Wang Yong-jie, Hua Guo-hua
Zhongguo Zhong Yao Za Zhi. 2015 Nov;40(22):4497-500.
The purpose of this study was to evaluate the value of Chinese herbal fumigation in the postoperative anal disease. The authors randomly divided 348 patients into treatment group and control group with 174 cases in each group. The treatment group was given to the Chinese herbal medicine hemorrhoids lotion for fumigation based on conventional anti infective therapy, routine dressing change and relaxing bowel. The control group was given to 1 000 mL 1: 5 000 potassium permanganate solution for sitz bath, fumigation based on conventional anti infective therapy, routine dressing change and relaxing bowel. The pain score, edema score, bleeding score, granulation tissue growth score and wound healing time of two groups were compared after operation. The results showed that the postoperative 6 h pain scores were higher in the two groups, the postoperative 3,5,7 d pain scores gradually decreased, the difference was statistically significant (P < 0.05). The difference of postoperative 6 h pain scores was no significant difference between the two groups, while postoperative 3,5,7 d pain scores in the treatment group were significantly lower than those in the control group (P < 0.05). 7 days after operation, anal margin of edema score and blood in the stool score in the treatment group were lower than those in control group, meat medicine growth score was higher than that of the control group, the difference had statistical meaning (P < 0.05). The healing time of two groups was respectively (13.89 + 2.78), (18.45 + 1.65) d (P < 0.05). This study suggested that Chinese herbal fumigation and washing could reduce the pain degree of patients, the anal margin of edema, and the blood in the stool, also could promote granulation tissue growth and shorten the time of wound healing, deserve the clinical expansion.
本研究旨在评估中药熏蒸在肛门疾病术后的应用价值。作者将348例患者随机分为治疗组和对照组,每组174例。治疗组在常规抗感染治疗、常规换药及通便的基础上,给予中药痔疮洗剂熏蒸。对照组在常规抗感染治疗、常规换药及通便的基础上,给予1000 mL 1∶5000高锰酸钾溶液坐浴、熏蒸。比较两组术后疼痛评分、水肿评分、出血评分、肉芽组织生长评分及伤口愈合时间。结果显示,两组术后6 h疼痛评分均较高,术后3、5、7 d疼痛评分逐渐降低,差异有统计学意义(P<0.05)。两组术后6 h疼痛评分差异无统计学意义,而治疗组术后3、5、7 d疼痛评分均显著低于对照组(P<0.05)。术后7 d,治疗组肛缘水肿评分及便血评分低于对照组,肉芽组织生长评分高于对照组,差异有统计学意义(P<0.05)。两组愈合时间分别为(13.89±2.78)、(18.45±1.65)d(P<0.05)。本研究提示,中药熏蒸坐浴可减轻患者疼痛程度、肛缘水肿及便血情况,还可促进肉芽组织生长,缩短伤口愈合时间,值得临床推广。