中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
22期
3425-3427,3428
,共4页
中药洗剂%坐浴%痔
中藥洗劑%坐浴%痔
중약세제%좌욕%치
Traditional Chinese medicine lotion%Sitz bath%Hemorrhoids
目的：观察清热活血中药洗剂坐浴对痔术后创面愈合的影响。方法选取100例痔术后患者，按随机数字表法分为观察组和对照组各50例，两组患者均接受痔切除术，术后对照组给予高锰酸钾温水坐浴，观察组给予清热活血中药洗剂坐浴，两组坐浴后均给予复方角菜酸酯乳膏外用。观察并比较两组患者术后创面愈合时间、疼痛程度及临床有效率。结果治疗前两组疼痛积分分别为（4．06±1．34）分、（4.05±1．36）分，两组差异无统计学意义（t＝0．63，P＞0．05）；治疗后两组疼痛积分分别为（1．13±0．51）分、（2．72±0．74）分，均较治疗前明显改善（t＝3．72、2．98，均P＜0．05）；观察组治疗后疼痛积分明显低于对照组（t＝2.73，P＜0．05）。观察组创面愈合时间（13．23±4．27）d，明显短于对照组的（18．78±6．43）d（t ＝6．44， P＜0．05）。观察组临床有效率98％，显著高于对照组86％（χ2＝4．89，P＜0．05）。结论清热活血中药坐浴能促进痔术后创面的愈合，且能有效降低疼痛程度，值得临床推广。
目的：觀察清熱活血中藥洗劑坐浴對痔術後創麵愈閤的影響。方法選取100例痔術後患者，按隨機數字錶法分為觀察組和對照組各50例，兩組患者均接受痔切除術，術後對照組給予高錳痠鉀溫水坐浴，觀察組給予清熱活血中藥洗劑坐浴，兩組坐浴後均給予複方角菜痠酯乳膏外用。觀察併比較兩組患者術後創麵愈閤時間、疼痛程度及臨床有效率。結果治療前兩組疼痛積分分彆為（4．06±1．34）分、（4.05±1．36）分，兩組差異無統計學意義（t＝0．63，P＞0．05）；治療後兩組疼痛積分分彆為（1．13±0．51）分、（2．72±0．74）分，均較治療前明顯改善（t＝3．72、2．98，均P＜0．05）；觀察組治療後疼痛積分明顯低于對照組（t＝2.73，P＜0．05）。觀察組創麵愈閤時間（13．23±4．27）d，明顯短于對照組的（18．78±6．43）d（t ＝6．44， P＜0．05）。觀察組臨床有效率98％，顯著高于對照組86％（χ2＝4．89，P＜0．05）。結論清熱活血中藥坐浴能促進痔術後創麵的愈閤，且能有效降低疼痛程度，值得臨床推廣。
목적：관찰청열활혈중약세제좌욕대치술후창면유합적영향。방법선취100례치술후환자，안수궤수자표법분위관찰조화대조조각50례，량조환자균접수치절제술，술후대조조급여고맹산갑온수좌욕，관찰조급여청열활혈중약세제좌욕，량조좌욕후균급여복방각채산지유고외용。관찰병비교량조환자술후창면유합시간、동통정도급림상유효솔。결과치료전량조동통적분분별위（4．06±1．34）분、（4.05±1．36）분，량조차이무통계학의의（t＝0．63，P＞0．05）；치료후량조동통적분분별위（1．13±0．51）분、（2．72±0．74）분，균교치료전명현개선（t＝3．72、2．98，균P＜0．05）；관찰조치료후동통적분명현저우대조조（t＝2.73，P＜0．05）。관찰조창면유합시간（13．23±4．27）d，명현단우대조조적（18．78±6．43）d（t ＝6．44， P＜0．05）。관찰조림상유효솔98％，현저고우대조조86％（χ2＝4．89，P＜0．05）。결론청열활혈중약좌욕능촉진치술후창면적유합，차능유효강저동통정도，치득림상추엄。
Objective To observe the influence of heat-clearing and blood-activating traditional Chinese medicine sitz bath on postoperative wound healing of hemorrhoids Methods 100 cases of hemorrhoids surgery pa-tients were selected.According to random number table method,they were divided into the observation group and con-trol group,100 cases in each group.All of patients underwent hemorrhoids excision surgery,the control group was giv-en potassium permanganate sitz bath, the observation group was given heat-clearing and blood-activating traditional Chinese medicine sitz bath.The two groups were given compound carraghenates cream for external use after sitz bath. The postoperative wound healing time,degree of pain and clinical efficient of the two groups were observed and com-pared.Results In two groups before treatment,the pain scores were (4.06 ±1.34)point,(4.05 ±1.36)point,with no significantly different (t=0.63,P<0.05); compared with before treatment,the two groups after treatment the pain scores were (1.13 ±0.51)point,(2.72 ±0.74)point,the difference was statistically significant (t =3.72, 2.98,P<0.05);the pain scores after treatment in observation group was significantly lower than that of the control group,the difference was statistically significant (t=2.73,P<0.05).In observation group,the wound healing time was (13.23 ±4.27)d,which was shorter than (18.78 ±6.43)d of the control group,the difference was statistically significant (t=6.44,P<0.05).The clinical efficiency of the observation group was 98%,which was significantly higher than 86%of the control group,the difference was statistically significant (χ2 =4.89,P<0.05).Conclusion Heat-clearing and blood-activating traditional Chinese medicine sitz bath can promote the healing of postoperative wound of hemorrhoids,and can effectively reduce the degree of pain.
