愈创熏洗1号方对混合痔术后创面愈合及术后肿瘤的临床观察
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摘要
目的:通过愈创熏洗1号方对混合痔术后创面愈合和肿痛的临床观察,寻求一种能促进痔术后创面愈合防治术后肿痛的中药熏洗剂。
方法:采用随机分组,平行对照设计,共纳入32例混合痔病人,分成治疗组和对照组。治疗组16例采用愈创熏洗1号方坐浴,对照组16例采用皮肤康洗液坐浴。以两组术后创面愈合时间、痔术后水肿、术后创面疼痛、为主要观察指标,有无渗血渗液为次要观察指标,对结果进行统计学分析,P取0.05,以P≤0.05为有统计学意义。
结果:两组术后创面愈合时间比较,差异有统计学意义(P＜0.05)。两组手术后第2、3天创面疼痛程度,差异有统计学意义(P＜0.05)。两组术后疼痛持续平均时间、差异有统计学意义(P＜0.05)。两组术后水肿病例消失情况差异有统计学意义(P＜0.05)。治疗组有效率为93.75%,对照组有效率为68.75%,两组间比较p＜0.05,提示愈创熏洗1号方治疗组与皮肤康洗液对照组有明显差异。
结论:愈创熏洗1号方治疗组与皮肤康洗液对照组比较,愈创熏洗1号方促进混合痔术后创面愈合及防治疼痛、减轻水肿、感染等方面临床疗效确切,优于对照组。本方可促进痔术后创面愈合,减轻患者术后肿痛的发生。
Objective: Steaming through the more invasive on the 1st mixed hemorrhoid on wound healing and pain after the clinical observations, to find a can promote wound healing after hemorrhoid treatment of postoperative pain smoked lotion of traditional Chinese medicine.
Methods: A randomized, controlled parallel design, included in a total of 32 cases of mixed hemorrhoid patients were randomly divided into treatment group and the control group. Treatment group, 16 cases of the use of the more invasive side hip bath Washing 1,16 cases of control group used the skin lotion and Culture hip bath. The two groups in postoperative wound healing time observed as the main target, edema after hemorrhoidectomy postoperative wound pain, whether observed oozing fluid for the secondary target, the test of merit on the results of statistical analysis. P check 0.05 to P≤0.05 for statistical significance.
Results: Comparison of postoperative wound healing time, the difference has statistical significance (P <0.05). Two groups of surgery the day after the first 2,3 days, the degree of wound pain, the difference has statistical significance (P <0.05). Sustained an average of two hours postoperative pain, there is statistically significant difference (P <0.05). Edema disappeared after two cases of the situation there is statistically significant difference (P <0.05). Treatment group has 93.75% efficiency, there is efficiency of the control group 68.75%, comparison between the two groups p<0.05, effect of treatment group prompted the affirmative, and Culture of skin lotion is better than the control group.
Conclusion: Wound healing on the 1 st Fumigation treatment group and control group, skin lotion, Culture and Sport of comparison, Wound healing on the 1 st Washing mixed hemorrhoid promote wound healing and prevention of postoperative complications, including pain relief, reduce swelling, infection, etc. Clinical the exact effect, better than the control group. This may promote wound healing after hemorrhoid to reduce postoperative complications in patients with the occurrence.
方法:采用随机分组,平行对照设计,共纳入32例混合痔病人,分成治疗组和对照组。治疗组16例采用愈创熏洗1号方坐浴,对照组16例采用皮肤康洗液坐浴。以两组术后创面愈合时间、痔术后水肿、术后创面疼痛、为主要观察指标,有无渗血渗液为次要观察指标,对结果进行统计学分析,P取0.05,以P≤0.05为有统计学意义。
结果:两组术后创面愈合时间比较,差异有统计学意义(P＜0.05)。两组手术后第2、3天创面疼痛程度,差异有统计学意义(P＜0.05)。两组术后疼痛持续平均时间、差异有统计学意义(P＜0.05)。两组术后水肿病例消失情况差异有统计学意义(P＜0.05)。治疗组有效率为93.75%,对照组有效率为68.75%,两组间比较p＜0.05,提示愈创熏洗1号方治疗组与皮肤康洗液对照组有明显差异。
结论:愈创熏洗1号方治疗组与皮肤康洗液对照组比较,愈创熏洗1号方促进混合痔术后创面愈合及防治疼痛、减轻水肿、感染等方面临床疗效确切,优于对照组。本方可促进痔术后创面愈合,减轻患者术后肿痛的发生。
Objective: Steaming through the more invasive on the 1st mixed hemorrhoid on wound healing and pain after the clinical observations, to find a can promote wound healing after hemorrhoid treatment of postoperative pain smoked lotion of traditional Chinese medicine.
