The Clinical Observation On Wang’s Xiaozhongzhitong Decoction In The Treatment Of Postoperative Mixed Hemorrhoids Incarcerated With Qi Stagnation And Blood Stasis Type

Objective:To observe the clinical efficacy and safety of sitz bath with Wang’sxiaozhongzhitong decoction in the treatment of postoperative mixed hemorrhoids incarcerated with qi stagnation and blood stasis type.Methods:Finished the Milligan-Morgan operation 76 inpatients who met the inclusion criteria of mixed hemorrhoids incarcerated with qi stagnation and blood stasis type.They were randomly divided into 38 cases in the study group and 38 cases in the control group.After regular treatment after operation the study group was treated with Wang’sxiaozhongzhitong decoction and the control group was treated with potassium permanganate sitz bath.The sitz bath was taken once every morning before dressing change and the sitz bath treatment lasted for 14days.The degree of anal pain,anal marginal edema,wound granulation tissue and and the postoperative wound healing time were observed and recorded before treatment on the the first day after operation,3^rd,7^thand 14^thafter 14^thday.The collected datas are used in the statistical software spss23.0 for statistics and analysis.Results:A total of 76 Patients in the two groups were included in this observation.There is no dropout cases which were excluded from the treatment group and the control group.A total of76 patients completed clinical observation and were included in the statistics.The two groups were statistically compared in age,gender,incarcerated time,number of cuts.As a result,the difference between the two groups was not statistically significant（P>0.05）.After treatment,the results were analyzed as follows.（1）Wound Pain degree:the comparison of wound pain degree scores between the two groups before treatment（P>0.05）the difference was not statistically significant and the datas of the two groups were comparable.There was significant difference in the degree of wound pain between the two groups on 3^rd,7^thday after treatment（P<0.05）indicating that the curative effect of Wang’sxiaozhongzhitong decoction sitz bath in relieving the wound pain was better than potassium permanganate sitz bath.There was no significant difference in the degree of wound pain on 14^thday after treatment（P>0.05）.（2）Wound anal marginal edema:the score of wound anal marginal edema before treatment in the two groups was compared（P>0.05）the difference was not statistically indicating that the datas of the two groups were comparable.The wound anal marginal edema scores of the two groups on 7^rd,14^thday after treatment was statistically significant（P<0.05）indicating that the curative effect of Wang’sxiaozhongzhitong decoction sitz bath in relieving the wound anal marginal edema was better than that of potassium permanganate sitz bath.There was no significant difference in the degree of wound pain 14 days after treatment（P>0.05）.（3）Wound granulation tissue:the comparison of wound granulation tissue growth scores between the two groups before treatment in the two groups was compared（P>0.05）the difference was not statistically significant and the datas of the two groups were comparable.There was no significant difference between the two groups in the scores of wound granulation growth on 3^rdday treatment（P>0.05）.The comparison of granulation tissue growth scores between the two groups on 7^rd,14^thday after treatment（P<0.05）indicating that the Wang’sxiaozhongzhitong decoction sitz bath in promoting granulation tissue growth was significantly better than that of potassium permanganate sitz bath.（4）Wound healing time:There was significant difference in wound healing time between the two groups（P<0.05）.The wound healing time in the study group was significantly shorter than that control group.（5）Comparison of overall efficacy:after treatment the effective rate of the study group was 92.10%and that of the control group was 73.68%.There was significant difference between the two groups（P<0.05）.It shows that wound pain degree,anal marginal edema,granulation growth and wound healing time of clinical symptoms in the study group is better than that in the control group.Conclusion:Wang’sxiaozhongzhitong decoction sitz bath can effectively relieve postoperative wound pain degree,anal marginal edema,granulation growth and shorten the healing time.And the use process has no adverse reactions,good safety,and is worthy of clinical promotion.