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中华普外科手术学杂志(电子版) ›› 2025, Vol. 19 ›› Issue (04) : 457 -460. doi: 10.3877/cma.j.issn.1674-3946.2025.04.028.

论著

蛋黄油联合肛肠科愈创外洗方促进痔术后康复的临床观察
王丽娜1, 吕远2, 孙亮2, 袁强2, 聂玉辉2, 刘博3,()   
  1. 1. 255300 山东淄博,淄博市中医医院肛肠外科
    2. 100700 北京,解放军总医院第七医学中心普通外科
    3. 255000 山东淄博,解放军71345部队医院普通外科
  • 收稿日期:2024-12-16 出版日期:2025-08-26
  • 通信作者: 刘博

Clinical observation on the promotion of postoperative rehabilitation of hemorrhoids by egg yolk oil combined with the external washing prescription for wound healing in the department of anorectal surgery

Lina Wang1, Yuan Lv2, Liang Sun2, Qiang Yuan2, Yuhui Nie2, Bo Liu3,()   

  1. 1. Department of Anorectal Surgery, Zibo Hospital of Traditional Chinese Medicine,Zibo Shandong Province 255300, China
    2. Department of General Surgery, the 7th Medical Center of the Chinese People’s Liberation Army General Hospital, Beijing 100700, China
    3. Department of General Surgery, PLA 71345 Military Hospital, Zibo Shandong Province 255000, China
  • Received:2024-12-16 Published:2025-08-26
  • Corresponding author: Bo Liu
引用本文:

王丽娜, 吕远, 孙亮, 袁强, 聂玉辉, 刘博. 蛋黄油联合肛肠科愈创外洗方促进痔术后康复的临床观察[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(04): 457-460.

Lina Wang, Yuan Lv, Liang Sun, Qiang Yuan, Yuhui Nie, Bo Liu. Clinical observation on the promotion of postoperative rehabilitation of hemorrhoids by egg yolk oil combined with the external washing prescription for wound healing in the department of anorectal surgery[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(04): 457-460.

目的

研究蛋黄油联合肛肠科愈创外洗方在痔术后促进创面愈合及改善术后生活质量中的临床应用。

方法

选取2023年8月至2024年8月接受混合痔外剥内扎术的患者75例纳入研究,根据治疗方法不同分为对照组35例和观察组40例。在常规换药的基础上,对照组给予高锰酸钾坐浴治疗,观察组给予蛋黄油联合肛肠科愈创外洗方治疗。采用SPSS 26.0统计学软件进行数据分析,对两组临床疗效、临床相关指标、负面情绪、生活质量进行比较。

结果

观察组总有效率为90.0%,高于对照组的68.6%,差异有统计学意义(P<0.05)。观察组创面愈合天数、脓腐脱落天数、肛门坠胀感天数短于对照组,创面渗液评分、疼痛VAS评分低于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者负面情绪评分(SAS焦虑自评量表)低于治疗前,观察组评分低于对照组,差异有统计学意义(P<0.05);治疗后,两组患者SF-36量表中生理功能、生活活力、总体健康评分高于治疗前,观察组评分高于对照组,差异有统计学意义(P<0.05)。

结论

蛋黄油联合肛肠科愈创外洗方可显著促进痔术后创面的愈合,改善患者创面渗透及疼痛情况,缓解其负面情绪,提高生活质量。

Objective

To study the clinical application of egg yolk oil combined with the external washing prescription for wound healing in the Department of Anorectal Surgery in promoting wound healing after hemorrhoid surgery and improving the postoperative quality of life.

Methods

A total of 75 patients who underwent external stripping and internal ligation for mixed hemorrhoids from August 2023 to August 2024 were selected for this study. According to different treatment methods, they were divided into a control group with 35 cases and an observation group with 40 cases. On the basis of routine dressing changes, the control group was treated with potassium permanganate hip bath, and the observation group was treated with egg yolk oil combined with the external washing prescription for wound healing in the Department of Anorectal Surgery.The statistical software SPSS 26.0 was used for data analysis, and the clinical efficacy, clinical related indexes,negative emotions, and quality of life of the two groups were compared.

Results

The total effective rate of the observation group was 90.0%, which was higher than 68.6% of the control group, and the difference was statistically significant (P<0.05). The days of wound healing, the days of purulent and necrotic tissue shedding,and the days of a sense of anal swelling and prolapse in the observation group were shorter than those in the control group, and the scores of wound exudation and pain VAS in the observation group were lower than those in the control group, with statistically significant differences (P<0.05). After treatment, the scores of negative emotions (SAS self-rating anxiety scale) of the patients in both groups were lower than those before treatment,and the scores of the observation group were lower than those of the control group, with statistically significant differences (P<0.05). After treatment, the scores of physical function, vitality, and general health in the SF-36 scale of the patients in both groups were higher than those before treatment, and the scores of the observation group were higher than those of the control group, with statistically significant differences (P<0.05).

