[1]王称平.中药熏洗治疗对混合痔患者PPH术后创面愈合及疼痛程度的影响[J].医学信息,2025,38(08):131-135.[doi:10.3969/j.issn.1006-1959.2025.08.027]
　WANG Chengping.Effect of Traditional Chinese Medicine Fumigation on Wound Healing and Pain Degree After PPH in Patients with Mixed Hemorrhoids[J].Journal of Medical Information,2025,38(08):131-135.[doi:10.3969/j.issn.1006-1959.2025.08.027]
点击复制

中药熏洗治疗对混合痔患者PPH术后创面愈合及疼痛程度的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年08期
页码:
131-135
栏目:
论著
出版日期:
2025-04-15

文章信息/Info

Title:
Effect of Traditional Chinese Medicine Fumigation on Wound Healing and Pain Degree After PPH in Patients with Mixed Hemorrhoids
文章编号:
1006-1959（2025）08-0131-05
作者:
王称平
玉山博爱医院普外科，江西 玉山 334700
Author(s):
WANG Chengping
Department of General Surgery, Yushan Boai Hospital, Yushan 334700, Jiangxi, China
关键词:
中药熏洗; 混合痔; PPH术; 创面愈合; 疼痛程度
Keywords:
Traditional Chinese medicine fumigation;  Mixed hemorrhoids;  PPH;  Wound healing;  Pain degree
分类号:
R657.1+8
DOI:
10.3969/j.issn.1006-1959.2025.08.027
文献标志码:
A
摘要:
目的 探究中药熏洗治疗对混合痔患者吻合器痔上黏膜环形切除术（PPH）术后创面愈合及疼痛程度的影响。方法 选取2021年1月-2023年12月玉山博爱医院收治的60例混合痔患者作为研究对象，按照随机数字表法将其分为研究组与对照组，每组30例。对照组采用常规基础治疗，研究组采用中药熏洗治疗。比较两组术后愈合情况、疼痛程度（VAS评分、VRS评分、PPI评分）、肛周水肿评分、生活质量（精力、社会功能、生理职能、生理机能、躯体疼痛、情感职能、精神健康）、并发症（尿潴留、便秘、肛门狭窄、切口感染、创口出血）发生率。结果 与对照组术后总愈合率的73.33%比较，研究组术后总愈合率更高，达96.67%（P＜0.05）；与治疗前比较，两组治疗后VAS评分、VRS评分、PPI评分降低，且与对照组比较，研究组治疗后VAS评分、VRS评分、PPI评分更低（P＜0.05）；与治疗前比较，两组治疗后7、14 d肛周水肿评分降低，且与对照组比较，研究组治疗7、14 d肛周水肿评分更低（P＜0.05）；与治疗前比较，两组治疗后生活质量各维度评分升高，且与对照组比较，研究组治疗后生活质量各维度评分更高（P＜0.05）；与对照组比较，研究组并发症发生率更低（P＜0.05）。结论 中药熏洗治疗能够提高混合痔患者PPH术后愈合效果和生活质量，改善患者疼痛程度和肛周水肿，降低患者术后并发症发生率，值得临床应用。
Abstract:
Objective To explore the effect of traditional Chinese medicine fumigation and washing on wound healing and pain degree after the procedure for prolapse and hemorrhoids (PPH) in patients with mixed hemorrhoids. Methods A total of 60 patients with mixed hemorrhoids admitted to Yushan Boai Hospital from January 2021 to December 2023 were selected as the research objects. According to the random number table method, they were divided into study group and control group, with 30 patients in each group. While, in the control group, patients were treated with routine basic treatment, and in the study group, patients were treated with traditional Chinese medicine fumigation. The postoperative healing, pain degree (VAS score, VRS score, PPI score), perianal edema score, quality of life (energy, social function, physiological function, physiological function, physical pain, emotional function, mental health) and complications (urinary retention, constipation, anal stenosis, incision infection, wound bleeding) were compared between the two groups. Results Compared with the total healing rate of 73.33% in the control group, the total healing rate of the study group was higher, reaching 96.67% (P<0.05). Compared with before treatment, the VAS score, VRS score and PPI score of the two groups decreased after treatment, and compared with the control group, the VAS score, VRS score and PPI score of the study group were lower after treatment (P<0.05). Compared with before treatment, the scores of perianal edema in the two groups were decreased at 7 and 14 days after treatment, and compared with the control group, the scores of perianal edema in the study group were lower at 7 and 14 days after treatment (P<0.05). Compared with before treatment, the scores of each dimension of quality of life in the two groups increased after treatment, and compared with the control group, the scores of each dimension of quality of life in the study group were higher after treatment (P<0.05). Compared with the control group, the incidence of complications in the study group was lower (P<0.05). Conclusion Traditional Chinese medicine fumigation treatment can improve the healing effect and quality of life of patients with mixed hemorrhoids after PPH, improve the degree of pain and perianal edema, and reduce the incidence of postoperative complications. It is worthy of clinical application.