Methods: A randomized, controlled parallel design, included in a total of 32 cases of mixed hemorrhoid patients were randomly divided into treatment group and the control group. Treatment group, 16 cases of the use of the more invasive side hip bath Washing 1,16 cases of control group used the skin lotion and Culture hip bath. The two groups in postoperative wound healing time observed as the main target, edema after hemorrhoidectomy postoperative wound pain, whether observed oozing fluid for the secondary target, the test of merit on the results of statistical analysis. P check 0.05 to P≤0.05 for statistical significance.
Results: Comparison of postoperative wound healing time, the difference has statistical significance (P <0.05). Two groups of surgery the day after the first 2,3 days, the degree of wound pain, the difference has statistical significance (P <0.05). Sustained an average of two hours postoperative pain, there is statistically significant difference (P <0.05). Edema disappeared after two cases of the situation there is statistically significant difference (P <0.05). Treatment group has 93.75% efficiency, there is efficiency of the control group 68.75%, comparison between the two groups p<0.05, effect of treatment group prompted the affirmative, and Culture of skin lotion is better than the control group.
Conclusion: Wound healing on the 1 st Fumigation treatment group and control group, skin lotion, Culture and Sport of comparison, Wound healing on the 1 st Washing mixed hemorrhoid promote wound healing and prevention of postoperative complications, including pain relief, reduce swelling, infection, etc. Clinical the exact effect, better than the control group. This may promote wound healing after hemorrhoid to reduce postoperative complications in patients with the occurrence.
引文
[1]李敏,李锦秀.多济敷在肛瘘术后的临床应用[J].大肠肛门病外科杂志,2003:9(3):161
[2]吴在德,郑树.外科学[M].人民卫生出版社,2003:529
[3]胡伯虎.实用痔瘘学[M].北京:北京科技出版社,1988:245-246
[4]吴在德,郑树.外科学[M].人民卫生出版社,2003:180
