Effect of Cuyu Decoction Combined with Xiaozhong Zhitong Decoction on Postoperative Recovery of Annular Mixed Hemorrhoids
LIANG Jia-di,RU Xiao-bing,SU Jin-hua
Department of AnorectalSurgery, Dongguan People' s Hospital, Dongguan523000,China
Abstract:
Objective To investigate the effect of taking Cuyu Decoction orally with the swelling and pain relieving bath on the postoperative recovery of circular mixed hemorrhoids. Methods 160 patients with ringshaped mixed hemorrhoids who underwent elective mixed hemorrhoidectomy were divided into conventional treatment group (group A), Cuyu decoction internal treatment group (group B), Stomach and Pain Relief fumigation and bathing treatment group (C group), Cuyu Decoction oral administration combined with swelling and pain relieving bath treatment group (group D) according to different treatment methods,with 40 cases in each group. The visual analog scale (VAS) pain score, edema score and wound healing were compared at 1std, 7thd and 14thd after surgery. The symptom relief time, overall efficacy, patient satisfaction and adverse reactions were compared between groups. Results In group D, VAS pain score, edema score, wound area score, wound bleeding score and effusion score were (0.86±0.26), (0.80±0.53), (2.06±0.56) cm2, (0.64±0.25) and(0.28±0.07) points at 7thd, and (0.14±0.08), (0.32±0.08), (0.68±0.28) cm2, (0.33±0.10), (0.17±0.04) points at 14th d respectively. The pain relief time, edema resolution time and bleeding stop time were (3.12±1.53) d, (3.84 ±1.15) d and (2.03±0.97) d respectively. There were no adverse reactions in group D.The above indexes were significantly lower than those in group A, B and C. The total effective rate and comprehensive satisfaction degree in group D were 98% and 100%,which were significantly higher than those in groups A,B and C (P <0.05). Conclusion Cuyu Decoction orally taking combined with swelling and pain relieving bath treatment reduces the postoperative pain and edema more effectively, and it can shorten the time for symptom relief, reduce postoperative complications and achieve higher patient satisfaction.