参考文献/References:

[1]张新燕,胡明.中药熏洗辅助治疗对混合痔外剥内扎术疗效及术后并发症影响[J].辽宁中医药大学学报,2017,19(2):185-187.[2]王跃振,刘异,马恒军,等.中药熏洗结合改良PPH术治疗结缔组织型环状混合痔的临床观察[J].中国中医药科技,2016,23(2):198-199.[3]鲁林源,王钱陶,孙琼.中药熏洗联合穴位贴敷对混合痔术后创面愈合、疼痛介质的影响[J].现代中西医结合杂志,2023,32(21):2977-2981.[4]魏捷,蒋维蓉,屈景辉,等.中药熏洗联合吻合器痔上黏膜环切悬吊术治疗混合痔的临床疗效观察[J].实用医院临床杂志,2022,19(1):86-89.[5]彭军良,张华,罗正高,等.中药超声雾化熏洗用于环状混合痔术后疗效观察[J].现代中西医结合杂志,2021,30(7):700-704.[6]王章标.中药熏洗坐浴对混合痔患者术后疼痛的影响[J].中国继续医学教育,2017,9(4):199-200.[7]刘洁,马云云.中药熏洗联合普济痔疮栓对混合痔术后创面愈合及肛门功能的影响[J].现代中西医结合杂志,2019,28(16):1764-1766,1773.[8]郭丹,王淑娟.中药坐浴熏洗对混合痔外剥内扎术后肛门疼痛及肛缘水肿程度的影响[J].国际中医中药杂志,2020,42(7):656-659.[9]仰筱旺,王霞,蔡颖畅.中药熏洗治疗对混合痔患者术后水肿疼痛影响的研究[J].新中医,2020,52(18):105-108.[10]张志刚,邹勇,王雨来,等.中药熏洗坐浴治疗混合痔术后肛周疼痛30例临床研究[J].时珍国医国药,2018,29(12):2958-2960.[11]刘娟,汪明,彭洪,等.混合痔术后应用中药苦槐熏洗剂与聚维酮碘肛门熏洗的疗效对比观察[J].四川中医,2022,40(6):88-91.[12]赵云,高哲.快速康复外科结合中药熏洗防治混合痔术后并发症的临床研究[J].河北中医,2019,41(10):1522-1526.[13]张明铭,李明月,毛细云,等.硝英方熏洗坐浴法治疗30例混合痔术后患者[J].武警医学,2022,33(6):546-548.[14]张志刚,邹勇,王雨来,等.中药熏洗坐浴治疗混合痔术后并发症的临床观察[J].中国中医急症,2018,27(2):315-317.[15]叶宇飞,徐慧岩,曹科,等.分期中药熏洗对混合痔术后创面愈合的干预研究[J].中国中西医结合外科杂志,2019,25(6):945-949.[16]李振宇,吴承东,刘建乔,等.却毒汤熏洗对湿热下注证混合痔外剥内扎术后患者的影响[J].现代中医临床,2020,27(3):13-16,32.[17]王幸,殷婷,孙苗,等.湿敷和熏洗坐浴护理方法对混合痔术后切口愈合效果的影响[J].西部中医药,2020,33(12):116-119.[18]叶小明,潘逸迁.中药熏洗方对混合痔术后疼痛以及创面愈合的影响[J].中国中医药科技,2019,26(3):455-457.[19]孙林梅,张永丽,郭宏珺.改良外剥内扎术配合中药熏洗治疗环状混合痔临床研究[J].陕西中医,2018,39(10):1453-1455.[20]许功宇,蔡倩倩,程凯,等.解毒生肌汤雾化熏洗与麻仁软胶囊联用治疗混合痔术后疼痛水肿临床研究[J].国际中医中药杂志,2020,42(8):754-757.

相似文献/References:

