chinese medicine fumigation.The postoperative healing,pain degree(VAS score,VRS score,PPI score),perianal edema score,quality of life(energy,social function,physiological function,physiological function,physical pain,emotional function,mental health) and complications(urinary retention,constipation,anal stenosis,incision infection,wound bleeding)were compared between the two groups.Results Compared with the total healing rate of 73.33% in the control group,the total healing rate of the study group was higher,reaching 96.67%(P <0.05).Compared with before treatment,the VAS score,VRS score and PPI score of the two groups decreased after treatment,and compared with the control group,the VAS score,VRS score and PPI score of the study group were lower after treatment(P <0.05).Compared with before treatment,the scores of perianal edema in the two groups were decreased at 7 and 14 days after treatment,and compared with the control group,the scores of perianal edema in the study group were lower at 7 and 14 days after treatment( P<0.05).Compared with before treatment,the scores of each dimension of quality of life in the two groups increased after treatment,and compared with the control group,the scores of each dimension of quality of life in the study group were higher after treatment(P<0.05).Compared with the control group,the incidence of complications in the study group was lower(P<0.05).Concl

关 键 词：中药熏洗 混合痔 PPH术 创面愈合 疼痛程度 

分 类 号：R657.18[医药卫生—外科学]