Application effect of triple therapy of “washing, blowing, and plugging” in wound treatment after PPH operation_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LUO Zeqin , SI Huaqing , ZHAO Yunyun , MA Li

Department of Anorectal, the Fifth Hospital of Zhangjiakou City, Zhangjiakou, Hebei 075000, P. R. China;

Corresponding?author：

LUO Zeqin, Email: liyan64446@163.com

Keywords：

procedure for prolapse and hemorrhoids; compound carraghenate; herbal fumigation; wound healing

DOI：

10.7507/1007-9424.201902045

Video：

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Objective To explore the effect of " washing, blowing and plugging” triple therapy on wound treatment after procedure for prolapse and hemorrhoids (PPH) operation.Methods Two hundreds and four patients with moderate to severe hemorrhoids treated by PPH from June 2017 to September 2018 in the Fifth Hospital of Zhangjiakou City of Hebei province were selected as study subjects and divided into two groups according to the random number table, the control group received saline fumigation followed by sitz bath and conventional wound dressing change on the second day after operation, the observation group were treated with " washing, blowing and plugging” triple therapy and routine wound dressing change on the 2nd day after operation. The clinical efficacy, wound pain, wound exudation, skin margin edema, hemorrhage, granulation tissue filling time and complete wound healing time were compared between the two groups.Results There was no significant difference in the effective rate between the observation group and the control group in degree Ⅱ hemorrhoids (P>0.05), while the effective rates of patients with degree Ⅲ and Ⅳ hemorrhoids were higher than those of the control group (P<0.05). The visual analogue scale (VAS), wound exudation, skin margin edema and hemorrhage scores of the two groups decreased gradually with time (P<0.05), meanwhile, the scores of VAS, wound exudation, skin margin edema and hemorrhage at each time point in the observation group were lower than those in the control group (P<0.05). The granulation tissue filling time and complete wound healing time in the observation group were shorter than those in the control group (P<0.05).Conclusions After PPH operation, the " washing, blowing and plugging” triple therapy has definite clinical effect, can significantly improve wound pain, wound exudation, skin margin edema and hemorrhage, and effectively shorten the wound healing time.

Citation： LUO Zeqin, SI Huaqing, ZHAO Yunyun, MA Li. Application effect of triple therapy of “washing, blowing, and plugging” in wound treatment after PPH operation. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(6): 691-695. doi: 10.7507/1007-9424.201902045 Copy