[1]魏 巍.金梦贤-华佗消痔灵之方证分析[J].医学信息,2019,32(03):167.[doi:10.3969/j.issn.1006-1959.2019.03.056]
　WEI Wei.Analysis of Prescription Syndrome of Jin Mengxian-Hua Tuo Xiaozhiling[J].Journal of Medical Information,2019,32(08):167.[doi:10.3969/j.issn.1006-1959.2019.03.056]
[2]毕宪坤.中药熏洗辅助分段挂线引流治疗高位肛周脓肿的临床疗效[J].医学信息,2019,32(15):154.[doi:10.3969/j.issn.1006-1959.2019.15.051]
　BI Xian-kun.Clinical Efficacy of Traditional Chinese Medicine Fumigation and Washing Assisted Segmental Hang-line Drainage in the Treatment of High Perianal Abscess[J].Journal of Medical Information,2019,32(08):154.[doi:10.3969/j.issn.1006-1959.2019.15.051]
[3]陈智华.中药熏洗对肛肠手术患者术后疼痛及伤口愈合的影响[J].医学信息,2019,32(23):162.[doi:10.3969/j.issn.1006-1959.2019.23.051]
　CHEN Zhi-hua.Effect of Traditional Chinese Medicine Fumigation on Postoperative Pain and Wound Healing in Patients Undergoing Anorectal Surgery[J].Journal of Medical Information,2019,32(08):162.[doi:10.3969/j.issn.1006-1959.2019.23.051]
[4]汤 勇,孙平良,张 琴,等.外治法治疗肛周湿疹的研究现状[J].医学信息,2020,33(14):21.[doi:10.3969/j.issn.1006-1959.2020.14.008]
　TANG Yong,SUN Ping-liang,ZHANG Qin,et al.Research Status of External Treatment of Perianal Eczema[J].Journal of Medical Information,2020,33(08):21.[doi:10.3969/j.issn.1006-1959.2020.14.008]
[5]胡智亮,黄晓东,李春伟,等.改良半闭合痔切除术治疗混合痔的效果[J].医学信息,2020,33(14):95.[doi:10.3969/j.issn.1006-1959.2020.14.027]
　HU Zhi-liang,HUANG Xiao-dong,LI Chun-wei,et al.Effect of Modified Semi-closed Hemorrhoidectomy on Mixed Hemorrhoids[J].Journal of Medical Information,2020,33(08):95.[doi:10.3969/j.issn.1006-1959.2020.14.027]
[6]陈 冲,安颂歌,王馨曼,等.针刺痔疮穴联合中药熏洗对肛肠疾病术后临床疗效的Meta分析[J].医学信息,2021,34(09):102.[doi:10.3969/j.issn.1006-1959.2021.09.027]
　CHEN Chong,AN Song-ge,WANG Xin-man,et al.Meta-analysis of the Clinical Effect of Acupuncture on Hemorrhoids Points Combined with Traditional Chinese Medicine Fumigation and Washing for Anorectal Diseases[J].Journal of Medical Information,2021,34(08):102.[doi:10.3969/j.issn.1006-1959.2021.09.027]
[7]吴 优,王 丽,刘春强.桃红四物汤熏洗坐浴治疗混合痔术后患者的效果及对创面水肿和疼痛的影响[J].医学信息,2021,34(11):167.[doi:10.3969/j.issn.1006-1959.2021.11.047]
　WU You,WANG Li,LIU Chun-qiang.Effect of Fumigation and Sitting Bath Treatment with Taohong Siwu Decoction on Postoperative Edema and Pain of Mixed Hemorrhoids[J].Journal of Medical Information,2021,34(08):167.[doi:10.3969/j.issn.1006-1959.2021.11.047]
[8]熊志成.中药熏洗治疗对肛肠手术术后康复及并发症的影响[J].医学信息,2021,34(17):166.[doi:10.3969/j.issn.1006-1959.2021.17.045]
　XIONG Zhi-cheng.Effect of Chinese Herbal Fumigation and Washing Treatment on Postoperative Rehabilitation and Complications of Anorectal Surgery[J].Journal of Medical Information,2021,34(08):166.[doi:10.3969/j.issn.1006-1959.2021.17.045]
[9]侯松涛,张俊仲.自动弹力线痔套扎术联合外痔切除术治疗混合痔的效果[J].医学信息,2021,34(20):129.[doi:10.3969/j.issn.1006-1959.2021.20.033]
　HOU Song-tao,ZHANG Jun-zhong.Effect of Automatic Elastic Thread Hemorrhoid Ligation Combined with External Hemorrhoidectomy in the Treatment of Mixed Hemorrhoids[J].Journal of Medical Information,2021,34(08):129.[doi:10.3969/j.issn.1006-1959.2021.20.033]
[10]申 钰,郑春伟,陆羽羽,等.腕踝针联合中药熏洗与单用洛索洛芬钠治疗急性肩周炎效果比较[J].医学信息,2022,35(13):156.[doi:10.3969/j.issn.1006-1959.2022.13.038]
　SHEN Yu,ZHENG Chun-wei,LU Yu-yu,et al.Comparison of the Effects of Wrist-ankle Acupuncture Combined with Herbal Fumigation with Loxoprofen Sodium Alone in the Treatment of Acute Scapulohumeral Periarthritis[J].Journal of Medical Information,2022,35(08):156.[doi:10.3969/j.issn.1006-1959.2022.13.038]

更新日期/Last Update: 1900-01-01