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.	侯丽丹, 鲍淑红, 王喆. 中药熏洗联合个性化护理干预对痔疮患者手术效果的影响. 世界中西医结合杂志, 2018, 13(7): 992-996.
2.	刘彬辉. 中药浸出液和高锰酸钾液用于坐浴治疗痔疮切除术后患者伤口愈合的疗效比较. 抗感染药学, 2016, 13(2): 476-478.
3.	刘宏, 梁晓雅. 超短波配合中药熏洗促进痔疮术后创面愈合50例. 陕西中医药大学学报, 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.	韩宝, 张燕生. 中国肛肠病诊疗学. 北京: 人民军医出版社, 2011: 132.
6.	Kersten P, Küçükdeveci AA, Tennant A. The use of the visual analogue scale (VAS) in rehabilitation outcomes. J Rehabil Med, 2012, 44(7): 609-610.
7.	国家中医药管理局. 中医病证诊断疗效标准. 南京: 南京大学出版社, 1994: 52-53.
8.	卢勇, 翁霞惠, 俞凡, 等. 坐浴1号对痔疮术后疼痛和水肿及创面菌落的影响研究. 临床外科杂志, 2018, 26(1): 43-45.
9.	陈蓓, 吴君怡, 徐世芬. 中医外治法对痔疮术后镇痛的临床应用概况. 中医药导报, 2016, 22(14): 114-116.
10.	宋立峰, 赵占强, 孙海芳, 等. 中药外用治疗痔疮术后并发症研究概述. 环球中医药, 2016, 9(1): 105-109.
11.	王清华. 地奥司明与β-七叶皂苷钠和马应龙痔疮膏联用对痔疮患者术后并发症的疗效评价. 抗感染药学, 2014, 11(3): 262-264.
12.	王悦辉. 中药熏洗坐浴改善肛肠科常规术后疼痛水肿的临床研究. 中国医药科学, 2015, 5(23): 107-109.
13.	丁建华, 刘肃志. 中药熏洗治疗痔疮术后疼痛、水肿临床研究. 中医学报, 2015, 30(9): 1285-1286.
14.	王旭昀, 张宏, 孙占学, 等. 熏洗疗法在中医外科疾病应用研究进展. 中华中医药学刊, 2015, 33(1): 146-148.
15.	张学军. 浅议中药外洗法在痔瘘病中的应用. 西部中医药, 2008, 21(2): 30-30.
16.	袁恩, 罗青华. 仙方活命饮熏洗辅助改良PPH治疗结缔组织型环状混合痔疗效及对血清IL-6、IFN-γ的影响. 现代中西医结合杂志, 2018, 27(31): 43-46.
17.	刘艳华, 王金伟, 倪秀茹. 仙方活命饮加减坐浴治疗混合痔PPH术后肛门疼痛疗效观察. 现代中西医结合杂志, 2017, 26(7): 739-741.
18.	杨晓媛, 任玉芳. 红花黄色素药理作用研究进展. 热带医学杂志, 2015, 15(3): 421-424.
19.	尚坤, 李敬文, 常美月, 等. 中药冰片药理作用研究进展. 吉林中医药, 2018, 38(4): 439-441.
20.	郭姝彤, 刘永仙, 艾彩莲, 等. 五倍子有效成分提取分离、药理作用及临床应用研究进展. 陕西中医, 2015, 36(6): 762-764.
21.	张庆伟, 许学军, 金艳. 便血合剂治疗内痔出血62例. 西部中医药, 2017, 30(10): 81-82.
22.	白邈, 高静. 普济痔疮栓治疗实热证型混合痔疗效观察. 中国临床医生杂志, 2016, 44(8): 95-96.
23.	毛建波, 郑伯安, 黄银伟. 复方角菜酸酯栓对肛裂术后创面愈合的临床观察. 中国药师, 2015, 18(12): 2100-2101.
24.	黄莹莹, 梁冲, 黄效廷, 等. 芍倍注射液联合复方角菜酸酯栓在PPH术中治疗Ⅳ度混合痔的临床体会. 结直肠肛门外科, 2017, 23(2): 198-200.
25.	金云菲, 王阳, 李丽. 补中益气汤联合复方角菜酸酯栓治疗老年痔病脱肛症状的临床疗效观察. 河北医学, 2016, 22(10): 1735-1737.

