| Objective:To observe the clinical efficacy of Plus and Minus Xi Zhi Zhong Tong Tang in treating postoperative swelling and pain after external stripping and internal ligation of damp-heatinfused mixed hemorrhoids.Methods:Eighty-eight patients who were diagnosed with damp-heat-infused mixed hemorrhoids and underwent traditional external stripping and internal ligation under sacral anesthesia at the department of anorectal,Xiamen Hospital of Traditional Chinese Medicine from February2022 to December 2022,and had postoperative swelling and pain were included.The patients were randomly divided into 44 cases each in the observation group and the control group.Patients in both groups were given dietary advice upon admission.On the day of surgery,the patients were given "Cefuroxime sodium powder needle 1.5g+0.9% sodium chloride infusion100ml" intravenous drops to prevent infection,ear acupuncture(Subcortical,Anal,Shenmen,Rectum),acupoint application(Shenque,Zhongwan,Tianshu,Qihai,Guanyuan)and microwave treatment(perianal),etc.From the first day after surgery,they were given "Macrogol 4000 Powder" orally to moisten bowel and relieve constipation(twice a day,1 bag each time)and "Celecoxib Capsule" orally to relieve pain(once a day,1 piece each time).And once a day in the morning and evening,10 minutes after the end of the sitbath,anorectal general dressing change,including iodophor disinfection,rivanol yarn strip stuffed into the anus and gauze covering.The observation group was given a sitz bath with Plus and Minus Xi Zhi Zhong Tong Tang,while the control group was given a sitz bath with Jin Xuan Hemorrhoid Fumigation San for 10 consecutive days.Observed and recorded the pretreatment,on the third day of treatment,on the seventh day of treatment and on the tenth day of treatment,the patients’ anal pain,edema at the anal verge,the time for the edema to subside and the time for the wound to heal.Results:A total of 88 patients were included in this study.During the clinical study,2 patients in the observation group and 1 patient in the control group requested to withdraw from the study for personal reasons,and the above 3 cases were shedding cases.1 patient in the control group did not use drugs as required,which was excluded.The data of the above 4 patients were not included in the statistics,so the data of 42 patients in each of the last two groups were included in the statistics.A total of 84 cases completed clinical observation and were included in statistics.Before treatment,the gender,age,course of disease,degree of hemorrhoids and scores of anal pain and anal edema before treatment were analyzed,and the results were not statistically significant(P>0.05).The comparative analysis results of the two groups after treatment are as follows:1.General efficacy:After 10 th days of drug treatment,the total effective rate of patients in the observation group reached 90.5%,of which 14 cases were cured,12 cases were visible effective,12 cases were effective and 4 cases were ineffective;after 10 days of treatment,the total effective rate of patients in the control group reached 73.8%,of which 5 cases were cured,4 cases were visible effective,22 cases were effective and 11 cases were ineffective.The overall efficacy of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).2.Analysis of anal edema: On the 3rd day after treatment,the scores of anal border edema between the two groups were compared,with no statistical significance(P>0.05);on the 7th and 10 th day after treatment,the scores of anal border edema between the two groups were compared,with statistical significance(P<0.05),and the reduction degree of edema in the observation group was better than that in the control group(P<0.05).3.Anal pain analysis: On the 3rd day of treatment,anal pain scores between the two groups were compared,and there was no statistical significance(P>0.05);on the 7th and 10 th day of treatment,anal pain scores between the two groups were compared,and the difference was statistically significant(P<0.05).The relief degree of the observation group was better than that of the control group(P<0.05).4.Analysis of the time to regression of oedema: After treatment,there was a statistically significant difference in the time to regression of oedema between the two groups(P<0.05),and the time to regression of oedema in the observation group was better than that in the control group(P<0.05).5.The difference between the two groups was statistically significant(P<0.05),with the time to healing of the wound in the observation group being shorter than that in the control group.Conclusions:1.The effect of the sitz bath with Plus and Minus Xi Zhi Zhong Tong Tang has significant advantages in reducing post-operative swelling and pain of damp-heat-infused mixed piles,especially in eliminating oedema and promoting healing time of the wound.2.The clinical efficacy of Plus and Minus Xi Zhi Zhong Tong Tang bath is better than that of Jin Xuan Hemorrhoid Fumigation,and its clinical efficacy and safety are worth further promotion. |
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