The effect of traditional Chinese medicine anal fumigation combined sitz bath for mixed hemorrhoids on edema of anal edge after external dissection and internal ligation / 国际中医中药杂志

ABSTRACT

Objective:To observe the effect of traditional Chinese medicine anal fumigation combined sitz bath for mixed hemorrhoids.Methods:A total of 90 patients with mixed hemorrhoids who met the inclusion criteria in our hospital from March 2017 to March 2019 were divided into two groups according to the random number table method, 45 cases in each group. The control group was treated with conventional western medicine. The treatment group was treated with traditional Chinese medicine anal fumigation combined sitz bath. Both of the two groups were treated for 14 d. The pain, swelling, and symptoms of the two groups were compared. The clinical efficacy was evaluated.Results:After the treatment, the total efficacy of the treatment group was 95.6% (43/45), and the control group was 80.0% (36/45). The difference between the two groups was statistically significant ( χ2=5.075, P=0.024). The pain level after 7 d (2.36 ± 1.02 vs. 3.55 ±1.34, t=4.740), 14 d (1.52 ± 0.38 vs. 2.28 ± 0.78, t=5.876) in the treatment group were significantly lower than those of the control group ( P<0.01). After 14 d, it showed the distribution of edema of anal edge with Degree Ⅰ in the treatment groupwas higher than that of the control group, and distribution of Degree Ⅲ-Ⅳ was lower than that of control group ( Z=6.543, P<0.01).. After 14 d, the pain (6.32 ± 0.90 d vs. 7.01 ± 1.82 d; t=-2.280, P=0.025) and edema of anal edge time (5.28 ± 0.51 d vs. 6.55 ± 1.05 d; t=-7.298, P<0.01) in the treatment group were significantly earlier than those of control group. Then followed up for 2 weeks, the wound healing time (17.78 ± 2.30 d vs. 15.25 ± 1.63 d, t=6.02) in the treatment group was significantly earlier than that of the control group ( P<0.01). Conclusions:Traditional Chinese Medicine anal fumigation combined sitz bath could relieve postoperative pain and edema of anal edge after external strip for mixed hemorrhoids patients.