| Purpose：Through the comparison between experimental animal and clinicalpractice groups, evaluate the joint method of mixed hemorrhoid postoperativecomplications prevention and clinical effect of anal function recoveryMaterial and method：This study first used30mice were randomly dividedinto3groups: treatment group and control group, blank control group． Xiaozhiointment topical treatment group after application, the control of postoperativelocal disinfection, blank control group of normal mice． Observation anus weektreatment group compared with the control mice, healing of postoperativeinflammation, detumescence; The treatment group compared with blank controlgroup in the side effects of drugs in mice． Then tied circumscribed within40routine mixed hemorrhoid postoperative patients were randomly divided into A(treatment group) and B (control group) in the two groups, single blind method,A group of20cases of application of the joint method (anti-inflammatory,xiaozhi ointment, hemorrhoids pain extract) treatment; B group20examplesapplied Angle food acid ester switch, horn food acid ester cream, warm sitz bathtreatment． As postoperative pain score, eliminate inflammation, edemaelimination time, pain score, defecate bleeding after bowel movement analysiscomparison, wound healing time and hospital stays, with ball discharge test,rectal cavity ultrasound and8channel anal pressure determination results asthe patient’s postoperative efficacy and anal function index, patients’ generalcondition, complete blood analysis, liver and kidney, double lung function asa security measure．Results：Animal experiments showed that the treatment group mice and edemawas shorter than the control group, the wound granulation growth starting timeearlier than the control group, the wound to heal faster than the controlgroup． Treatment group mice body weight, active, food intake, basal bodytemperature compared with normal group without exception． 40cases of mixed hemorrhoid postoperative patients were cured, safetyindicators are no exception．On the general comparison: A, B two groups of comparison, early postoperativeanalgesic effect but there was no difference in the two groups, the analgesiceffect in the late is better than that of group B, group A long-term analgesiceffect but there was no difference in the two groups． Inflammation elimination,gen yuan edema elimination time, wound healing time were superior to group A,group B． Five days defecate bleeding following surgery group B is superior togroup A, and10days,15days defecate bleeding in group A than group B． Analrectum ultrasound measurement, and resting diastolic radius (R) radiusdifference is better than group B, group A resting radius radius difference andcontraction (R) there was no difference in the comparison group A, group B．Relevant inspection aspect comparison: ball discharge experiment,3ml and5ml water sac discharge test there was no difference in the group A, group B;10ml water sac discharge test in group A than group B． Anal pressure measurementin the two groups of comparison, the maximum systolic blood pressure, systolictime, anal canal resting pressure, rectal resting pressure had no difference,the biggest net pressure recovery in group A than group BConclusion： the joint method of mixed hemorrhoid surgery relatedcomplications, such as postoperative pain, wound inflammation, a margin of edema,pain and defecate haemorrhage defecate and control effects of the anal functionalrecovery, especially in the rectum dynamics, anal canal diastolic function withclinical effect, although the western medicine also can again some aspects ofthe desired effect, but the curative effect of traditional Chinese medicine ismore exact and effective, Safe and reliable，more economical and low cost, usingthe method is more concise and convenient, is suitable for popularization andapplication．... |
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