消肿止痛方熏洗对痔疮术后患者创面愈合、疼痛VAS 评分和免疫功能的影响
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Effect of Fumigation and Washing with Xiaozhong Zhitong Prescription on Wound Healing, Pain of VAS Scores, and Immune Function in Patients After Hemorrhoids Surgery
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    摘要:

    目的:观察消肿止痛方对痔疮手术后患者创面愈合、疼痛视觉模拟评分法(VAS) 评分及免疫功 能的影响。方法:选取行手术治疗的124 例痔疮患者作为研究对象,采用随机数字表法分为对照组与观察组各 62 例。对照组采用常规术后处理及高锰酸钾溶液熏洗治疗,观察组在对照组常规术后处理的基础上加用消肿 止痛方熏洗治疗。比较2 组创面愈合情况、疼痛VAS 评分及免疫功能指标。结果:观察组平均创面愈合时间 为(15.32±2.77) d,对照组为(16.44±3.03) d,2 组比较,差异有统计学意义(P<0.05)。术后1 d,2 组创面 肉芽组织、面积评分比较,差异无统计学意义(P>0.05);术后7 d,2 组上述各项指标均较术后1 d 降 低(P<0.05),且观察组上述指标均低于对照组(P<0.05)。术后1 d,2 组疼痛VAS 评分比较,差异无统 计学意义(P>0.05)。术后3、7 d,2 组VAS 评分均较术后1 d 降低;且术后3 d,观察组VAS 评分低于对 照组(P<0.05);但2 组术后7 d 的VAS 评分比较,差异无统计学意义(P>0.05)。术后1 d,2 组CD4+、 CD8+、CD4+/CD8+比较,差异无统计学意义(P>0.05)。术后7 d,2 组CD4+、CD4+/CD8+水平均较术后1 d 升 高(P<0.05),CD8+水平较术后1 d 降低(P<0.05);且观察组CD4+、CD4+/CD8+水平均高于对照组,CD8+水 平低于对照组(P<0.05)。结论:消肿止痛方熏洗有助于促进痔疮患者术后创面愈合,减轻疼痛,并可在一定 程度上改善免疫功能。

    Abstract:

    Abstract:Objective:To observe the effect of fumigation and washing with Xiaozhong Zhitong Formula on wound healing, pain of Visual Analogue Scale (VAS) scores, and immune function in patients after hemorrhoids surgery. Methods: A total of 124 cases of patients with hemorrhoids undergoing surgical treatment were selected as the research subjects and divided into the control group and the observation group according to the random number table method, with 62 cases in each group. The control group received routine postoperative treatment and washing with potassium permanganate solution, and the observation group received fumigation and washing with Xiaozhong Zhitong Formula based on the routine postoperative treatment of the control group. The wound healing, pain of VAS scores, and immune function indexes were compared between the two groups. Results:The average wound healing days were 15.32 ± 2.77 days in the observation group, and 16.44 ± 3.03 days in the control group, the difference being significant (P<0.05). On the first day after surgery,there was no significant difference being found in the comparison of wound granulation tissue and area scores between the two groups (P>0.05). On the seventh day after surgery, the above indexes in the two groups were decreased when compared with those on the first day after surgery (P<0.05),and the above indexes in the observation group were lower than those in the control group (P<0.05). On the first day after surgery,there was no significant difference being found in the comparison of pain of VAS scores between the two groups (P>0.05). On the third and seventh day after surgery,the VAS scores in the two groups were decreased when compared with those on the first day after surgery;on the third day after surgery,the VAS score in the observation group was lower than that in the control group (P<0.05); there was no significant difference being found in the comparison of VAS scores between the two groups on the seventh day after surgery (P>0.05). On the first day after surgery, there was no significant difference being found in the comparison of levels of CD4 + , CD8+,and CD4+/CD8+ between the two groups (P>0.05). On the seventh day after surgery,the levels of CD4 + and CD4 +/CD8 + in the two groups were increased when compared with those on the first day after surgery (P<0.05),and the levels of CD8+ were decreased when compared with those on the first day after surgery (P<0.05). The levels of CD4+,CD4+/CD8+ in observation group were better,and CD8+ was lower than those in control group. Conclusion:The fumigation and washing with Xiaozhong Zhitong Prescription can help promote wound healing after hemorrhoids surgery, reduce pain, and to some extent improve immune function.

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方晓华,陈旭,钱弘泉.消肿止痛方熏洗对痔疮术后患者创面愈合、疼痛VAS 评分和免疫功能的影响[J].新中医,2023,55(20):166-170

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  • 在线发布日期: 2023-10-27
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