1.	侯麗丹, 鮑淑紅, 王喆. 中藥熏洗聯合個性化護理干預對痔瘡患者手術效果的影響. 世界中西醫結合雜志, 2018, 13(7): 992-996.
2.	劉彬輝. 中藥浸出液和高錳酸鉀液用于坐浴治療痔瘡切除術后患者傷口愈合的療效比較. 抗感染藥學, 2016, 13(2): 476-478.
3.	劉宏, 梁曉雅. 超短波配合中藥熏洗促進痔瘡術后創面愈合50例. 陜西中醫藥大學學報, 2017, 40(2): 57-58.
4.	Elshazly WG, Gazal AE, Madbouly K, et al. Ligation anopexy versus hemorrhoidectomy in the treatment of second- and third-degree hemorrhoids. Techniq Coloproctol, 2015, 19(1): 29-34.
5.	韓寶, 張燕生. 中國肛腸病診療學. 北京: 人民軍醫出版社, 2011: 132.
6.	Kersten P, Kü?ükdeveci AA, Tennant A. The use of the visual analogue scale (VAS) in rehabilitation outcomes. J Rehabil Med, 2012, 44(7): 609-610.
7.	國家中醫藥管理局. 中醫病證診斷療效標準. 南京: 南京大學出版社, 1994: 52-53.
8.	盧勇, 翁霞惠, 俞凡, 等. 坐浴1號對痔瘡術后疼痛和水腫及創面菌落的影響研究. 臨床外科雜志, 2018, 26(1): 43-45.
9.	陳蓓, 吳君怡, 徐世芬. 中醫外治法對痔瘡術后鎮痛的臨床應用概況. 中醫藥導報, 2016, 22(14): 114-116.
10.	宋立峰, 趙占強, 孫海芳, 等. 中藥外用治療痔瘡術后并發癥研究概述. 環球中醫藥, 2016, 9(1): 105-109.
11.	王清華. 地奧司明與β-七葉皂苷鈉和馬應龍痔瘡膏聯用對痔瘡患者術后并發癥的療效評價. 抗感染藥學, 2014, 11(3): 262-264.
12.	王悅輝. 中藥熏洗坐浴改善肛腸科常規術后疼痛水腫的臨床研究. 中國醫藥科學, 2015, 5(23): 107-109.
13.	丁建華, 劉肅志. 中藥熏洗治療痔瘡術后疼痛、水腫臨床研究. 中醫學報, 2015, 30(9): 1285-1286.
14.	王旭昀, 張宏, 孫占學, 等. 熏洗療法在中醫外科疾病應用研究進展. 中華中醫藥學刊, 2015, 33(1): 146-148.
15.	張學軍. 淺議中藥外洗法在痔瘺病中的應用. 西部中醫藥, 2008, 21(2): 30-30.
16.	袁恩, 羅青華. 仙方活命飲熏洗輔助改良PPH治療結締組織型環狀混合痔療效及對血清IL-6、IFN-γ的影響. 現代中西醫結合雜志, 2018, 27(31): 43-46.
17.	劉艷華, 王金偉, 倪秀茹. 仙方活命飲加減坐浴治療混合痔PPH術后肛門疼痛療效觀察. 現代中西醫結合雜志, 2017, 26(7): 739-741.
18.	楊曉媛, 任玉芳. 紅花黃色素藥理作用研究進展. 熱帶醫學雜志, 2015, 15(3): 421-424.
19.	尚坤, 李敬文, 常美月, 等. 中藥冰片藥理作用研究進展. 吉林中醫藥, 2018, 38(4): 439-441.
20.	郭姝彤, 劉永仙, 艾彩蓮, 等. 五倍子有效成分提取分離、藥理作用及臨床應用研究進展. 陜西中醫, 2015, 36(6): 762-764.
21.	張慶偉, 許學軍, 金艷. 便血合劑治療內痔出血62例. 西部中醫藥, 2017, 30(10): 81-82.
22.	白邈, 高靜. 普濟痔瘡栓治療實熱證型混合痔療效觀察. 中國臨床醫生雜志, 2016, 44(8): 95-96.
23.	毛建波, 鄭伯安, 黃銀偉. 復方角菜酸酯栓對肛裂術后創面愈合的臨床觀察. 中國藥師, 2015, 18(12): 2100-2101.
24.	黃瑩瑩, 梁沖, 黃效廷, 等. 芍倍注射液聯合復方角菜酸酯栓在PPH術中治療Ⅳ度混合痔的臨床體會. 結直腸肛門外科, 2017, 23(2): 198-200.
25.	金云菲, 王陽, 李麗. 補中益氣湯聯合復方角菜酸酯栓治療老年痔病脫肛癥狀的臨床療效觀察. 河北醫學, 2016, 22(10): 1735-1737.

