中药洗剂坐浴对痔术后患者创面愈合的影响

目的：观察清热活血中药洗剂坐浴对痔术后创面愈合的影响。方法选取100例痔术后患者，按随机数字表法分为观察组和对照组各50例，两组患者均接受痔切除术，术后对照组给予高锰酸钾温水坐浴，观察组给予清热活血中药洗剂坐浴，两组坐浴后均给予复方角菜酸酯乳膏外用。观察并比较两组患者术后创面愈合时间、疼痛程度及临床有效率。结果治疗前两组疼痛积分分别为（4．06±1．34）分、（4.05±1．36）分，两组差异无统计学意义（t＝0．63，P＞0．05）；治疗后两组疼痛积分分别为（1．13±0．51）分、（2．72±0．74）分，均较治疗前明显改善（t＝3．72、2．98，均P＜0．05）；观察组治疗后疼痛积分明显低于对照组（t＝2.73，P＜0．05）。观察组创面愈合时间（13．23±4．27）d，明显短于对照组的（18．78±6．43）d（t ＝6．44， P＜0．05）。观察组临床有效率98％，显著高于对照组86％（χ^2^4．89，P＜0．05）。结论清热活血中药坐浴能促进痔术后创面的愈合，且能有效降低疼痛程度，值得临床推广。

The influence of heat-clearing and blood-activating traditional Chinese medicine sitz bath on postoperative wound healing of hemorrhoids

Objective To observe the influence of heat-clearing and blood-activating traditional Chinese medicine sitz bath on postoperative wound healing of hemorrhoids Methods 100 cases of hemorrhoids surgery pa-tients were selected.According to random number table method,they were divided into the observation group and con-trol group,100 cases in each group.All of patients underwent hemorrhoids excision surgery,the control group was giv-en potassium permanganate sitz bath, the observation group was given heat-clearing and blood-activating traditional Chinese medicine sitz bath.The two groups were given compound carraghenates cream for external use after sitz bath. The postoperative wound healing time,degree of pain and clinical efficient of the two groups were observed and com-pared.Results In two groups before treatment,the pain scores were （4.06 ±1.34）point,（4.05 ±1.36）point,with no significantly different （t=0.63,P〈0.05）; compared with before treatment,the two groups after treatment the pain scores were （1.13 ±0.51）point,（2.72 ±0.74）point,the difference was statistically significant （t =3.72, 2.98,P〈0.05）;the pain scores after treatment in observation group was significantly lower than that of the control group,the difference was statistically significant （t=2.73,P〈0.05）.In observation group,the wound healing time was （13.23 ±4.27）d,which was shorter than （18.78 ±6.43）d of the control group,the difference was statistically significant （t=6.44,P〈0.05）.The clinical efficiency of the observation group was 98%,which was significantly higher than 86%of the control group,the difference was statistically significant （χ^2=4.89,P〈0.05）.Conclusion Heat-clearing and blood-activating traditional Chinese medicine sitz bath can promote the healing of postoperative wound of hemorrhoids,and can effectively reduce the degree of pain.