| Objective: To observe the clinical effect of Shiwei rhubarb lotion on complications after mixed hemorrhoid selective upper hemorrhoid mucosal resection(TST).Methods: According to the inclusion standards,60 mixed hemorrhoids were selected from December 2019 to December 2020 in the anorectal department of Wuhu Traditional Chinese Medicine Hospital.Random digital table method was randomly divided into treatment group and control group,30 cases in each group.The treatment group was treated with ten flavors of rhubarb lotion after TST surgery,and the control group was treated with 1:5,000 potassium permanganate solution after TST surgery.Before TST treatment,the sex,age,course of disease and pre-bath symptoms of each group of patients were evaluated to ensure the comparability of the two groups.After treatment,the postoperative wound pain score,pain relief time,stool bleeding volume,postoperative dysuria score and urinary retention of the two groups of patients were observed on the third,7th and 15 th days respectively.Six clinical indicators: rate,anal pendency sensation,postoperative anal edema score and incidence,wound exudation amount,and a comparison was carried out between groups.All data are statistically analyzed using SPSS22.0.Results:1.Basic preoperative data: After statistical analysis of the sex,age,course of disease and pre-treatment symptoms of the two groups of patients,the differences between the two groups have no statistical significance(P>0.05),and the objects of the two groups are comparable.2.Comparison of wound pain score and pain relief time: On the third day after surgery,the average score of the treatment group was 1.467±0.995,and the average score of the control group was 1.800±0.955.The data difference between the groups was not statistically significant(P>0.05).On the 7th day after surgery,the average score of the treatment group was 1.268±0.940,and that of the control group was 1.564±0.929.The difference between groups was statistically significant(P<0.05).On the 15 th day after surgery,the average score of the treatment group was 0.837±0.935,and that of the control group was 1.021±1.523.The difference between groups was statistically significant(P<0.05).The pain relief effect of the treatment group was better than that of the control group.The relieving time of wound pain is shorter than that of the control group on the 3rd,7th and 15 th days after surgery.Compared with each group,the difference is statistically significant(P=0.000).3.Postoperative hemorrhage: The average value of total postoperative hemorrhage in the treatment group was 46.23±12.31,and the average value of total postoperative hemorrhage in the control group was 61.34±15.39.Compared with the two groups,the treatment group was significantly less than that of the control group,and the data difference between the two groups was statistically significant(P<0.05).4.Comparison of postoperative dysuria score and incidence of urinary retention: In the3,7th and 15 th days after surgery,the postoperative dysuria score of the treatment group was better than that of the control group.Compared with each group,the difference was statistically significant(P<0.01).After surgery,the incidence of urinary retention was 23.33% in the treatment group and 56.67 percent in the control group.The rank sum test results showed that Z=-2.289,P<0.05,and the treatment group was less than the control group,and the difference was statistically significant.5.Comparison of anal pendulous swelling: On the third day after surgery,the score of the treatment group was better than that of the control group.Compared with the group,there were statistical differences(P<0.05).On the 7th and 15 th days,the score of the treatment group was significantly better than that of the control group,and the difference between the comparison groups was significant(P<0.01),and the treatment group was better than the control group.6.Anal edema score and incidence: on the third day after surgery,the scores of the two groups were similar,and there was no statistical difference between the groups(P>0.05);on the 7th and 15 th days after surgery,the score of the treatment group was better than that of the control group,and there was a statistical difference(P<0.05).The incidence of anal edema after surgery was 33.33% in the treatment group and66.67 percent in the control group.The rank sum test results showed that Z=-2.919,P<0.05.In terms of eliminating anal edema,the therapeutic effect was better than that of the control group.Compared with each group,the difference was statistically significant.7.Scoring comparison of wound exudation: On the third day after surgery,the data of the two groups were similar,and the difference between the groups was statistically significant(P>0.05);on the 7th and 15 th days after surgery,the amount of wound exudation in the treatment group was less than that of the control group,and the difference was statistically significant(P<0.05).8.Comparison of total efficacy: the total efficiency of the treatment group is 90.00%,the total efficiency of the control group is 80.00%,the rank sum test,Z=-2.510,P<0.05,the total efficacy of the treatment group is higher than that of the control group.Conclusion: After receiving TST surgery,the treatment group used Shiwei Rhubarb lotion to take a bath in patients with mixed hemorrhoids,which has a defecation effect on relieving wound pain,reducing bleeding during stool,improving dysuria,reducing the incidence of urinary retention,reducing anal pendant swelling,eliminating anal marginal edema and reducing the amount of wound exudation.Compared with the control group Compared with 1:5000 potassium permanganate solution,it has certain advantages.It has certain clinical significance. |
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