[5]张东铭.肛肠外科解剖生理学[M].西安:陕西科学技术出版社,1989:178
[6]周喜梅,刘芳.痔疮术后并发症的处理[J].井冈山医专学报.2005:12(4):84
[7]段海涛.针刺对环状混合痔术后康复的影响[J].中国针灸,2003:23(7):397
[8]吴斌.肛肠病术后并发症[J].中国实用内科杂志,2000,20(10):594-595
[9]黄乃建.中国肛肠病学[M].济南:山东科技出版社.1996:3
[10]张恒.薰洗疗法原理探究[J].中医药研究,1994,2(10):11
[11]徐心屏.混合痔术后伤口并发水肿的中药治疗效果观察[J].河北医学,2004:10(4):355
[12]杨晓冬.秦艽防风汤加减治疗痔瘘术后肛缘水肿82例[J].黑龙江中医药,2000:12:34
[13]张秋实.中药熏洗方促进肛肠病术后创口愈合的疗效观察[J].辽宁中医杂志,2006:33(5):74
[14]刘少琼,付学源两面针坐浴洗剂在肛肠病术后的临床观察.四川中医,2005;23(2):78-79
[15]陆杰.中药对肛肠病术后水肿治疗作用的观察河南中医[J],2003:23(11):29-30
[16]裴玉芹,孙建珍.痔疮抗炎痛洗剂治疗肛肠病术后肛门水肿例疗效观察[J].中国中医药信息杂志,2003:10(7):46
[17]蒋娟,赵树琴.中药熏洗对痔术后切口疼痛的影响[J].实用临床医药杂志,2006:5(2):90
[18]许爱军,自制熏洗方和痔疾宁治疗炎性外痔225例[J].现代中西医结合杂志,2001:10(19):18
[19]夏祖宝,痔科外洗方的药效学研究中成药[J].中成药,2001:23(6):456-458
[20]曾莉,阎赵飞.祛毒洗剂治疗混合痔术后肛门疼痛临床研究[J].辽宁中医杂志,2006:33(10):1302
[21]张锁成,虎杖煎剂熏洗治疗痔肿痛98例[J].中国肛肠病杂志,2002:22(11):4
[22]周万祥,止痛如神汤加减治疗痔疮[J].湖北中医杂志,1994:16(2):23
[23]柳东扬,中药对肛肠病术后水肿治疗作用的观察[J].河南中医,2003:23(11):29-30
[24]刘金鹏.祛毒汤坐浴在肛痛术后的临床应用[J].中国肛肠杂志,2002:27(5):20.3
[25]韩丽君.康乐熏洗剂1号坐浴用于混合痔术后110例疗效观察[J].山西中医学院学报,2002:3(4):11-12
[26]郑树青.中药肛门熏洗液治疗肛门疾病的疗效观察[J].北京中医药,2006:4:25-4
[27]王立柱.肛肠病术后创口愈合迟缓的中西医结合治疗[J].中国中西医结合外科杂志,1997:3(4):247-248
[28]刘国军.化腐生肌膏与薄硝汤对肛肠病术后促愈合作用的临床研究[J].四川中医,2006,24(1):75-76
[29]李仲廉.临床疼痛治疗学[M].天津科学技术出版社,2000:436
[30]杨恒文,田惠民.组织修复和微循环[J].天津科学技术出版社,1986:1:31
[31]贾晓明,王亚平,郭振荣.肉芽创面组织细菌定量培养与植皮成活的关系[J].解放军医学杂志,1985:10(5):365
[32]董礼.疼痛与针刺镇痛[J].辽宁中医杂志,2005:32(8):768
[33]陈钢,宋剑成.内括约肌部分切断对减少痔术后并发症的观察[J].1981:22(12):29-30
[34]国家中医药管理局《中华本草》编委会.中华本草精华本[M].上海:上海科技出版社,1996:11:2231
[35]刘巢,宋阳,李玫.丹参的药理作用研究[J].临床应用中国误诊学杂志,2006:(6)24:4732-4733
[36]江光池,杨胜华,冯旭军.龙脑和异龙脑的抗炎作用[J].华西药学杂志,1990:5(3):190-191
[37]尹靖先,彭玉华,张三印.花椒药用的研究进展[J].四川中医,2004:22(12):29-30
[38]刘海燕,管美霞.糜蛋白酶并微波理疗加速肛肠病术后创面愈合协同作用的探讨[J].临床经验荟萃,2004:11(7):27
[39]国家中医药管理局《中华本草》编委会.中华本草精华本[M].上海:上海科技出版社,1996:11:237
[40]国家中医药管理局《中华本草》编委会.中华本草精华本[M].上海:上海科技出版社,1996:11:423
[41]芦丽,李建青.虎杖药理研究进展[J].吉林中医杂志,1987:11(5):35
[42]国家中医药管理局《中华本草》编委会.中华本草精华本[M].上海:上海科技出版社,1996:11:1102
[2]吴在德,郑树.外科学[M].人民卫生出版社,2003:529
[3]胡伯虎.实用痔瘘学[M].北京:北京科技出版社,1988:245-246
