| 摘要: |
| 目的：探讨中药热奄包联合揿针疗法防治混合痔术后排便困难及并发症的临床疗效。方法：选择接受混合痔外剥内扎术治疗的患者200 例，采用随机数字表将其分为治疗组与对照组，每组各100 例。对照组在术后接受常规治疗，治疗组在对照组基础上加用中药热奄包联合揿针疗法。比较2组患者术后首次排便时间，术后首次排便时及术后3、7 d的排便评分，术后1、3、7 d创面疼痛、创面出血、创缘水肿评分，创面愈合时间，并评价综合疗效。结果：总有效率治疗组和对照组均为100.00%，差异无统计学意义（P＞0.05）。治疗组术后首次排便时间及创面愈合时间均早于对照组（P＜0.01），治疗组术后排便情况、创面疼痛及创面出血评分均优于对照组（P＜0.01），肛缘水肿评分组间比较，差异无统计学意义（P＞0.05）。随着治疗时间增加，2组患者总体排便情况均逐步得到改善（P＜0.05），而创面疼痛及肛缘水肿程度则均呈现先加重后缓解的态势（P＜0.05），创面出血情况术后第7天均优于术后第3天（P＜0.05）。结论：中药热奄包联合揿针疗法可有效改善混合痔术后排便困难，降低创面疼痛，减少出血，加速创面愈合时间。 |
| 关键词: 混合痔术后 排便困难 创面疼痛 中药热奄包 揿针 |
| DOI： |
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| Clinical effect of heated herbal compress package combined with press needle in prevention and treatment of difficult defecation and complication after surgery for mixed hemorrhoids: An analysis of 100 cases |
| CHEN Ming,XIE Minning |
| (Department of Traditional Chinese Medicine，Jinshan Hospital，Fudan University，Shanghai 201508，China) |
| Abstract: |
| Objective: To investigate the clinical effect of heated herbal compress package combined with press needle in the prevention and treatment of difficult defecation and complication after surgery for mixed hemorrhoids.Methods: A total of 200 patients who received Milligan-Morgan hemorrhoidectomy for mixed hemorrhoids were divided into treatment group and control group using a random number table，with 100 patients in each group.The patients in the control group received conventional treatment after surgery，and those in the treatment group received heated herbal compress package combined with press needle in addition to the treatment in the control group.The two groups were compared in terms of time to first postoperative defecation and defecation score at the time of first postoperative defecation and on days 3 and 7 after surgery，as well as wound pain score，wound bleeding score，wound edge edema score，and wound healing time on days 1，3，and 7 after surgery，and overall response was assessed.Results: Both groups had an overall response rate of 100%，with no significant difference between the two groups (P＞0.05）.and compared with the control group，the treatment group had significantly shorter time to first postoperative defecation and wound healing time (P＜0.01）,Compared with the control group，the treatment group had significantly better postoperative defecation，wound pain score，and wound bleeding score (P＜0.01），there was no significant difference in wound edge edema score between the two groups (P＞0.05）.Over the time of treatment，both groups had a gradual improvement in defecation (P＜0.05），while wound pain and anal edema first aggravated and then alleviated (P＜0.05）;there was a significant improvement in wound bleeding from day 3 to day 7 after surgery (P＜0.05）.Conclusion: Heated herbal compress package combined with press needle can effectively improve difficult defecation after surgery for mixed hemorrhoids，alleviate wound pain，reduce bleeding，and shorten wound healing time. |
| Key words: after surgery for mixed hemorrhoids difficult defecation wound pain heated herbal compress package press needle |