Conclusion

Egg yolk oil combined with the external washing prescription for wound healing in the Department of Anorectal Surgery can significantly promote the wound healing after hemorrhoid surgery, improve the wound exudation and pain of patients, relieve their negative emotions, and improve the quality of life.

表1 两组混合痔外剥内扎术患者基线资料比较
表2 两组混合痔外剥内扎术患者临床疗效比较[例(%)]
表3 两组混合痔外剥内扎术患者临床相关指标比较(
表4 两组混合痔外剥内扎术患者治疗前后SAS评分比较(分,
表5 两组混合痔外剥内扎术患者治疗前后生活质量比较(分,
[1]
肖亦龙,翁国炳,祝明珠. 吻合器痔上黏膜环切术与传统痔疮切除术治疗Ⅲ期内痔、环状混合痔的临床有效性及安全性对比分析[J]. 疾病监测与控制,2024, 20(03): 198-201.
[2]
倪永忠,惠小苏,周守芝,等. 自动痔疮套扎术对Ⅲ、Ⅳ度混合痔患者肛门功能和机体应激的影响及手术效果的影响因素分析[J]. 现代生物医学进展,2023, 23(03): 565-569,514.
[3]
严春红,王建民,毛细云. 促进痔术后创面愈合的药物治疗研究进展[J]. 湖南中医杂志,2012, 28(05): 166-167.
[4]
吴士雄,温丽辉,刘满君,等. 蛋黄油联合清热解毒汤外洗在肛周脓肿术后创面愈合中的应用[J]. 中国医科大学学报,2024, 53(05): 446-450,457.
[5]
贾景燕,李青青,魏晓婷,等. 中药熏洗坐浴结合穴位按摩在痔疮手术患者中的应用效果及对GIQLI评分的影响[J]. 临床医学研究与实践,2024, 9(26): 187-190.
[6]
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(2006版)[J]. 中华胃肠外科杂志,2006, 9(05): 461-463.
[7]
李国锐. 《中医病症诊断疗效标准》出台[J]. 标准化信息,1995(02): 5.
[8]
何东平. 肿痛消减汤坐浴熏洗联合九华膏外敷护理混合痔术后随机平行对照研究[J]. 实用中医内科杂志,2014(04): 3.
[9]
杨亮,张培军,韩静,等. 轻中度痔疮的内镜下套扎术与常规外科手术疗效的对照研究[J]. 临床消化病杂志,2024, 36(02):109-113.
[10]
李文雄,张小元,赵高斯. 促进混合痔术后创面愈合的中医疗法进展[J]. 中医临床研究,2022, 14(33): 92-94.
[11]
蔡明明. 藻酸盐敷料联合蛋黄油外用在肛瘘术后患者创面愈合中的疗效观察[J]. 齐齐哈尔医学院学报,2020, 41(22):2810-2812.
[12]
白小玲,王大琤,刘小文,等. 蛋黄油联合高压氧治疗肛周脓肿术后创面的临床观察[J]. 临床研究,2018, 26(04): 44-46.
[13]
张光哲,凌光烈,鹿晓理,等. 藻酸钙敷料在肛瘘术后创面的应用[J/CD]. 中华普外科手术学杂志(电子版),2012, 6(01): 101-103.
[14]
庞思思,王峰. 痔疮栓联合中药熏洗坐浴对混合痔术后疼痛水肿的治疗作用分析[J]. 广州中医药大学学报,2024, 41(04):876-880.
[15]
谢欣梅,庞晓斌,丛悦. 醇提蛋黄油对小鼠烫伤愈合作用的机理研究[J]. 中成药,2013, 35(01): 4.
[16]
李欢,许艳艳,高进勇,等. 蒲公英根多糖的体外抗炎作用研究[J]. 动物医学进展,2019, 40(05): 4.
[17]
平家奇,刘利本,邹娟,等. 蒲公英提取物体内抗炎作用研究[J]. 延边大学农学学报,2010(01): 4.
[18]
陈鹏,吴玥,周本宏. 地榆鞣质改善D-型半乳糖致衰老大鼠抗氧化、抗炎作用的研究[J]. 中国药师,2018, 21(04): 4.
[19]
许旭昀,陈超,陈子睿. 丹黄消炎液联合间断给氧对糖尿病足溃疡创面愈合过程中EGF的影响[J]. 实用药物与临床,2016, 19(06): 692-695.
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