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.