坐浴外洗联合环状混合痔术治疗术后并发症随机平行对照研究

[目的]观察坐浴外洗联合环状混合痔术治疗术后并发症疗效。[方法]使用随机平行对照方法,将70例住院患者按抛硬币法随机分为两组。对照组35例环状混合痔术,术前患者清淡、半流质饮食。术前1d清洁灌肠。手术取右侧卧位,碘伏消毒,局部麻醉。肛镜下对直肠上动脉区及痔体注入30mL消痔灵液。外痔较大混合痔行外剥内扎术,外痔较小混合痔则行弧形切除缝合术。术后,将1枚消炎痛栓纳入肛门,并用凡士林纱布填压创面,最后压迫包扎固定。每日便后,温水坐浴外洗,结束后油纱条换药。治疗组35例坐浴外洗(黄柏30g,黄连15g,苦参、地榆、延胡索各30g,白芷15g),水煎500mL,排便后坐浴,时间30min。结束后生肌玉红膏纱条换药;环状混合痔术同对照组。连续治疗14d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈33例,好转2例,无效0例,痊愈率94.29%。对照组痊愈27例,好转8例,无效0例,痊愈率77.14%。治疗组疗效优于对照组(P0.05)。[结论]坐浴外洗联合环状混合痔术治疗术后并发症效果显著,值得推广。

Outside the Sitz Bath Wash Joint for the Treatment of Circumferential Mixed Hemorrhoid Postoperative Complications of Random Parallel Control Study

[ Objective ] To observe the sitz bath wash outside the joint for the treatment of circumferential mixed hemorrhoid postoperative complications. [ Methods ] Using random parallel control method, 70 cases of hospitalized patients were randomly divided into two groups according to flip a coin method. The control group of 35 cases of circumferential mixed hemorrhoid surgery, preoperative patients with light, semi-liquid diet. Preoperative cleaning enema 1 day. Surgery for right side, iodine volts disinfection, local anesthesia. Anal microscopically on rectal artery area and main body spirit into 30 ml xiaozhi liquid. According to the characteristics of haemorrhoids and conditions, formulate the corresponding operation scheme. External hemorrhoid external strip internal tied in large mixed hemorrhoid, while smaller mixed hemorrhoid external piles for curved resection decompression. Operation is completed, will be one of indomethacin suppository patients into the anus, and vaseline gauze filling pressure wound, the final compression bandage fixation. Daily after using the bathroom, warm sitz bath wash, after the oil gauze dressing. Treatment group 35 examples sitz bath wash （ Huangbai 30g, Huanglian 15g, Kushen, Diyu, Yanhusuo every 30g, Baizhi 15g）, water frying, 500 mL, defecate took bath, time for 30 min. End of epigenetie muscle jade red cream article gauze bandage. Circumferential mixed hemorrhoid surgery with the control group. Continuous treatment of 14 d to 1 course of treatment. Observation of clinical symptoms and adverse reactions. Treatment as a course （ 14d ）, to determine efficacy. [ Results ] The treatment group （ 33 cases cured, improvement in 2 cases, 0 no effect, the effective rate was 94.29%. And 8 cases of the control group, 27 patients were improved 0 cases, the effective rate was 77.14%. The treatment group curative effect is better than that of control group （ P〈0.05 ） . Outside the sitz bath wash. [ Conclusion ] Joint for the treatment of circumferential mixed hemorrhoid postoperative domplications effect is remarkable, is worth promoting.