【作者】 刘庆圣；

【导师】 姜春英；

【作者基本信息】 山东中医药大学 ， 中医外科学， 2010， 硕士

【摘要】 目的：观察浴液不同温度对混合痔外剥内扎术后疼痛、水肿、创面愈合的影响,并初步探讨其机理。方法：将符合纳入标准的混合痔外剥内扎术后的患者,随机分为Ⅰ组、Ⅱ组和Ⅲ组,三组均以花子叶汤坐浴,Ⅰ组浴温[28,32℃],Ⅱ组浴温[33,36℃],Ⅲ组浴温[37,41℃],选择混合痔外剥内扎术后疼痛、水肿、创面愈合三个指标进行比较研究。结果：1.三组间一般情况均衡性的比较性别P=0.300,年龄P=0.108,分期P=0.097,病程P=0.331,创面个数P=0.511,P均>0.05,统计学无显著差异,提示三组在一般资料方面具有可比性。2.三组并发症治疗结果的比较2.1三组术后肛门疼痛术后第1、2、3、4、5天Ⅰ组与Ⅱ组比较Pd1=0.719,Pd2=0.181,Pd3=0.317,Pd4=0.521,Pd5=0.079,p均>0.05,说明Ⅰ组与Ⅱ组无显著性差异,而Ⅲ组与其它两组比较肛门疼痛积分减少,P均<0.05,统计学具有显著性差异,提示Ⅲ对术后肛门疼痛的止痛效果优于Ⅰ组和Ⅱ组,而Ⅰ组和Ⅱ组止痛效果无显著差别。2.2三组术后肛门水肿术后第1、3、5天Ⅰ组与Ⅱ组比较Pd1=0.842,Pd3=0.783,Pd5=0.766,P均>0.05,说明Ⅰ组与Ⅱ组无显著性差异,而Ⅲ组与其它两组比较肛门水肿积分减少,P均<0.05,统计学具有显著性差异,提示Ⅲ组对术后肛门水肿治疗效果优于Ⅰ组和Ⅱ组,Ⅰ组和Ⅱ组对术后肛门水肿治疗效果无显著差别。2.3三组术后创面愈合时间三组创面愈合时间比较,Ⅰ组与Ⅱ组P=0.424>0.05,说明Ⅰ组与Ⅱ组无显著性差异,而Ⅲ组与其它两组比较创面愈合时间明显缩短,P均<0.05,统计学具有显著性差异,提示Ⅲ组术后创面愈合时间较Ⅰ组与Ⅱ组为短,Ⅰ组与Ⅱ组创面愈合时间无显著差别。结论：1.应用花子叶汤坐浴,浴温[37,41℃],在治疗痔术后肛门疼痛、水肿及缩短创面愈合时间方面优于[33,36℃]和[28,32℃]。2.花子叶汤坐浴未见毒副作用和明显局部皮肤过敏反应,因此其应用于痔外剥内扎术后并发症的治疗是安全、可行的。更多还原

【Abstract】 Objective:The effects of different hip bath temperature on the mixed hemorrhoid outside the Milligan-Morgan postoperative pain, edema, wound healing, and to explore its mechanism.Methods:Will meet the inclusion criteria of mixed hemorrhoid outside the Milligan-Morgan surgery patients were randomly divided into groupⅠ,ⅡandⅢgroup, three groups are to spend the cotyledon Tang Bath,Ⅰgroup hip bath temperature [28,32℃], GroupⅡBath temperature [33,36℃],Ⅲgroup hip bath temperature [37,41℃], choice of mixing outside the Milligan-Morgan hemorrhoid post-operative pain, edema, wound healing and other indicators for comparative purposes.Results:1.General balance between the two groups of comparison:gender p=0.300, age, p=0.108, stage p=0.097, course of disease p=0.331,wound number p=0.511 were >0.05, statistically no significant difference in Tip three groups were comparable information in general.2. Three groups of complications of treatment outcomes in comparison:2.1 The three groups of postoperative anal pain:1,2,3,4,5 days after the first groupⅠand groupⅡPd1=0.719, Pd2=0.181, Pd3=0.317, Pd4=0.521, Pd5=0.079 are>0.05, Note groupⅠandⅡwas no significant difference, while in groupⅢcompared with other groups, P<0.05, there is a statistically significant difference significant difference. Tip GroupⅢanal pain on postoperative pain is better than in groupⅠand groupⅡ,Ⅰgroup andⅡgroup was no significant difference in analgesic effect.2.2 The three groups of postoperative anal edema:1,3,5 days after the first groupⅠand groupⅡPd1=0.842, Pd3=0.783, Pd5=0.766 are>0.05, Note groupⅠandⅡwas no significant difference, while in groupⅢcompared with other groups, P<0.05, statistically significant differences. Tip GroupⅢtreatment of postoperative edema than anal groupⅠand groupⅡ.2.3 The three groups of postoperative wound healing time:Comparison of three groups of wound healing,Ⅰgroup andⅡgroup P=0.424> 0.05, in groupⅠandⅡgroup shows no significant difference. The groupⅢcompared with other groups, P<0.05, statistically significant differences. Tip GroupⅢwound healing time than groupⅠandⅡgroup was shorter.Conclusion:1 Bath temperature [37,41℃], hemorrhoid surgery in the treatment of anal pain, edema and shorten wound healing time than other two groups.2 flower cotyledons Tang Bath no apparent toxic side effects and local skin allergies, so its application outside the Milligan-Morgan hemorrhoid treatment of post-operative complications is safe and feasible.更多还原