三黄痔疮膏对混合痔术后创面愈合的临床疗效

目的:观察三黄痔疮膏对混合痔术后创面愈合的临床疗效。方法:选取2018年3月—2020年3月在我院肛肠科住院的行混合痔外剥内扎术的住院患者共80例,随机分治疗组和对照组各40例,两组均给予行外剥内扎术,术后予中药激光坐浴机熏洗坐浴,对照组给予坐浴后凡士林纱条换药引流,治疗组给予自制三黄痔疮膏油纱换药引流,观察术后第1、4、7天创面疼痛、水肿、肉芽组织生长以及创面愈合时间等指标。结果:换药第4天,治疗组患者创面疼痛和肉芽组织水肿积分(1.03±0.22、1.21±0.30)均明显低于对照组(2.12±0.18、1.87±0.52),差异有统计学意义(P<0.05);换药第7天,治疗组患者创面疼痛和肉芽组织水肿积分(0.56±0.31、0.87±0.22)均明显低于对照组(1.3±0.43、1.23±0.25),差异有统计学意义(P<0.05);治疗组创面愈合时间(23.0±5.3)d,明显短于对照组(30.1±6.6)d,差异有统计学意义(P<0.05);治疗组痊愈率为75%,明显高于对照组的53%,差异有统计学意义(P<0.05)。结论:混合痔外剥内扎术后创面运用三黄痔疮膏换药能有效减轻术后疼痛及水肿,促进术后创面愈合,缩短创面愈合时间。

Effect of Sanhuang Hemorrhoid Ointment on Wound Healing after Mixed Hemorrhoids Operation

Objective To observe the clinical effect of Sanhuang hemorrhoid ointment on wound healing after mixed hemorrhoids.Methods 80 patients with mixed hemorrhoids were randomly divided into treatment group and control group,with 40 cases in each group.Both groups were given external stripping and internal ligation.After surgery,they were given traditional Chinese medicine laser sitting bath machine fumigation and washing bath.The control group was given vaseline gauze dressing change drainage after sitting bath,and the treatment group was given self-made Sanhuang hemorrhoids ointment oil gauze dressing change drainage.The wound pain,edema,granulation tissue growth and wound healing time on the 1st,4th,7th day after surgery were observed.Results On the 4th day,the scores of wound pain and granulation tissue edema in the treatment group was(1.03±0.22;1.21±0.30),which were significantly lower than those in the control group(2.12±0.18;1.87±0.52)(P<0.05).On the 7th day,the scores of wound pain and granulation tissue edema in the treatment group was(0.56±0.31;0.87±0.22),which were significantly lower than those in the control group(1.3±0.43;1.23±0.25)(P<0.05).The wound healing time of the treatment group(23.0±5.3)d was significantly shorter than that of the control group(30.1±6.6)d(P<0.05).After 21 days of dressing change,the recovery rate of the treatment group was 75%,which significantly higher than that of the control group(53%)(P<0.05).Conclusion The dressing change of Sanhuang hemorrhoid ointment on the wound surface after external stripping and internal ligation of mixed hemorrhoids can effectively reduce postoperative pain and edema,promote postoperative wound healing and shorten the wound healing time,which is worthy of clinical application.