[4]吴在德,郑树.外科学[M].人民卫生出版社,2003:180
[5]张东铭.肛肠外科解剖生理学[M].西安:陕西科学技术出版社,1989:178
[6]周喜梅,刘芳.痔疮术后并发症的处理[J].井冈山医专学报.2005:12(4):84
[7]段海涛.针刺对环状混合痔术后康复的影响[J].中国针灸,2003:23(7):397
[8]吴斌.肛肠病术后并发症[J].中国实用内科杂志,2000,20(10):594-595
[9]黄乃建.中国肛肠病学[M].济南:山东科技出版社.1996:3
[10]张恒.薰洗疗法原理探究[J].中医药研究,1994,2(10):11
[11]徐心屏.混合痔术后伤口并发水肿的中药治疗效果观察[J].河北医学,2004:10(4):355
[12]杨晓冬.秦艽防风汤加减治疗痔瘘术后肛缘水肿82例[J].黑龙江中医药,2000:12:34
[13]张秋实.中药熏洗方促进肛肠病术后创口愈合的疗效观察[J].辽宁中医杂志,2006:33(5):74
[14]刘少琼,付学源两面针坐浴洗剂在肛肠病术后的临床观察.四川中医,2005;23(2):78-79
[15]陆杰.中药对肛肠病术后水肿治疗作用的观察河南中医[J],2003:23(11):29-30
[16]裴玉芹,孙建珍.痔疮抗炎痛洗剂治疗肛肠病术后肛门水肿例疗效观察[J].中国中医药信息杂志,2003:10(7):46
[17]蒋娟,赵树琴.中药熏洗对痔术后切口疼痛的影响[J].实用临床医药杂志,2006:5(2):90
[18]许爱军,自制熏洗方和痔疾宁治疗炎性外痔225例[J].现代中西医结合杂志,2001:10(19):18
[19]夏祖宝,痔科外洗方的药效学研究中成药[J].中成药,2001:23(6):456-458
[20]曾莉,阎赵飞.祛毒洗剂治疗混合痔术后肛门疼痛临床研究[J].辽宁中医杂志,2006:33(10):1302
[21]张锁成,虎杖煎剂熏洗治疗痔肿痛98例[J].中国肛肠病杂志,2002:22(11):4
[22]周万祥,止痛如神汤加减治疗痔疮[J].湖北中医杂志,1994:16(2):23
[23]柳东扬,中药对肛肠病术后水肿治疗作用的观察[J].河南中医,2003:23(11):29-30
[24]刘金鹏.祛毒汤坐浴在肛痛术后的临床应用[J].中国肛肠杂志,2002:27(5):20.3
[25]韩丽君.康乐熏洗剂1号坐浴用于混合痔术后110例疗效观察[J].山西中医学院学报,2002:3(4):11-12
[26]郑树青.中药肛门熏洗液治疗肛门疾病的疗效观察[J].北京中医药,2006:4:25-4
[27]王立柱.肛肠病术后创口愈合迟缓的中西医结合治疗[J].中国中西医结合外科杂志,1997:3(4):247-248
[28]刘国军.化腐生肌膏与薄硝汤对肛肠病术后促愈合作用的临床研究[J].四川中医,2006,24(1):75-76
[29]李仲廉.临床疼痛治疗学[M].天津科学技术出版社,2000:436
[30]杨恒文,田惠民.组织修复和微循环[J].天津科学技术出版社,1986:1:31
[31]贾晓明,王亚平,郭振荣.肉芽创面组织细菌定量培养与植皮成活的关系[J].解放军医学杂志,1985:10(5):365
[32]董礼.疼痛与针刺镇痛[J].辽宁中医杂志,2005:32(8):768
[33]陈钢,宋剑成.内括约肌部分切断对减少痔术后并发症的观察[J].1981:22(12):29-30
[34]国家中医药管理局《中华本草》编委会.中华本草精华本[M].上海:上海科技出版社,1996:11:2231
[35]刘巢,宋阳,李玫.丹参的药理作用研究[J].临床应用中国误诊学杂志,2006:(6)24:4732-4733
[36]江光池,杨胜华,冯旭军.龙脑和异龙脑的抗炎作用[J].华西药学杂志,1990:5(3):190-191
[37]尹靖先,彭玉华,张三印.花椒药用的研究进展[J].四川中医,2004:22(12):29-30
[38]刘海燕,管美霞.糜蛋白酶并微波理疗加速肛肠病术后创面愈合协同作用的探讨[J].临床经验荟萃,2004:11(7):27
[39]国家中医药管理局《中华本草》编委会.中华本草精华本[M].上海:上海科技出版社,1996:11:237
[40]国家中医药管理局《中华本草》编委会.中华本草精华本[M].上海:上海科技出版社,1996:11:423
[41]芦丽,李建青.虎杖药理研究进展[J].吉林中医杂志,1987:11(5):35
[42]国家中医药管理局《中华本草》编委会.中华本草精华本[M].上海:上海科技出版社,1996:11:1102