首页|蛋黄油外敷联合苦参汤加减熏洗对混合痔术后创面愈合的影响

蛋黄油外敷联合苦参汤加减熏洗对混合痔术后创面愈合的影响

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目的 探讨蛋黄油外敷联合苦参汤加减熏洗对混合痔术后创面愈合的影响。方法 选取河北省中医院2019年10月至2023年4月收治行混合痔手术的患者141例,按随机数字表法分为对照A组、对照B组和观察组,各47例。3组患者接受常规混合痔外剥内扎手术,术后予常规抗感染、补液,对照A组患者予温水熏洗后加用凡士林油纱条覆盖创面,对照B组患者予苦参汤加减熏洗后加用凡士林油纱条覆盖创面,观察组患者予苦参汤加减熏洗后加用蛋黄油纱条覆盖创面。结果 观察组总有效率为100。00%,显著高于对照B组的93。62%和对照A组的87。23%(P<0。05)。术后第7,14天,观察组及对照B组患者血清P物质、5-羟色胺、肿瘤坏死因子-α、白细胞介素6水平,创面愈合时间及创面缩小率均显著优于对照A组(P<0。05),且观察组上述指标均显著优于对照B组(P<0。05)。3组患者均无明显不良反应发生。结论 蛋黄油外敷联合苦参汤加减熏洗可促进混合痔术后创面愈合,减轻患者疼痛,降低炎性因子水平,缩短康复进程。
Effect of External Application of Yolk Oil Combined with Fumigation and Washing with Modified Kushen Decoction on Wound Healing After Mixed Hemorrhoid Surgery
Objective To investigate the effect of external application of yolk oil combined with fumigation and washing with modified Kushen Decoction on the wound healing after mixed hemorrhoid surgery.Methods A total of 141 patients who underwent mixed hemorrhoid surgery at the Hebei Provincial Hospital of Traditional Chinese Medicine from October 2019 to April 2023 were selected and divided into the control group A,control group B and observation group by the random number table method,with 47 cases in each group.All patients underwent routine Milligan-Morgan hemorrhoidectomy for mixed hemorrhoid and received routine anti-infection and fluid replacement after surgery;on this basis,the patients in the control group A were treated with fumigation and washing with warm water before covering the wound with Vaseline oil gauze;the patients in the control group B were treated with fumigation and washing with modified Kushen Decoction before covering the wound with Vaseline oil gauze;the patients in the observation group were treated with fumigation and washing with modified Kushen Decoction before covering the wound with yolk oil gauze.Results The total effective rate in the observation group was 100.00%,which was significantly higher than 93.62%in the control group B and 87.23%in the control group A(P<0.05).On the 7th and 14th day after surgery,the serum substance P(SP),5-hydroxytryptamine(5-HT),tumor necrosis factor-α(TNF-α)and interleukin-6(IL-6)levels,wound healing time and wound shrinkage rate in the observation group and control group B were significantly better than those in the control group A(P<0.05);and the above indicators in the observation group were significantly better than those in the control group B(P<0.05).There were no obvious adverse reaction observed in all three groups.Conclusion External application of yolk oil combined with fumigation and washing with modified Kushen Decoction can promote wound healing,relieve pain,decrease inflammatory factors levels and promote rehabilitation after mixed hemorrhoid surgery.

yolk oilKushen Decoctionmixed hemorrhoidfumigation and washing with traditional Chinese medicinewound healinginflammatory factorclinical efficacy

陈丽娜、刘满君、王燕燕、齐雪、程杰

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河北省中医院,河北 石家庄 050000

河北省中药制剂产业技术研究院,河北 石家庄 050000

河北中医药大学医学院,河北石家庄 050000

蛋黄油 苦参汤 混合痔 中药熏洗 创面愈合 炎性因子 临床疗效

2024

中国药业
重庆市食品药品监督管理局

中国药业

CSTPCD
影响因子:1.369
ISSN:1006-4931
年,卷(期):2024.33(24)