改良生肌玉红膏对混合痔术后的止痛促愈效果
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摘要
目的对比改良生肌玉红膏与生肌玉红膏对于老年患者混合痔术后创面愈合的促进作用。方法 80例老年混合痔患者随机分为对照组、观察组,各40例。行Miligan-Morgan术后,分别用改良生肌玉红纱条、生肌玉红纱条对2组患者换药,采集患者出院时创面愈合情况、住院时间及术后第7天VAS疼痛评分。结果与对照组相比,观察组创面愈合天数显著缩短,术后第7天疼痛程度降低(均P <0.05)。结论改良生肌玉红膏能有效缩短老年患者混合痔术后创面愈合天数以及缓解术后疼痛,临床效果确切,有进一步研究的价值。
Objective To compare the promoting effect of modified Shengji Yuhong Plaster and Shengji Yuhong Plaster on wound healing after hemorrhoidectomy in elderly patients. Methods 80 elderly patients with hemorrhoids were randomly divided into control group and observation group, 40 in each group. After miligan-morgan surgery, the modified Shengji Yuhong Plaster and Shengji Yuhong Plaster were used for the post operation drugs between the two groups of patients. Besides, the injured area cicatrization situation, the hospitalization time and VAS pain score at the 7th day after discharge were also collected. Results Compared with the control group, the length of hospitalization time in the observation group was significantly shorter, and the pain degree was reduced on the 7th day after surgery(P <0.05). Conclusion Modified Shengji Yuhong Plaster can effectively shorten the wound healing days after hemorrhoidectomy and relieve postoperative pain in elderly patients. The clinical effect is accurate, thus it is worthy to be further investigated
Objective To compare the promoting effect of modified Shengji Yuhong Plaster and Shengji Yuhong Plaster on wound healing after hemorrhoidectomy in elderly patients. Methods 80 elderly patients with hemorrhoids were randomly divided into control group and observation group, 40 in each group. After miligan-morgan surgery, the modified Shengji Yuhong Plaster and Shengji Yuhong Plaster were used for the post operation drugs between the two groups of patients. Besides, the injured area cicatrization situation, the hospitalization time and VAS pain score at the 7th day after discharge were also collected. Results Compared with the control group, the length of hospitalization time in the observation group was significantly shorter, and the pain degree was reduced on the 7th day after surgery(P <0.05). Conclusion Modified Shengji Yuhong Plaster can effectively shorten the wound healing days after hemorrhoidectomy and relieve postoperative pain in elderly patients. The clinical effect is accurate, thus it is worthy to be further investigated
引文
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[19]王弢,冯世庆.老年骨质疏松性骨折患者血清生化指标检测及风险评估[J].中国实验诊断学, 2016, 20(4):618-620.
[20]张艳,刘波,朱凯,等.中西医结合治疗骨质疏松性椎体压缩性骨折临床观察[J].长春中医药大学学报, 2010,26(5):729-730.
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[22]郭应龙.老年男性骨质疏松患者血清胰岛素样生长因子、内皮素与骨钙素及骨转换生化指标的相关性研究[J].中国骨质疏松杂志, 2015, 21(2):132-134, 141.
[2]美国结直肠外科医师协会标准化工作委员会,丁义江,皇甫少华,等.痔诊断和治疗指南(2010修订版)[J].中华消化外科杂志, 2012, 11(3):243-247.
[3]冯印,刘艳,马井喜,等.鹿骨粉生产工艺[J].北京农业,2013(33):241.
[4]刘春雷,于妍,尤丽新.鹿骨胶原肽粉的制备工艺研究[J].吉林农业, 2015(21):111.
[5]国家中医药管理局医政司.《中医病证诊断疗效标准》[J].湖北中医杂志, 2002, 24(2):57.
[6]GIOVANNI M, GIORGIO L. Modern Hemorrhoidectomy:Techniques and Results[M]. Springer International Publishing:2018-06-12.
[7]MARGARITA M M. Intra-and Postoperative Management in Patients Submitted to Operation for Hemorrhoids[M].Springer International Publishing:2018-06-12.
[8]陆洪宁,康述萍,刘晓梅,等.中医药在痔病术后并发症中的应用[J].长春中医药大学学报, 2013, 29(1):104-105.
[9]赵景明,杨铁峥.外剥内扎术联合内括约肌部分切断术预防及减轻痔术后并发症[J].长春中医药大学学报, 2017,33(5):804-806.
[10]白金权,李柏文.吻合器痔上黏膜环形切除术治疗老年中重度内痔的临床效果[J].中国老年学杂志, 2017, 37(23):5904-5905.
[11]陈礼平.痔疮中西医结合治疗进展[J].光明中医, 2018,33(6):904-906.
[12]杨丛家.中医治疗痔疮的临床疗效研究[J].中国中医药现代远程教育, 2016, 14(15):67-68, 76.
[13]曲毅,赵雨,李银清,等.鹿筋胶原抗炎镇痛作用研究[J].辽宁中医杂志, 2010, 37(9):1825-1827.
[14]卫功庆,刘少华,陈大勇,等.鹿产品中胶原蛋白的研究及应用进展[J].经济动物学报, 2014, 18(2):116-120.
[15]张然然,刘华淼,王磊,等.基于Label-free技术的鹿角与鹿骨蛋白组分比较[J].畜牧兽医学报, 2017, 48(12):2286-2292.
[16]SHIND,KIMEA,KIMYY.Deerboneextract supplementation for mild-to-moderate knee osteoarthritis symptoms:a randomized, double-blind, placebo-controlled trial[J]. Journal of medicinal food, 2018, 21(2).
[17]蔄茂强,宋顺鹏, ELIAS P M.老年人皮肤生物物理特性的改变及其意义[J].中国皮肤性病学杂志, 2010, 24(6):570-572.
[18]闫斌,王鑫.老年骨质疏松性骨折患者血清生化指标的检测研究[J].国际检验医学杂志, 2018, 39(1):83-85.
[19]王弢,冯世庆.老年骨质疏松性骨折患者血清生化指标检测及风险评估[J].中国实验诊断学, 2016, 20(4):618-620.
[20]张艳,刘波,朱凯,等.中西医结合治疗骨质疏松性椎体压缩性骨折临床观察[J].长春中医药大学学报, 2010,26(5):729-730.
[21]唐三元,谭文成,杨辉,等.多种骨代谢生化指标联合预测老年骨质疏松性髋部骨折风险的意义[J].中国矫形外科杂志, 2015, 23(18):1653-1656.
[22]郭应龙.老年男性骨质疏松患者血清胰岛素样生长因子、内皮素与骨钙素及骨转换生化指标的相关性研究[J].中国骨质疏松杂志, 2015, 21(2):132-134, 141.