Clinical Study On The Effect Of Shu'an Decoction On Postoperative Pain And Edema Of Damp-heat Injection-type Mixed Hemorrhoids

Objective This study was conducted to observe the clinical efficacy of oral Shugang decoction in the prevention and treatment of wound pain and edema by observing the patients who accepted surgery for mixed hemorrhoids of damp-heat pouring downward syndrome,to further explore the etiology and pathogenesis of pain and edema after the surgery of mixed hemorrhoids and the prevention and treatment of traditional Chinese Medicine.Efficacy observation was used to evaluate the efficacy and safety of Shugang decoction.It provides the basis for the prevention and treatment of pain and edema of mixed hemorrhoid patients after the operation of traditional Chinese medicine.Methods 66 cases of damp-heat pouring downward syndrome of mixed hemorrhoids postoperative patients were randomly divided into oral Shugang decoction group(observation group)and conventional treatment group(control group),33 cases in each group.The control group began to receive routine treatment from first days after the operation.Routine treatment:Qudu decoction hip bath two times a day,wound dressing once daily.On the basis of the treatment plan of the control group,the observation group was added with "Shugang Tang"orally.From the first day after the operation,the patients were given oral Shugang decoction two times a day,each time 200ml,after meals,continued the medication for a week.If the two groups of patients have pain aggravation during the observation period,we can use the analgesic drugs when necessary.Observe the condition of the patient during and after 1 weeks after taking the medicine.Observe the condition of the patient during and after 1 weeks after taking the medicine.Recorded the pain scores of 24h,48h,72h,7 days,14 days after surgery and postoperative defecation;after 7 days,after 14 days with the margin of edema;analgesic drugs;first defecation;adverse reactions occurred during hospitalization and medication,and fill in the case observation table.After the treatment,the data were analyzed with SPSS 20,finally come to a conclusion.Results A total of 66 cases of income group in this project,no exfoliation and elimination of cases,among them,there were 33 cases in the observation group,12 males and 21 females,33 cases in the control group,10 male and 23 female,and there was no statistical difference between the two groups(P>0.05).The average age of the observation group was 42.64 ±13.031 years,and the average age of the control group was 43.91 ± 13.515 years.There was no statistical difference between the two groups(P>0.05).The average course of disease in the observation group was 3(0.50,8.50)years,the average course of the control group was 3(1.00,8.00)years,and there was no statistical difference between the two groups(P>0.05).The average operation length of the observation group was 48.18 + 11.307min,and the average operation time of the control group was 42.58 + 12.937min.There was no statistical difference between the two groups(P>0.05),and there was no statistical difference between the two groups(P>0.05),and the number of external hemorrhoids in the two groups had no statistical difference(P>0.05).There was no significant difference in pain score between the two groups on the day after operation(P>0.05).The pain scores of 48h,72h and first defecation in the observation group were better than those in the control group(P<0.05).There was no significant difference in the postoperative 24h,postoperative 7d and postoperative 14d pain between the observation group and the control group(P>0.05).The number of cases of analgesic drugs added to the observation group was less than that of the control group(P<0.05,).The incidence of edema of first defecation and 7d in the observation group was significantly lower than that in the control group(P<0.05).The edema score was significantly less than that of the control group(P<0.05).There was no significant difference in edema incidence and edema score between the two groups(14d)after operation(P>0.05).The fecal quality of the observation group was more than that of the control group(P<0.05).The total number of defecation times on the day of the first defecation was 1 times more than that of the control group(P<0.05).The hospitalization of the observation group was longer than that of the control group(P<0.05),and the patients in the group of oral Shugang decoction group had no adverse reaction during the period of medication.Conclusion Shugang decoction can effectively reduce postoperative pain,can effectively reduce postoperative wound edge edema rate,reduce edema diameter,can improve the postoperative bowel,prompting patients out of soft forming,and can alleviate the situation of frequent defecation after operation,can shorten the hospitalization time.Therefore,after the operation of mixed hemorrhoids,the application of Shugang decoction is effective and safe for preventing and treating postoperative pain and edema.It can be popularized in clinical practice.