1. 侯丽丹, 鲍淑红, 王喆. 中药熏洗联合个性化护理干预对痔疮患者手术效果的影响. 世界中西医结合杂志, 2018, 13(7): 992-996.
2. 刘彬辉. 中药浸出液和高锰酸钾液用于坐浴治疗痔疮切除术后患者伤口愈合的疗效比较. 抗感染药学, 2016, 13(2): 476-478.
3. 刘宏, 梁晓雅. 超短波配合中药熏洗促进痔疮术后创面愈合50例. 陕西中医药大学学报, 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. 韩宝, 张燕生. 中国肛肠病诊疗学. 北京: 人民军医出版社, 2011: 132.
6. Kersten P, Küçükdeveci AA, Tennant A. The use of the visual analogue scale (VAS) in rehabilitation outcomes. J Rehabil Med, 2012, 44(7): 609-610.
7. 国家中医药管理局. 中医病证诊断疗效标准. 南京: 南京大学出版社, 1994: 52-53.
8. 卢勇, 翁霞惠, 俞凡, 等. 坐浴1号对痔疮术后疼痛和水肿及创面菌落的影响研究. 临床外科杂志, 2018, 26(1): 43-45.
9. 陈蓓, 吴君怡, 徐世芬. 中医外治法对痔疮术后镇痛的临床应用概况. 中医药导报, 2016, 22(14): 114-116.
10. 宋立峰, 赵占强, 孙海芳, 等. 中药外用治疗痔疮术后并发症研究概述. 环球中医药, 2016, 9(1): 105-109.
11. 王清华. 地奥司明与β-七叶皂苷钠和马应龙痔疮膏联用对痔疮患者术后并发症的疗效评价. 抗感染药学, 2014, 11(3): 262-264.
12. 王悦辉. 中药熏洗坐浴改善肛肠科常规术后疼痛水肿的临床研究. 中国医药科学, 2015, 5(23): 107-109.
13. 丁建华, 刘肃志. 中药熏洗治疗痔疮术后疼痛、水肿临床研究. 中医学报, 2015, 30(9): 1285-1286.
14. 王旭昀, 张宏, 孙占学, 等. 熏洗疗法在中医外科疾病应用研究进展. 中华中医药学刊, 2015, 33(1): 146-148.
15. 张学军. 浅议中药外洗法在痔瘘病中的应用. 西部中医药, 2008, 21(2): 30-30.
16. 袁恩, 罗青华. 仙方活命饮熏洗辅助改良PPH治疗结缔组织型环状混合痔疗效及对血清IL-6、IFN-γ的影响. 现代中西医结合杂志, 2018, 27(31): 43-46.
17. 刘艳华, 王金伟, 倪秀茹. 仙方活命饮加减坐浴治疗混合痔PPH术后肛门疼痛疗效观察. 现代中西医结合杂志, 2017, 26(7): 739-741.
18. 杨晓媛, 任玉芳. 红花黄色素药理作用研究进展. 热带医学杂志, 2015, 15(3): 421-424.
19. 尚坤, 李敬文, 常美月, 等. 中药冰片药理作用研究进展. 吉林中医药, 2018, 38(4): 439-441.
20. 郭姝彤, 刘永仙, 艾彩莲, 等. 五倍子有效成分提取分离、药理作用及临床应用研究进展. 陕西中医, 2015, 36(6): 762-764.
21. 张庆伟, 许学军, 金艳. 便血合剂治疗内痔出血62例. 西部中医药, 2017, 30(10): 81-82.
22. 白邈, 高静. 普济痔疮栓治疗实热证型混合痔疗效观察. 中国临床医生杂志, 2016, 44(8): 95-96.
23. 毛建波, 郑伯安, 黄银伟. 复方角菜酸酯栓对肛裂术后创面愈合的临床观察. 中国药师, 2015, 18(12): 2100-2101.
24. 黄莹莹, 梁冲, 黄效廷, 等. 芍倍注射液联合复方角菜酸酯栓在PPH术中治疗Ⅳ度混合痔的临床体会. 结直肠肛门外科, 2017, 23(2): 198-200.
25. 金云菲, 王阳, 李丽. 补中益气汤联合复方角菜酸酯栓治疗老年痔病脱肛症状的临床疗效观察. 河北医学, 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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