不同熏洗时间影响混合痔术后并发症治疗效果的临床观察

目的观察促愈熏洗方不同熏洗时间对混合痔术后并发症治疗效果的影响。方法将120例混合痔术后患者随机分成4组，2个治疗组（促愈熏洗方不同时间熏洗）和2个对照组（痔疾洗液不同时间熏洗），每组各30例；即分别为应用治疗药物的促愈熏洗方熏洗10min组（治疗10min组）和促愈熏洗方熏洗15min组（治疗15min组），以及应用对照药物的痔疾洗液熏洗10min组（对照10min组）和痔疾洗液熏洗15min组（对照15min组）。治疗过程中分别记录患者术后第2天（熏洗治疗前）、第7天、第14天的疼痛、水肿、出血、便秘、排尿障碍情况，并给予评分；观察统计4组的总有效率，比较其不同治疗效果。结果各组治疗前（术后第2天）疼痛、水肿、出血、便秘、排尿障碍等症状评分差异均无统计学意义（P均〉0．05）。治疗后（术后第14天）在缓解术后疼痛、水肿、出血方面，治疗10min组（1．72±1．23）分、（0．72±1．25）分、（0．91±1．37）分]优于治疗15min组（1．79±1．21）分、（0．89±1．28）分、（1．03±1．24）分]、对照10min组（1．86±1．25）分、（1．14±1．47）分、（1．49±1．56）分]以及对照15min组（2．03±1．48）分、（1．05±1．29）分、（1．39±1．47）分]，差异均有统计学意义（P均〈0．05）。治疗10min组、对照10min组和治疗15min组3组间总有效率差异无统计学意义（P=0．0634、P=0．2560）；但3组分别与对照15min组总有效率比较差异均有统计学意义（P=0．0064、P=0．0365、P=0．0089）。治疗10min组效果最好，显效例数最多为27例，其次是治疗15min组21例，对照10min组显效18例，对照15min组显效例数最低，只有6例。结论混合痔术后患者采用促愈熏洗方熏洗10min的总有效率为100％，对缓解术后水肿、出血等症状的疗效最佳。

The efficacy of the cicatrisation-fumigant Chinese herbal on the postoperative complications of the mixed hemorrhoids

Objective To observe the efficacy of Chinese herbal fumigant sitz bath for different exposure durations on patients for the complications after mixed hemorrhoidectomy. Methods One hundred and twenty patients with mixed hemorrhoidectomy were randomized into four groups （2 treatment groups and 2 control groups） with 30 cases in each group. The treatment groups were treated with the Chinese Herbal fumigant sitz bath for 10 minutes and 15 minutes respectively ;while the control groups were treated with the hemorrhoids lotion for 10 minutes and 15 minutes respectively. The severity of pain, edema, bleeding, constipation and urinary disturbance were scored on the second, seventh and fourteenth days after treatment. Data were analyzed statistically. Results Chinese herbal fumigant Sitz baths for 10 minutes could significantly reduce postoperative pain, edema and bleeding symptoms （ 1.72±1.23 ） points, （0. 72 ± 1.25 ） points, （0.91 ± 1.37 ） points, respectively,P 〈0. 05], followed sequentially by groups of Chinese herbal fumigant Sitz baths for 15 minutes （ 1.79 ± 1.21）points, （0. 89 ± 1.28） points, （ 1.03 ± 1.24） points] ; The hemorrhoids lotion for 10 minutes （ （ 1.86 ± 1.25 ） points, （ 1.14 ± 1.47 ） points, （ 1.49 ± 1.56 ） ） and 15 minutes （ 2.03 ± 1.48 ） points, （ 1.05 ± 1.29） points, （ 1.39 ± 1.47） points, respectively,P 〈 0. 05 ] With the successful cases of 27, 21, 18, and 6 in the groups, respectively. Though the overall response rates of for the groups of 10 min＇s treatment, 15 min＇s treatment and 10 min＇s control were not significantly different between each other （P = 0. 0634, P = 0.2560）, they showed a superior efficacy in the overall response rate to the 15 min＇s control group （P =0. 0064, P = 0. 0365, P = 0. 0089 ）, respectively. Conclusion Chinese herbal fumigant Sitz baths for 10 minutes have a success rate of 100% on alleviating complications after mixed hemorrhoidectomy. It has a prominent efficacy on reducing postoperative edema and bleeding symptoms than other treatments studied in this program.