| [Objective]:Observed after anorectal disease patients after surgery Fumigation of self side treatment promote Anorectal wound healing. The pecial will loose its Hemorrhoid Fumigation with gold ysterious the Mayinglong Pharmaceutical Co.) to conduct clinical comparison, in order to observe both the treatment of hemorrhoids ostoperative wound healing.[Clinical data]:Cases this subject from the Hubei Province Chinese Medicine Hospital Anorectal hospitalized patients between July2010to November2011,120patients met the selection criteria of cases were randomly divided into two groups, treatment group78cases,42cases in the control group. Treatment group, male41cases,37females, age17-66years old, average age37.35±6.67years old, mixed hemorrhoids and external dissection and tie after21cases, nine cases of PPH associated with external hemorrhoids resection, perianal abscess drainage in patients18cases of anal incision surgery or complex anal fistula incision line after20cases of anal fissure after resection of10cases.22cases in the control group male and20female, age18-63years old, average age38.12±5.68years old, mixed hemorrhoids and external dissection and tie after 15cases, eight cases of PPH associated with external hemorrhoids resection, incision and drainage of perianal abscess seven cases of anal fistula incision or complex anal fistula incision line after nine cases of anal fissure after resection of4cases. The statistical analysis is basically the same treatment and control groups in age, sex, disease distribution, no significant difference (P>0.05), with statistical significance.[Treatment]The patients in both groups began to use in the postoperative bowel movement, after the pharmaceutical Fumigation treatment group according to the principles of Chinese medicine clinical diagnosis and treatment, a mentor many years of clinical experience side, the other agent Jianzhi fumigation day, morning and evening, immediately after the success of traditional Chinese medicine frieda bidet, the hips in the liquid above the fumigation until the temperature dropped to about45°C can be tolerated, bath, poured into Washing time10-15minutes, fumigation after iodophor disinfection cover nobacteria gauze. The control group, Kim Hyun Hemorrhoid Fumigation scattered the Fumigation Bath treatment, treatment methods are the same in the fumigation time and fumigation after. Two groups of patients in the preoperative bowel preparation, surgical procedures, postoperative use of antibiotics are the same, respectively, to record the two groups Fumigation10,15,21,28days after wound healing in the percentage of the number of cases, to indicate that the two groups the rate of wound healing. Analysis of two groups of therapy on postoperative wound healing speed, the impact of treatment before and after treatment points, and do statistical analysis. [Result]:Comparison of the two drugs on wound healing speed impact: Treatment groups:medication3days later, wound healing, and0cases (0%); medication7d wound healing in6cases (7.7%); medication after10days were cured and18cases (23.1%); medication15d wound healed in45cases (57.7%);21d days of medication were cured and69cases (88.1%); medication28d wound healed in76cases (97.4%), total effective rate of97.4%. Control group:medication3d wound healing0cases (0%); wound healing drug7d0cases (0%); medication after10days the wound healed in six cases (14.3%); medication15d wound healed in17cases (40.5%); medication21d wounds healed in29cases (69.1%); medication28d wound healed in39cases (92.9%), total effective rate of92.9%. And no adverse reactions in clinical Bath fumigation and discharge follow-up. The results showed that the treatment group,3d,7d,10d,15d,21d,28d wound healing percentage of the number of cases was significantly higher in the treatment group healing rate than the control group was significantly accelerated, grade rank sum test, the difference between two groups was significant (H=85.67, P<0.01).Two drugs treatment regimens:Treatment group time5d of up to19d, an average of11d; control group, the shortest7days, the longest for the25d, an average of16.5d. Treatment group than the control group on the treatment time shortened by five days or so, and no adverse reactions in clinical Bath fumigation and discharge follow-up. Statistical analysis, the two drugs on wound healing course of treatment a significant difference (P<0.05).Symptom score comparison of the two drugs before and after treatment:Symptom score before treatment,6.45±4.32after treatment,2.34±0.73; symptom score in the control group was6.544.23after treatment, symptom score was2.13±0.71. The statistical analysis of each group in the symptom score changes before and after treatment have significant differences, and points between the two groups no significant difference.[Conclusion]:Anorectal disease surgery from the organizational structure and physical structure, postoperative wound infection and delayed healing has been troubled by the problems of patients and doctors, so explore the wound heal ing, and to seek the method can effectively improve wound healing is very important, this topic is closely integrated with clinical practice, the strict application of statistical methods, prescription Fumigation self clinical observation, the result is intended in prescription Kim Hyun hemorrhoid Fumigation San wound healing rate, short course, and in clinical smokedwashing treatment process and discharged follow-up process had no adverse reactions. This self has the heat and dampness, convergence bleeding to rot myogenic effects can significantly improve the anorectal postoperative edema of the anal margin and promote wound healing, and no obvious side effects, treatment of anorectal diseases of the anal margin after edema and speed up wound healing prescription... |
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