Clinical Efficacy Of Hemorrhoid Fumigation San In Treating Postoperative Pain Of Damp-heat-infused Mixed Hemorrhoids

Objective:To evaluate the clinical efficacy of sitz bath treatment with haemorrhoid fumigation powder in relieving post-operative pain of damp-heat-infused mixed haemorrhoids.Methods:A randomized control method was used to divide the 72 study subjects who met the inclusion and exclusion criteria into 36 cases each in the treatment and control groups.There were 4 cases of shedding and no cases of exclusion in this study,and a total of 68 cases were completed,in which the treatment group was given a sitz bath with hemorrhoid fumigation,and the control group was given a sitz bath with 1:5000potassium permanganate solution.The clinical efficacy of hemorrhoid fumigation was further determined by comparing the pain score,anal edge edema score,pain duration within 24 hours,postoperative urinary disorder score,wound healing time,and adverse reaction rate of these two groups at five different time periods: 1st d,2nd d,3rd d,5th d,and 7th d postoperatively.Results:1.Baseline data such as gender,age,stage of internal haemorrhoid,duration of disease,length of surgery,number of haemorrhoid nuclei removed,pain score at 6h postoperatively(before medication)and oedema score at 6h postoperatively(before medication)were comparable between the two groups(P>0.05).2.The difference between the two groups was statistically insignificant(P>0.05).The difference between the pain scores of the treatment group and the control group was statistically significant(P<0.05).3.Comparison of postoperative oedema between the two groups: no statistically significant difference in oedema scores in the 1st and 2nd postoperative days(P>0.05),statistically significant difference in the 3rd postoperative day when the scores in the treatment group were lower than those in the control group(P<0.05),statistically significant difference in the 5th and 7th postoperative days when the oedema scores in the treatment group were lower than those in the control group(P<0.01).4.Comparison of pain duration within 24 hours after treatment between two groups of patients: there was no statistically significant difference in the duration of pain within24 h postoperatively on the 1st,2nd and 3rd d postoperatively(P>0.05),and the treatment group was statistically superior to the control group on the 5th and 7th d postoperatively in terms of pain duration score within 24 h postoperatively(P<0.05).5.The two groups compared postoperative urination: the differences in postoperative urination were not statistically significant(P>0.05)at the 1st,5th and 7th postoperative days,and the postoperative urination scores were statistically lower in the treatment group than in the control group at the 2nd and 3rd postoperative days(P<0.05).6.Comparison of the healing time between the two groups: the healing time was significantly shorter in the treatment group compared to the control group,with a statistically significant difference(P<0.01).7.Comparison of the efficacy indicators between the two groups: In terms of pain relief efficacy,the total effective rate of the treatment group and the control group were94.12% and 73.53% respectively,the difference was statistically significant(P<0.05).8.No adverse events occurred in either group.Conclusion:Haemorrhoid Fumigation San is effective in relieving postoperative pain,reducing anal edema,reducing urinary retention and ultimately promoting healing.This treatment is safe,reliable,inexpensive,convenient and easy to administer,and can be widely used in patients with post-operative painful damp-heat-infused mixed haemorrhoids.