痔康洗剂熏洗联合辨证论治对痔病术后患者手术创面感染、愈合及排便的影响
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R657.1+8

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2016年许昌市科技攻关项目(许科字[2015]95号文科技攻关项目403号)


Effect of Fumigation and Washing with Zhikang Lotion Combined with Syndrome Differentiation and Treatment on Infection and Healing of Surgical Wounds and Defecation in Patients after Surgery of Hemorrhoidal Diseases
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    摘要:

    目的:探究痔康洗剂熏洗联合辨证论治对痔病术后患者手术创面感染、愈合及排便的影响。方法:选取痔病患者124例,按随机数字表法分为治疗组和对照组各62例。对照组术后给予抗生素治疗,治疗组于术后给予痔康洗剂熏洗联合辨证论治,记录术后第1、6天手术创面感染及排便情况。结果:治疗组临床总有效率为90.32%,高于对照组75.81%,差异有统计学意义(P<0.05)。与术后第1天比较,术后第6天,2组创面水肿、创面渗液、创面面积评分均显著下降(P<0.05),治疗组创面水肿、创面渗液、创面面积评分均低于同期对照组(P<0.05)。治疗组术后平均创面愈合时间和平均住院时间均显著低于对照组(P<0.01)。治疗组排便时肛门疼痛VAS评分低于对照组(P<0.01)。治疗组便后相同时间点肛门疼痛VAS评分低于对照组(P<0.01)。治疗组镇痛满意度评分显著高于对照组(P<0.01)。结论:应用痔康洗剂熏洗联合辨证论治预防痔病术后创面感染疗效显著,可缩短创面愈合时间,缓解排便疼痛,为预防痔病术后创面感染提供多样化治疗方案,具有一定的临床推广价值。

    Abstract:

    Objective: To discuss the effect of fumigation and washing with Zhikang lotion combined with syndrome differentiation and treatment on infection and healing of surgical wounds and defecation in patients after surgery of hemorrhoidal diseases.Methods:A total of 124 cases of patients with hemorrhoidal diseases were divided into the treatment group and the control group according to the random number table method,62 cases in each group.After surgery,the control group was treated with antibiotics,and the treatment group was treated with fumigation and washing with Zhikang lotion combined with syndrome differentiation and treatment.After surgery for one day and six days,infection of surgical wounds and defecation were recorded respectively.Results:The total clinical effective rate was 90.32% in the control group,higher than that of 75.81% in the control group,the difference being significant(P<0.05).Compared with those on the first day after surgery, the scores of wound swelling, wound exudate and area of wound in the two groups were significantly decreased(P < 0.05),and the scores in the treatment group were lower than those in the control group in the same period(P<0.05).After surgery,the average healing time of wounds and the average hospitalization time in the treatment group were significantly lower than those in the control group(P<0.05).The VAS score of anal pain during defecation in the treatment group was lower than that in the control group(P<0.05).The VAS score of anal pain after defecation in the treatment group was lower than that at the same time in the control group(P<0.05).The satisfaction score of analgesia in the treatment group was significantly higher than that in the control group(P<0.05).Conclusion:The application of fumigation and washing with Zhikang lotion combined with syndrome differentiation and treatment has significant curative effect in preventing infection of surgical wounds after hemorrhoidal surgery.It can shorten the healing time of wounds,relieve defecation pain,and provide a variety of therapeutic schemes for preventing infection of surgical wounds after surgery,which has certain clinical popularization values.

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宋晓锋.痔康洗剂熏洗联合辨证论治对痔病术后患者手术创面感染、愈合及排便的影响[J].新中医,2020,52(1):104-107

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  • 在线发布日期: 2020-01-06
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