Clinical Effect Of Modified Detumescence And Pain Relief Decoction On Postoperative Complications Of Damp-heat Mixed Hemorrhoids

Objective:To observe the clinical effect of Modified Detumescence and Pain Relief Decoction on pain,edema and wound healing after operation of circular mixed hemorrhoids injection under dampness-heat.Methods:Sixty-six patients meeting the selection criteria were divided into the treatment group and the control group according to the random number table.Both groups were treated with internal ferrule and external excision of mixed hemorrhoids under general anesthesia + local anesthesia.The treatment group was treated with Modified Detumescence and Pain Relief Decoction and the control group was treated with potassium permanganate solution.The wound pain,anal edema of patients in the two groups on the 1st day after surgery before treatment,the 3rd day after surgery,the 6th day after surgery,and the 12 th day after surgery were scored.The wound healing on the 6th and 12 th day after surgery was observed and the wound healing rate of the 12 th day after surgery was calculated.Finally,the wound healing time of the two groups was recorded.The symptom scores were recorded in the table,and Spss21.0 software was used for statistical analysis of the data.Results:1.General situation: There is no case were shed or excluded during the study period,and eventually all of the 66 cases met the criteria(33 cases in the treatment group and 33 cases in the control group).There were no statistically significant differences in age,gender,course of disease,original wound area and pre-treatment conditions between the two groups(P>0.05),indicating that the two groups were comparable.2.Wound pain: there was no significant difference in wound pain between the two groups before treatment and on the 12 th day after surgery(P>0.05),indicating that there was no significant difference in wound pain between the two groups before treatment and on the12 th day after surgery.The comparison of wound pain between the two groups on the 3rd and6 th day after surgery showed statistically significant difference(P<0.05),indicating that the treatment group was significantly better than the control group in reducing wound pain.3.Anal edema: there was no significant difference in the situation of anal edema between the two groups before treatment and on the 12 th day after surgery(P>0.05),indicating that there was no significant difference in the situation of anal edema between the two groups before treatment and on the 12 th day after surgery.The difference of anal edema between the two groups on the 3rd and 6th day after surgery was statistically significant(P<0.05),indicating that the treatment group was significantly better than the control group in alleviating anal edema.4.Wound healing: there was a statistically significant difference in the wound healing rate between the two groups on the 12 th day after surgery(P<0.05).The wound healing rate of the treatment group was higher than that of the control group,indicating that the wound healing rate of the treatment group was significantly faster than that of the control group.The difference in postoperative wound healing time between the two groups was statistically significant(P<0.05).It indicated that the treatment group was significantly better than the control group in promoting wound healing.6.Overall efficacy: There was statistically significant difference in overall efficacy between the two groups(P<0.05).The total effective rate of the treatment group was 90.9%,while the total effective rate of the control group was 78.8%,indicating that the overall efficacy of the treatment group in improving postoperative complications of circular mixed hemorrhoids was significantly better than that of the control group.Conclusion:Modified Detumescence and Pain Relief Decoction can effectively relieve postoperative wound pain,anal edema symptoms of patients with mixed hemorrhoids injected under dampness and heat,promote wound healing and relieve pain of patients.No obvious adverse reactions occurred during the medication process,and it has good safety and is worthy of clinical application and promotion.