Effect of traditional Chinese medicine fumigation combined with moxibustion after surgery for patients with mixed hemorrhoids
Objective To analyze the effect of traditional Chinese medicine fumigation combined with moxibustion after surgery for patients with mixed hemorrhoids.Methods Sixty-eight patients with mixed hemorrhoids who underwent surgical treatment in Second Hospital,Jiangxi University of Traditional Chinese Medicine from January 2022 to May 2023 were selected for the randomized controlled trial,and were divided into a control group and an observation group by the random number table method,with 34 cases in each group.There were 18 males and 16 females in the observation group;they were(42.01±6.19)years old;their disease course was(3.28±1.13)years;their body weight was(60.29±6.32)kg.There were 20 males and 14 females in the control group;they were(45.05±6.14)years old;their disease course was(3.35±1.05)years;their body weight was(60.31±6.21)kg.The control group received routine nursing care;in addition,the observation group received traditional Chinese medicine fumigation and moxibustion;both groups received continuous intervention for 7 d.The postoperative recovery,anal edema degrees,anal pain degrees[Visual Analogue Scale(VAS)],quality of life[Generic Quality of Life Inventory(GQOLI-74)],incidences of complications,and nursing satisfaction were compared between the two groups.t and x2 tests were used.Results The times for the disappearance of swollen anus and secretion and wound-healed time in the observation group were shorter than those in the control group[(4.73±0.53)d vs.(5.68±0.85)d,(6.02±1.25)d vs.(7.89±1.54)d,and(14.58±2.68)d vs.(17.89±2.62)d;t=5.530,5.497,and 5.150;all P＜0.001].After the intervention,the scores of anal edema and VAS in the observation group were lower than those in the control group[(1.23±0.15)vs.(1.62±0.16)and(2.16±0.28)vs.(2.69±0.46);t=10.369 and 5.739;both P＜0.001].After the intervention,the scores of body function,psychological function,social function,and material life in the observation group were lower than those in the control group[(83.23±2.15)vs.(78.62±2.16),(84.16±2.28)vs.(79.69±2.46),(84.16±2.46)vs.(78.69±2.53),and(84.16±2.98)vs.(78.69±2.52);t=8.820,7.771,9.039,and 8.173;all P＜0.001].The total incidence of complications in the observation group was lower than that in the control group[5.88％(2/34)vs.29.41％(10/34);x2=6.476;P＜0.05].The scores of nurse-patient communication,operation level,ward environment,and patients'feeling in the observation group were higher than those in the control group[(21.86±3.21)vs.(17.77±2.35),(21.56±2.36)vs.(18.33±2.38),(22.65±2.45)vs.(20.73±2.36),and(22.12±2.32)vs.(19.73±2.38);t=5.995,5.619,3.291,and 4.193;all P＜0.001].Conclusion Traditional Chinese medicine fumigation combined with moxibustion after surgery for patients with mixed hemorrhoid can shorten their wound-healed time,reduce their anal edema and pain and the risk of complications,and improve their nursing satisfaction and quality of life.
Mixed hemorrhoidsTraditional Chinese medicine fumigationMoxibustionPostoperative painWound healingQuality of life
万方数据
维普
