The Clinical Research About Mixed Hemorrhoids Postoperative Pain Treatment With Incremental Tuoli Dingtong Pulvis

Objective: This clinical research was to observe the treatment effects ofincremental Tuoli Dingtong pulvis for mixed hemorrhoids qi stagnation and bloodstasis type postoperative pain.Methods: This clinical research accord with standard of72patients with mixedhemorrhoid were randomized divided into two groups, but there are8casesof falling out, eventually64valid cases, the treatment group of33cases,31cases inthe control group.in the sacral anesthesia Milligan-Morgan hemorrhoidectomy,conve-ntional treatment after surgery is consistent.The treatment group were treated withincremental Tuoli Dingtong pulvis,the control group were treated with corydalis tuberrelieve pain pill,two groups of patients in the4hours after the operation beganto take medicine according to the research program, stop until7days aftersurgery.Observe and record the two groups of patients with postoperative pain, edem-a,pain occur time and comprehensive effect etc,then comparative analysis.Results: The comparison of two groups of patients with postoperative anal painscores,on the12hours after surgery、1days after surgery、3days after surgery,thetreatment group were4.04±2.11、3.88±2.31、3.73±2.07,the control group were5.25±2.36、5.09±2.18、4.88±2.27,the difference was statistically significant(P＜0.05). The comparison of two groups of patients with postoperative anal edema scores,on the1days after surgery、3days after surgery、5days after surgery、 thefirst defecation after operation,the treatment group were2.31±0.77、3.03±0.91、2.56±0.80、3.23±0.71, the control group were2.77±0.67、3.49±0.87、3.11±0.92、3.65±0.65, the difference was statistically significant(P＜0.05).The comparison of two groups of patients with the appearance time of postoperative anal pain, thetreatment group was8.85±2.11hours,the control group was7.04±2.36hours, thedifference was significant differences(P＜0.01). The comparison of two groups ofpatients with comprehensive curative effect, the treatment group4cases werecured,22cases were markedly effective, effective in5cases,2cases failed, the totaleffective rate93.94%, the control group2cases were cured,11cases were markedlyeffective, effective in12cases,6cases failed, the total effective rate80.65%, thetreatment group was better than control group,the difference was statisticallysignificant(P＜0.05).Conclusion: Incremental Tuoli Dingtong pulvis apply to qi stagnation and bloodstasis type of postoperative patients with mixed hemorrhoids,can effectively relievethe postoperative anal pain,alleviating postoperative edema, prolonged postoperativepain occurrence time,and no obvious adverse reactions.