| Objective At present,there is no mature treatment in our country and abroad for the prevention of postoperative complications of EVLT(intraluminal laser closure)and combined with traditional Chinese medicine.This study uses external application of Chinese medicine named ”tougushenjinwaiyongsan”for the prevention of postoperative complications of EVLT.Through clinical comparison studies,data compilation,statistical analysis,assess the experimental group and control group in the prevention of postoperative pain,subcutaneous hemorrhage,pigmentation,lower extremity swelling,lower extremity deep vein thrombosis,lower extremity superphlebitis,saphenous nerve injury,infection and The safety and efficacy of variceal recurrence rate.Intending to provide a safe and effective treatment for the prevention of postoperative complications of EVLT.Methods Sixty-six patients with EVLT surgery in the Department of General Surgery of Shanxi Provincial Hospital of Traditional Chinese Medicine from March 2018 to October 2018 were enrolled.All patients were enrolled according to the order of admission.They were randomly grouped with SPSS22.0 software.There were 33 cases in the experimental group and 33 cases in the control group.The patients in the experimental group were applied twice a day to use the medicine for one hour for one week.The control group patients were treated with a sterile brown starch paste twice a day forone hours for one week.All patients underwent EVLT.The chief physician Zhang Youfu was the main surgeon.After the EVLT operation,the test group and the control group were given three days of low molecular weight heparin calcium 4200iu q12 ih.All patients' suffering limbwere elevated 30° after operation.Elastic bandage bandaging,doing flexion and extension exercises after surgery 6h,7 days after surgery,changed to medical elastic stockings for 3 months;6 hours,12 hours,24 hours,48 hours after surgery,follow-up observe the visual analogue pain scores,3 days,7 days,14 days,28 days,90 days after surgery,follow-up observe the TCM syndrome scores,infection,recurrence,3 days postoperative follow-up subcutaneous The number of cases of thrombophlebitis,deep vein thrombosis,saphenous nerve injury,congestion and skin burns.Result:In the experimental group,2 cases were shedding during the follow-up,and 31 cases were finally included in the case study.One case was shedding during the follow-up of the control group,and 32 cases were eventually included in the case study.1.Comparisons of pain in operation area between the two groups after operation: follow-up of 6 hours,24 hours,48 hours and 7 days after operation,P<0.05,the difference was statistically significant.After 30 days of follow-up,P>0.05,there was no significant difference in the degree of pain between the two groups.2.Comparing the incidence of subcutaneous ecchymosis between the two groups after operation: follow-up on the 3rd and 7th day after operation,P<0.05,the difference was statistically significant;the area of subcutaneous ecchymosis was compared,P < 0.05,the difference was statistically significant.There was no significant difference in the incidence of subcutaneous ecchymosis and the area of subcutaneous ecchymosis between the two groups on the 14 th day of follow-up(P > 0.05).3.Comparisons of sclerosis or subcutaneous strings in the great saphenous vein and the operative area of the lower leg between the two groups after operation: The incidence of local sclerosis or subcutaneous strings in the greater saphenous vein and the operative area of the lower leg in the experimental group was significantly lower than that in the control group on the 3rd and 7th day after operation(P < 0.05).Follow-up on the 14 th day after operation,P > 0.05.There was no significant difference in the incidence of local sclerosis or subcutaneous strips in the great saphenous vein and the operative area of the lower leg between the two groups.4.Comparisons of skin sensory abnormalities between the two groups after operation:follow-up on the 3rd,7th and 14 th day after operation,P > 0.05,there was no significant difference.5.The average length of hospitalization after operation between the two groups: P < 0.05,the difference was statistically significant.In Conclusion:1.Preoperative use of the Tougushenjin external powder can significantly reduce the degree of pain in the EVLT,reduce the area and the rate of subcutaneous ecchymosis,reduce the incidence of subcutaneous sacrificial or induration in the main saphenous vein and calf,and reduce the number of patients The post-hospitalization time has obvious advantages compared with the traditional perioperative treatment,but there is no significant improvement in the skin feeling abnormal.The method is safe and reliable and has the value of promotion and use.2.Preoperative use of the Tougushenjin external powder is a safe and effective measure to prevent postoperative complications of EVLT,reducing bed rest time and increasing patient comfort,which is a feasible exploration in clinical practice.Worthy of clinical application. |
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