1. 侯麗丹, 鮑淑紅, 王喆. 中藥熏洗聯合個性化護理干預對痔瘡患者手術效果的影響. 世界中西醫結合雜志, 2018, 13(7): 992-996.
2. 劉彬輝. 中藥浸出液和高錳酸鉀液用于坐浴治療痔瘡切除術后患者傷口愈合的療效比較. 抗感染藥學, 2016, 13(2): 476-478.
3. 劉宏, 梁曉雅. 超短波配合中藥熏洗促進痔瘡術后創面愈合50例. 陜西中醫藥大學學報, 2017, 40(2): 57-58.
4. Elshazly WG, Gazal AE, Madbouly K, et al. Ligation anopexy versus hemorrhoidectomy in the treatment of second- and third-degree hemorrhoids. Techniq Coloproctol, 2015, 19(1): 29-34.
5. 韓寶, 張燕生. 中國肛腸病診療學. 北京: 人民軍醫出版社, 2011: 132.
6. Kersten P, Kü?ükdeveci AA, Tennant A. The use of the visual analogue scale (VAS) in rehabilitation outcomes. J Rehabil Med, 2012, 44(7): 609-610.
7. 國家中醫藥管理局. 中醫病證診斷療效標準. 南京: 南京大學出版社, 1994: 52-53.
8. 盧勇, 翁霞惠, 俞凡, 等. 坐浴1號對痔瘡術后疼痛和水腫及創面菌落的影響研究. 臨床外科雜志, 2018, 26(1): 43-45.
9. 陳蓓, 吳君怡, 徐世芬. 中醫外治法對痔瘡術后鎮痛的臨床應用概況. 中醫藥導報, 2016, 22(14): 114-116.
10. 宋立峰, 趙占強, 孫海芳, 等. 中藥外用治療痔瘡術后并發癥研究概述. 環球中醫藥, 2016, 9(1): 105-109.
11. 王清華. 地奧司明與β-七葉皂苷鈉和馬應龍痔瘡膏聯用對痔瘡患者術后并發癥的療效評價. 抗感染藥學, 2014, 11(3): 262-264.
12. 王悅輝. 中藥熏洗坐浴改善肛腸科常規術后疼痛水腫的臨床研究. 中國醫藥科學, 2015, 5(23): 107-109.
13. 丁建華, 劉肅志. 中藥熏洗治療痔瘡術后疼痛、水腫臨床研究. 中醫學報, 2015, 30(9): 1285-1286.
14. 王旭昀, 張宏, 孫占學, 等. 熏洗療法在中醫外科疾病應用研究進展. 中華中醫藥學刊, 2015, 33(1): 146-148.
15. 張學軍. 淺議中藥外洗法在痔瘺病中的應用. 西部中醫藥, 2008, 21(2): 30-30.
16. 袁恩, 羅青華. 仙方活命飲熏洗輔助改良PPH治療結締組織型環狀混合痔療效及對血清IL-6、IFN-γ的影響. 現代中西醫結合雜志, 2018, 27(31): 43-46.
17. 劉艷華, 王金偉, 倪秀茹. 仙方活命飲加減坐浴治療混合痔PPH術后肛門疼痛療效觀察. 現代中西醫結合雜志, 2017, 26(7): 739-741.
18. 楊曉媛, 任玉芳. 紅花黃色素藥理作用研究進展. 熱帶醫學雜志, 2015, 15(3): 421-424.
19. 尚坤, 李敬文, 常美月, 等. 中藥冰片藥理作用研究進展. 吉林中醫藥, 2018, 38(4): 439-441.
20. 郭姝彤, 劉永仙, 艾彩蓮, 等. 五倍子有效成分提取分離、藥理作用及臨床應用研究進展. 陜西中醫, 2015, 36(6): 762-764.
21. 張慶偉, 許學軍, 金艷. 便血合劑治療內痔出血62例. 西部中醫藥, 2017, 30(10): 81-82.
22. 白邈, 高靜. 普濟痔瘡栓治療實熱證型混合痔療效觀察. 中國臨床醫生雜志, 2016, 44(8): 95-96.
23. 毛建波, 鄭伯安, 黃銀偉. 復方角菜酸酯栓對肛裂術后創面愈合的臨床觀察. 中國藥師, 2015, 18(12): 2100-2101.
24. 黃瑩瑩, 梁沖, 黃效廷, 等. 芍倍注射液聯合復方角菜酸酯栓在PPH術中治療Ⅳ度混合痔的臨床體會. 結直腸肛門外科, 2017, 23(2): 198-200.
25. 金云菲, 王陽, 李麗. 補中益氣湯聯合復方角菜酸酯栓治療老年痔病脫肛癥狀的臨床療效觀察. 河北醫學, 2016, 22(10): 1735-1737.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application effect of triple therapy of “washing, blowing, and plugging” in wound treatment after PPH operation

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