[1]王清园,杨 巍,彭云花,等.实炎方保留灌肠联合坐浴在Ⅲ度内痔患者选择性痔上黏膜切除钉合术后的应用[J].陕西中医,2022,(10):1419-1422,1426.[doi:DOI:10.3969/j.issn.1000-7369.2022.10.023]
　WANG Qingyuan,YANG Wei,PENG Yunhua,et al.Application of Shiyan formula retention enema combined with hip bath in patients with grade Ⅲ internal hemorrhoids after tissue-selecting therapy hemorrhoidectomy and nailing[J].,2022,(10):1419-1422,1426.[doi:DOI:10.3969/j.issn.1000-7369.2022.10.023]
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实炎方保留灌肠联合坐浴在Ⅲ度内痔患者选择性痔上黏膜切除钉合术后的应用
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年10期
页码:
1419-1422,1426
栏目:
临床研究
出版日期:
2022-10-05

文章信息/Info

Title:
Application of Shiyan formula retention enema combined with hip bath in patients with grade Ⅲ internal hemorrhoids after tissue-selecting therapy hemorrhoidectomy and nailing
作者:
王清园; 杨 巍; 彭云花; 陈 天; 马燕玲
(上海中医药大学附属曙光医院,上海 201203)
Author(s):
WANG Qingyuan; YANG Wei; PENG Yunhua; CHEN Tian; MA Yanling
(Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
关键词:
内痔Ⅲ度;  选择性痔上黏膜切除钉合术;  实炎方;  中药保留灌肠;  坐浴;  术后并发症
Keywords:
Grade Ⅲ internal hemorrhoids;  Tissue-selecting therapy;  Shiyan formula;  Traditional Chinese medicine retention enema;  Hip bath;  Postoperative complications
分类号:
R 657.18
DOI:
DOI:10.3969/j.issn.1000-7369.2022.10.023
文献标志码:
A
摘要:
目的:探讨实炎方保留灌肠联合坐浴在Ⅲ度内痔患者选择性痔上黏膜切除钉合术(TST)后的应用效果。方法:按照随机数字表法将106例Ⅲ度内痔患者分成对照组和观察组。两组均采用TST术治疗,对照组术后当天采用高锰酸钾液(1:5000)坐浴治疗,观察组术后当天采用实炎方保留灌肠治疗,两组均治疗14 d。观察两组治疗前后的疼痛评分、水肿评分、肉芽形态评分、创面渗液评分,统计两组并发症发生率和痊愈率。结果:观察组治疗后的疼痛评分、水肿评分、肉芽形态评分、创面渗液评分均低于对照组(P<0.05); 观察组并发症发生率为7.55%,低于对照组的22.64%(P<0.05); 观察组痊愈率为81.13%,高于对照组的62.26%(P<0.05)。结论:实炎方保留灌肠联合坐浴用于Ⅲ度内痔患者TST术后,能够显著提高治疗痊愈率,促进创面愈合,缓解术口疼痛,减轻肛缘水肿,减少术后并发症发生率。
Abstract:
Objective:To explore the effect of Shiyan formula retention enema combined with hip bath after tissue-selecting therapy(TST)in patients with grade Ⅲ internal hemorrhoids.Methods:106 patients with grade Ⅲ internal hemorrhoids were randomly divided into control group and observation group.Both groups were treated with TST,the control group was treated with potassium permanganate(1:5000)hip bath on the day after operation,and the observation group was treated with Shiyan formula retention enema on the day after operation.Both groups were treated for 14 days.The pain score,edema score,granulation morphology score and wound exudation score of the two groups were observed before and after treatment,and the incidence of complications and recovery rate of the two groups were counted.Results:The pain score,edema score,granulation morphology score and wound exudation score in the observation group were lower than those in the control group(P<0.05).The incidence of complications in the observation group was 7.55%,lower than 22.64% in the control group(P<0.05).The cure rate in the observation group was 81.13%,which was higher than 62.26% in the control group(P<0.05).Conclusion:Shiyan formula retention enema combined with hip bath after TST in patients with grade Ⅲ internal hemorrhoids can significantly improve the cure rate,promote wound healing,relieve postoperative pain,reduce anal edema and reduce the incidence of postoperative complications.

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备注/Memo

备注/Memo:
基金项目:上海市临床重点专科项目(SHSLCZDZK04302); 上海市三年行动计划重大临床研究项目(SHDC2020CR2007A)
更新日期/Last Update: 2022-10-09