摘要
目的:探讨中药坐浴并铜离子电化学术联合外痔切除治疗混合痔患者的临床效果。方法:选取2015年1月至2016年1月河北北方学院附属第二医院肛肠外科收治的混合痔患者64例作为研究对象,随机分为观察组及对照组,每组32例。观察组采用铜离子电化学术联合外痔切除术治疗后中药坐浴;对照组采用外剥内扎治疗法。观察2组的临床疗效,以及术后疼痛、出血、水肿及恢复情况。结果:观察组术后首次排便及术后3d换药时的疼痛程度分布情况,与对照组比较,差异有统计学意义(Z=6.823、8.130, P=0.033、0.017);观察组出血评分分布情况与对照组比较,差异有统计学意义(Z=6.541,P=0.038);观察组术后切缘水肿评分分布情况与对照组比较,差异有统计学意义(Z=13.576,P=0.001);创面恢复评分分布情况与对照组比较,差异有统计学意义(Z=7.063,P=0.029);观察组临床治愈率(78. 13%)高于对照组(46. 88%),差异有统计学意义(P<0.05)。结论:相对传统手术方法,铜离子电化学术联合外痔切除并中药坐浴治疗混合痔,具有术后疼痛轻、出血少、水肿轻及恢复快的优势。
Objective :To explore the clinical effect of traditional Chinese medicine hip bath after copper ion electrochemistry combined with external hemorrhoidectomy in the treatment of mixed hemorrhoids.Methods:Totally 64 patients with mixed hemorrhoids admitted to the Anorectal Surgery Department of the Second Affiliated Hospital of Hebei North University from January 2015 to January 2016 were selected,and randomly divided into observation group and control group,with 32 cases in each group.The observation group was treated by Chinese medicine hip bath after copper ion electrochemistry combined with traditional external hemorrhoidectomy,while the control group was treated by external stripping and internal ligation.The clinical efficacy,pain,hemorrhage,edema and recovery of the two groups were observed.Results :The pain degree distribution of the first defecation and dressing change 3 d after operation in the observation group was significantly different from that in the control group (Z =6.823,8.130,P =0.033,0.017);the distribution of bleeding scores in the observation group was significantly different from that in the control group (Z =6.541,P =0.038 );the distribution of incisal margin edema scores in the observation group was significantly different from that in the control group (Z =13.576,P =0.001 );distribution of wound recovery scores was significantly different from that of the control group (Z =7.063,P =0.029).The clinical cure rate of the observation group was 78.13%,which was higher than that of the control group (46.88%),the different was significant (P <0.05 ).Conclusion : Compared with traditional operation,Chinese medicine hip bath after copper ion electrochemistry combined with external hemorrhoids excision has the advantages of less pain,less bleeding,lighter edema and faster recovery.
作者
王海峰
闫玉洁
张江华
王新波
席江伟
李玲
石玉宝
WANG Hai-feng;YAN Yu-jie;ZHANG Jiang-hua;WANG Xin-bo;XI Jiang-wei;LI Ling;SHI Yu-bao(Department of Anorectal Surgery ,The Second Affiliated Hospital of Hebei North University,Hebei Xuanhua 075100,China;Department of General Surgery,The Second Affiliated Hospital of Hebei North University,Hebei Xuanhua 075100,China;Department of General Surgery,The 251 st Hospital of PLA,Hebei Zhangjiakou 075000,China)
出处
《临床药物治疗杂志》
2019年第1期70-73,共4页
Clinical Medication Journal
关键词
铜离子电化学术
中药坐浴
混合痔
copper ion electrification
traditional Chinese medicine hip bath
mixed hemorrhoid
