Effect of Zhitong-Rushen Decoction combined with conventional modern medical therapy on postoperative pain of anal mixed hemorrhoids for patients with syndrome of dampness-heat diffusing downward / 国际中医中药杂志

ABSTRACT

Objective:To investigate the effect of Zhitong-Rushen Decoction combined with conventional modern medical therapy on postoperative pain of anal mixed hemorrhoids for patients with syndrome of dampness-heat diffusing downward. Methods:A total of 90 patients with mixed hemorrhoids admitted to our hospital from January 2017 to January 2019 were divided into two groups according to the random number table method, with 45 cases in each group. Both groups were treated with external stripping and internal ligation of mixed hemorrhoids. The control group was injected with compound methylene blue solution after operation, while the treatment group was treated with Zhitong-Rushen Decoction on the basis of the control group. Both groups were treated for 7 days and followed up for one month. The postoperative pain grading according to WHO pain grading standard, the pain grading was evaluated at different time after operationof the two groups was evaluated, the first defecation time and postoperative complications were observed and recorded, and the clinical efficacy was evaluated. Results:The total effective rate of the treatment group was 84.4% (38/45), which was significantly higher than that of the control group 66.7% (30/45), and the difference was statistically significant ( χ2=-3.850, P=0.049). At 2, 6, 12 h after the operation, the distribution of patients with pain grade 0 and grade Ⅰ in the control group were significantly higher than those in the control group, while the distribution of patients with grade Ⅱ and grade Ⅲ were significantly lower than those in the control group ( Z=17.787, 10.020, 5.380, P<0.01). The first defecation time of the treatment group was earlier than that of the control group (Z=-3.181, P=0.001). There was no significant difference in postoperative complications between the two groups ( χ 2=0.058, P=0.809). Conclusion:Zhitong-Rushen Decoction combined with conventional modern medical therapy can effectively reduce the pain after hemorrhoids surgery and reduce the occurrence of relavant complications.