文档介绍：摘要目的:混合痔外剥内扎术后出现水肿、疼痛等并发症,影响了患者对手术疗效的评价,本论文旨在通过临床研究,观察消肿止痛液防治混合痔术后水肿、疼痛的疗效。方法:选取符合纳入观察标准的病例,随机分为试验组30例和对照组30例。两组患者均住院治疗,术前检查血、尿、粪三常规、肝肾功、凝血系列、心电图及胸片, 排除手术禁忌症,常规肛周备皮,术前予结肠透析灌肠,术前6小时禁饮食,麻醉方式均采用腰麻,手术方式采用混合痔外剥内扎术,术后6小时后恢复饮食,抗生素静脉点滴3天预防伤口感染,治疗组30例术后患者从术后第l天起给予消肿止痛液局部熏洗,对照组30例术后患者从术后第1天起给予高锰酸钾溶液(1:5000) 局部熏洗,7天为一疗程。用药期间观察患者每天病情变化,收集水肿评分、疼痛评分、水肿消失时间,评定其治疗结果。结果:一般资料,对照组和治疗组无明显差异;出院时两组患者均治愈,无明显差异;水肿情况,治疗组在水肿防治方面作用优于对照组。水肿消失时间治疗组优于对照组;疼痛情况,两组疼痛第一天、第七天二者无显著性差异;两组疼痛第三天、第五天,二者有显著差异,治疗组明显优于对照组。结论:消肿止痛液能够消肿止痛、活血生肌,本方在预防和治疗混合痔术后疼痛、肛缘水肿方面疗效明显优于对照组,且无明显副作用。关键词消肿止痛液;混合痔;水肿、疼痛;临床观察 X aozhong Zh tong qu d m xed hemor rho ds,postoperat ve edema,The C n ca observat on of pa n Abstract Objective:hemorrhoidsMilligan—Morgan hemorrhoidectomy edema after,pain plications,affected patients on operation evaluation,this thesisthrough clinical research,observation ofXiaozhong Zhitong liquid forprevention andtreatment ofmixed hemorrhoid postoperative edema,pain. Methods:eligible forinclusion on thestandardcase,according tothevisitingrandomly divided intotrialgroup 30cases and control group30 ofpatients were hospitalized,preoperative examination ofblood,urine,stool routine,liver and kidney function,blood coagulation,electrocardiogram andchestradiograph series,excluding operation contraindications,conventional perianal skin,preoperative tocolon dialysis, preoperatively and at6hour fasting,anesthetic methods ale used inspinalanesthesia, operation mode adoVs mixed hemorrhoids external stripping internalligation, postoperative recovery after6 hofdiet,intravenous antibiotics for 3days toprevent wound infection,30 cases inthetreatmentgroup patients giveXiaozhong Zhitong liquid localfumigation,the control group of 30 cases ofpostoperativepatientsgivenpotassium permanganate solution(1:s000)localfumigation,two groups ofpatients werefromthe firstpostoperative day theinitiation ofsubstance use,for 7consecutive the treatment ofpatients were observed every conditionchanges,collectedema