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Application of acupuncture combined with traditional Chinese medicine fumigation and bathing in patients with mixed hemorrhoids after surgery |
GONG Hua-cheng1 GONG Jia-wei1 FAN Jian-ping2 PENG Ying-ying1 HU Xiao-yang3 LIU Qin-yuan4 |
1.Department of Anorectal Diseases, the Second Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine
2.Department of Surgery, the Second Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine
3.Department of Anorectal Diseases, Jiangxi Provincial Hospital of Traditional Chinese Medicine
4.Department of Anorectal Diseases, Shenzhen Hospital Affiliated to Southern Medical University |
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Abstract Objective To investigate the efficacy of acupuncture combined with traditional Chinese medicine fumigation bath in patients with mixed hemorrhoids after surgery.Methods A total of 84 patients with mixed hemorrhoids who underwent surgery in the Second Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January 2017 to June 2019 were selected and divided into group A and group B according to the random number table method,with 42 patients in each group.Group B was treated with Potassium Permanganate Solution for fumigation and bathing,and group A was treated with acupuncture combined with Chinese medicine for fumigation and bathing.The symptoms improvement time, duration of anal swelling, degree of anal swelling, anal pain, inflammation and adverse reactions were compared between the two groups.Results The time of edema, pain, exudate disappearance, wound healing time and anal distension duration in group A were shorter than those in group B, the degree of anal swelling and anal pain score in group A were lower than those in group B, with significant differences (P<0.05).The levels of interleukin-17(IL-17) and tumor necrosis factor-α (TNF-α) in group A were lower than those in group B, and the differences were statistically significant (P<0.05).During treatment, there were no adverse reactions in both groups.Conclusion Acupuncture combined with traditional Chinese medicine fumigation and bathing treatment for patients with mixed hemorrhoids can effectively shorten the time to improve clinical symptoms, reduce the degree of anal swelling and pain,reduce the level of inflammatory factors, and help patients recover, which has high security.
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[16] |
张志刚,邹勇,王雨来,等.中药熏洗坐浴治疗混合痔术后并发症的临床观察[J].中国中医急症,2018,27(2):315-317.
|
[17] |
杜沂岚,宁雪梅,唐敏.耳穴压豆加穴位针刺对混合痔术后疼痛的疗效观察[J].西南国防医药,2017,27(12):1363-1364.
|
[18] |
萧华文,沈卫东.针刺防治混合痔剥扎术后疼痛临床研究[J].中医学报,2015,30(9):1365-1367.
|
[19] |
白丹,张焕.针刺辅助麻醉对混合痔手术患者的麻醉效果[J].中国现代医生,2019,57(16):117-119.
|
[1] |
罗央丽,沈建萍,马雪芳.五倍子汤熏洗促进混合痔术后创面愈合疗效观察[J].护士进修杂志,2015,30(6):566-567.
|
[2] |
张全辉,邓永文.自制金黄膏外敷治疗混合痔术后肛门水肿的临床观察[J].中国当代医药,2017,24(31):161-163.
|
[3] |
徐继宗,张弦.自拟中药熏洗散在痔术后的应用[J].中国中医急症,2015,24(1):130-131.
|
[4] |
向珏颖,吴灵,陈本会.电针联合帕瑞昔布钠超前镇痛对混合痔患者术后疼痛的影响[J].西部中医药,2019,32(5):120-122.
|
[5] |
丁建华,刘肃志.中药熏洗治疗痔疮术后疼痛、水肿临床研究[J].中医学报,2015,30(9):1285-1286.
|
[6] |
严姝霞,殷翠云,葛永盛,等.不同熏洗方式对混合痔术后疗效影响的比较研究[J].中华现代护理杂志,2016,22(32):4634-4637.
|
[7] |
国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,2017:53.
|
[8] |
中华医学会外科学分会结直肠肛门外科学组,中华中医药学会肛肠病专业委员会,中国中西医结合学会结直肠肛门病专业委员会.痔临床诊治指南[J].中华胃肠外科杂志,2006,9(5):461-463.
|
[9] |
李崇彪,贾雄,黄梅,等.混合痔行选择性痔上黏膜切除术治疗的手术技巧及预后情况研究[J].中国医学创新,2019,16(24):145-148.
|
[10] |
闻亚平,蒋干超,杨青云,等.自拟中药熏洗组方在混合痔外剥内扎术后应用的临床研究[J].世界中医药,2017,12(10):2379-2381,2385.
|
[11] |
黄国锋,邱光明,周明珠.选择性痔上黏膜切除钉合术和痔上黏膜环切钉合术治疗环状混合痔的优劣差异[J].中国医药科学,2018,8(2):199-201,246.
|
[12] |
李积良,王继宁.中医药内外结合法治疗混合痔术后并发症的临床观察[J].陕西中医,2016,37(12):1636-1637.
|
[13] |
王海芹,张升涛.柏硝祛毒洗剂熏洗坐浴配合耳穴贴压治疗混合痔术后疼痛的疗效及护理[J].山西医药杂志,2015,44(9):1085-1087.
|
[14] |
张生东,张稳存,葛昌甫.切开挂线疗法联合中药外洗方熏洗坐浴治疗高位肛瘘疗效观察[J].现代中西医结合杂志,2017,26(13):1459-1461.
|
[15] |
王小亮,杨夏勇.痔浴净坐浴熏洗治疗湿热下注型痔术后临床疗效观察[J].山东中医杂志,2016,35(10):881-882.
|
|
|
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