Analgesic Cream For The Treatment Of Mixed Hemorrhoids Anal Pain And Promote Wound Healing Clinical Research

Objective:Surgical therapy is an important method of treatment to severe mixed hemorrhoids, and it will cause some postoperative complications including pain, anal edema, hemorrhage, and delay of wound healing. These complications will influence the efficacy of operations, prolong the time of hospitalization and waste medical resources that are very limited. If we carry out some effective interventions to postoperative complications, we can improve the efficacy of surgical therapy and make patients more satisfied with medical care. This thesis summarized and analyzed modern medical knowledge and Traditional Chinese Medicine etiological factors and disease mechanism of postoperative pain. The therapies to promote healing of the wound were also involved. This clinical research is to observe curative effect of Zhitong ointment in relieving postoperative pain and its help to wound healing.Methods:62inpatients were included in the researching program from May1sl2013to January31sl2014. These inpatients that conformed to the diagnostic criteria of mixed hemorrhoids all received treatment of Milligan-Morgan hemorrhoidectomy and suffered from postoperative pain. They were randomly divided into therapy group and control group. No obvious deference (P>0.05) in age, gender, staging of disease or pain score in first day between two groups was showed by statistical data analysis. Hence, they were comparable. The patients began to receive measures of intervention the first time they got postoperative dressing. Ones in therapy group daubed Zhitong ointment on the wound while others in control group used Gangtai ointment. The ointment had been used once a day for seven days. All the other measures of intervention between two groups were the same except the kind of ointment. We evaluated pain degrees (VAS) on1st day,3rd day,5th day, and7th day after operation when the patients finished dail dressing and30min after that. We marked the scores of the wound before daily dressing on1sl day and7th day. The time of wound healing was also recorded.Results:In control group there were15male patients and16female patients while in therapy group there were14males and17females. The average age of control group was40.00±11.04, and that was42.03±12.44of therapy group. The statistical data showed both two kinds of ointment could relieve pain that occurred after Milligan-Morgan hemorrhoidectomy. But Zhitong ointment was more effective. The effective rate of therapy group was86.7%while that of control group was70.0%. And it had showed remarkable deferences (P<0.05) between two groups on the time of wound healing. Conclusions:Zhitong ointment has better curative effect than Gangtai ointment in relieving pain occurred after Milligan-Morgan hemorroidectomy especially after the period of inflammatory actions, and it was helpful to healing the wound. Simultaneously no significant adverse reactions such as skin allergic diseases occurred during this clinical research.