| Objective: The mixed hemorrhoid is a kind of anorectal diseases of refractory high,hemorrhoids III degree plus mixed hemorrhoid best treatment is surgery.According to Thomson "anal cushion" theory and the thought of Ding Zemin segmented ligation of tooth profile and founded TST,is currently the least operation injury of mixed hemorrhoid surgery.TST after the remaining external hemorrhoids with small "V" incision resection,can further reduce the postoperative wound.But as a result of the anus physiological characteristics,make the bacteria around the anus,and rich in crissum peripheral nerve inflammation stimulation caused by postoperative wound edema,pain and other symptoms of patients with the impact of the larger,the serious influence to treatment in patients with satisfaction.This topic by observing the ointment was the spirit in the mixed hemorrhoid surgery bacteriostatic antiphlogistic,acetanilide detumescence of wound and promote wound healing treatment effect,provide mixed hemorrhoid surgery with a topical ointment can effectively relieve symptoms.Methods: Eighty-four patients from Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine who met the inclusion criteria were randomly divided into therapy group(n = 42)and matched group(n = 42)according to random number table method.Therapy group: the patient after daily bath to complete the routine routine saline to clean the anus,the application of Yuchuangling ointment smear on the wound,each time 3g,the scope of the anus as the center diameter of about 3cm,sterile gauze cover and to tape Fixed,twice a day;Matched group: the patient after daily bath to complete the routine routine saline to clean the anus,the application of MEBO applied to the wound,each time 3g,the range of the anus as the center diameter of about 3cm,sterile gauze covered and fixed to the tape,twice a day.Two groups of clinical medication and other treatment measures are the same.The pain was observed and recorded on the 1st,3rd,5th and 7th day after the first dressing.Of the wound colony count,according to the culture of bacteria in the area occupied by bacteria,to 1/4,to 1/2,to 3/4,to all by 0 points,1 point,2 points,3 points,4 minutes Statistics,while observing the first 1,3,5,7 days after the wound granulation growth,wound edema,wound exudate,and according to their symptoms,light,medium and heavy degree by 0 points,1 point,2 points,3 points for statistics,and then follow the patient follow-up and visit the situation recorded wound healing time,comparative analysis of the two groups of patients with clinical efficacy differences.Results: According to the statistical results,the overall efficacy of the two groups of patients with significant differences(P<0.05).In the therapy group,the wound pain,wound bacterial count,wound blast growth,wound edema and wound effusion score were better than those in the matched group on the 1st,3rd,5th and 7th day after operation.There was significant difference(P<0.05).The difference between the therapy group and the matched group was significantly shorter than that of the matched group(P <0.05).There were no adverse drug reactions in both groups.Conclusion:Through the clinical observation found that Yuchuangling ointment in the application of mixed hemorrhoid surgery after the wound,with a good antibacterial,swelling and pain and promote wound granulation growth,shorten the healing time,the effect is better than MEBO.And safe non-toxic side effects,it is worth in the clinical application of the mixed hemorrhoids surgery. |
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