不同中药坐浴方法联合康复新液湿敷对痔术后创面疼痛和愈合的影响

摘要

Objective To study the effect of different Chinese herbal bath methods combined with Kangfuxinyewet dressing on the pain and healing of wound after hemorrhoids surgery.Methods A total of 200 patients with mixed hemorrhoids were divided into group A,group B,group C and group D,with 50 cases in each group.The group A was treated with the traditional Chinese medicine bath after defecation,group B with traditional Chinese medicine bath before and after defecation,group C with the traditional Chinese medicine bath combined with Kangfuxinye wet dressing after defecation,and group D with the traditional Chinese medicine bath combined Kangfuxinye wet compress before and after defecation.Time to wound healing,pain assessed by visual analogue scale (VAS),wound bleeding,wound edema and wound granulation growth were compared between groups.Results Time to wound healing in group C and group D were (8.85±1.62) d and (8.63±1.74) d,respectively,which were shorter than in group A and group B [(11.32±2.00)d and (11.01 ± 1.95) d,respectively,P ＜ 0.05].The pain score in the four groups on the 3rd and 7th day after operation were lower than those on the 1st day (P ＜ 0.05).The VAS score of group C and group D on 7th day after operation were lower than those in group A and group B (P ＜ 0.05).The pain score of group D on 7th day after operation was lower than those in group C (P ＜ 0.05).The bleeding and wound edema in group C and group D were significantly slighter than those in group A and B (P ＜ 0.05),and the growth of granulation were better than those in group A and group B (P ＜ 0.05).Conclusion Traditional Chinese medicine prescriptions combined with Kangfuxin wet dressing can promote wound healing,reduce postoperative pain,wound edema,bleeding and promote granulation growth.Use of before and after the bath can further reduce the pain.%目的 观察不同中药坐浴方法联合康复新液湿敷对痔术后创面疼痛和愈合的影响.方法 选取200例住院手术治疗的混合痔患者,分为A、B、C、D四个组,每组各50例.A组采取便后中药坐浴,B组采取便前与便后中药坐浴,C组便后中药坐浴联合康复新液湿敷,D组便前与便后中药坐浴联合康复新液湿敷.比较四组创面愈合时间、创面疼痛(采用视觉模拟评分法VAS评估)、创面出血、创面水肿及创面肉芽生长情况.结果 C组与D组创面愈合时间分别为(8.85±1.62)d和(8.63±1.74)d,明显短于A组与B组的(11.32±2.00)d和(11.01±1.95)d(均P＜0.05).四组术后第3d、第7d的VAS疼痛评分均低于术后第1d(均P＜0.05).C组与D组的术后第7d的VAS疼痛评分低于A组与B组(均P＜0.05),D组术后第7d的VAS疼痛评分低于C组(P＜0.05).C组与D组术后第7d的创面出血、创面水肿情况均轻于A组与B组(均P＜0.05),创面肉芽生长情况优于A组与B组(均P＜ 0.05).结论 中药坐浴联合康复新液湿敷可减轻术后疼痛,减少痔术后创面伤口水肿、出血发生及促进肉芽生长,有利于创面加速愈合,便前及便后坐浴可进一步减轻疼痛.