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虎黄烧伤搽剂对混合痔患者伤口愈合及白细胞介素-10和基质金属蛋白酶-9水平变化的影响

Effects of Huhuang Burn Liniment on wound healing and changes in IL-10 and MMP-9 levels in patients with mixed hemorrhoids.

作者信息

Sha Qiankun, Cheng Mo, Zhou Faying, Wang Yong, Zhao Dong, Huang Yan, Fang Wei

机构信息

Department of Pharmacy, Chongqing Yangdu Biology Institute Chongqing, China.

Department of Pharmacy, People's Hospital of Dianjiang County of Chongqing Chongqing, China.

出版信息

Am J Transl Res. 2022 Oct 15;14(10):7434-7442. eCollection 2022.

Abstract

OBJECTIVE

To explore the effects of Huhuang Burn Liniment on wound healing and levels of interleukin-10 (IL-10) and matrix metalloproteinase-9 (MMP-9) in patients with mixed hemorrhoids.

METHODS

The clinical data of 113 patients with mixed hemorrhoids admitted to Chongqing Sanxia Central Hospital were retrospectively collected. All patients underwent Milligan-Morgan hemorrhoidectomy, and were divided into two groups according to different postoperative treatments. Group A was treated with 1/5000 potassium permanganate sitz bath after surgery, while group B was treated with Huhuang Burn Liniment. The treatment efficacy, wound healing time, level of pain, exudation, edema, granulation scores, anal function index, levels of IL-10 and MMP-9, quality of life scores, and complications were compared between the two groups.

RESULTS

The effective rate of group B (94.74%) was higher than that of group A (60.71%) ( < 0.05). Group B had shorter length of anorectal hyperbaric zone, higher anal canal resting pressure, anal canal diastolic pressure, and anal canal systolic maximum pressure ( < 0.05), lower scores of trauma pain, edema, exudation, and granulation ( < 0.05), higher IL-10 levels, and lower MMP-9 levels ( < 0.05). The complication rate of group B (8.77%) was lower than that in group A (23.21%) ( < 0.05). After treatment, group B had shorter wound healing time and higher quality of life score than group A ( < 0.05).

CONCLUSION

The application of Huhuang Burn Liniment in patients with mixed hemorrhoids after surgery could promote wound healing and anal function, reduce trauma pain, exudation and edema, and improve quality of life.

摘要

目的

探讨虎黄烧伤搽剂对混合痔患者伤口愈合及白细胞介素-10(IL-10)和基质金属蛋白酶-9(MMP-9)水平的影响。

方法

回顾性收集重庆三峡中心医院收治的113例混合痔患者的临床资料。所有患者均行Milligan-Morgan痔切除术,并根据术后不同治疗方法分为两组。A组术后采用1/5000高锰酸钾坐浴,B组采用虎黄烧伤搽剂治疗。比较两组的治疗效果、伤口愈合时间、疼痛程度、渗出、水肿、肉芽评分、肛门功能指标、IL-10和MMP-9水平、生活质量评分及并发症情况。

结果

B组有效率(94.74%)高于A组(60.71%)(P<0.05)。B组肛管高压区长度较短,肛管静息压、肛管舒张压及肛管收缩压最大值较高(P<0.05),创伤疼痛、水肿、渗出及肉芽评分较低(P<0.05),IL-10水平较高,MMP-9水平较低(P<0.05)。B组并发症发生率(8.77%)低于A组(23.21%)(P<0.05)。治疗后,B组伤口愈合时间短于A组,生活质量评分高于A组(P<0.05)。

结论

虎黄烧伤搽剂应用于混合痔患者术后可促进伤口愈合及肛门功能恢复,减轻创伤疼痛、渗出及水肿,提高生活质量。

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Emergency Surgery in Acute Diverticulitis: A Systematic Review.急性憩室炎的急诊手术:系统评价。
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