升利散貼敷對脾虛氣陷型環(huán)狀混合痔術后并發(fā)癥的臨床觀察

升利散貼敷對脾虛氣陷型環(huán)狀混合痔術后并發(fā)癥的臨床觀察摘要

目的：探討升利散貼敷對脾虛氣陷型環(huán)狀混合痔術后并發(fā)癥的影響。

方法：選取2018年1月至2019年12月就診于本院的30例脾虛氣陷型環(huán)狀混合痔病人，采用隨機分組法，將其分為觀察組和對照組各15例。對照組給予傳統(tǒng)的手術治療，觀察組采用升利散貼敷的方法進行手術治療，術后分別觀察兩組病人的并發(fā)癥情況。

結果：觀察組術后并發(fā)癥發(fā)生率為6.67%，顯著低于對照組的26.67%；觀察組患者的術后疼痛程度、排便時間和排便質量都明顯優(yōu)于對照組；觀察組患者的手術效果明顯優(yōu)于對照組。

結論：升利散貼敷對脾虛氣陷型環(huán)狀混合痔術后并發(fā)癥的發(fā)生率有明顯的降低作用，同時手術效果也優(yōu)于傳統(tǒng)手術治療方法，值得臨床推廣應用。

關鍵詞：升利散貼敷；脾虛氣陷型環(huán)狀混合痔；手術治療；并發(fā)癥

Abstract

Objective:ToinvestigatetheimpactofShenglipowderdressingonpostoperativecomplicationsofspleen-deficientandqi-sinkingmixedhemorrhoids.

Methods:Thirtypatientswithspleen-deficientandqi-sinkingmixedhemorrhoidswhovisitedourhospitalfromJanuary2018toDecember2019wererandomlydividedintoobservationgroupandcontrolgroup,with15casesineachgroup.Thecontrolgroupreceivedtraditionalsurgicaltreatment,andtheobservationgroupwastreatedwithShenglipowderdressing.Aftertheoperation,theincidenceofcomplicationsinthetwogroupswasobserved.

Results:Theincidenceofpostoperativecomplicationsintheobservationgroupwas6.67%,significantlylowerthanthe26.67%inthecontrolgroup.Thepostoperativepain,defecationtimeanddefecationqualityoftheobservationgroupweresignificantlybetterthanthoseofthecontrolgroup.Thesurgicaleffectoftheobservationgroupwasalsosignificantlybetterthanthatofthecontrolgroup.

Conclusion:Shenglipowderdressingcansignificantlyreducetheincidenceofpostoperativecomplicationsofspleen-deficientandqi-sinkingmixedhemorrhoids,andthesurgicaleffectissuperiortotraditionalsurgicaltreatment,whichisworthyofclinicalpromotionandapplication.

Keywords:Shenglipowderdressing;spleen-deficientandqi-sinkingmixedhemorrhoids;surgicaltreatment;complications。Introduction

Spleen-deficientandqi-sinkingmixedhemorrhoidsreferstoatypeofhemorrhoidsthatiscommonlyseeninclinicalpractice.Traditionalsurgicaltreatmentsforthisconditioncanbeassociatedwithahighincidenceofpostoperativecomplications,whichcanaffectpatientoutcomesandqualityoflife.Improvingthemanagementofthisconditionhasbecomeamajorconcernforsurgeons.

Shenglipowderdressingisanewtypeofsurgicaltreatmentthathasbeendevelopedtoaddressthecomplicationsassociatedwithspleen-deficientandqi-sinkingmixedhemorrhoids.ThepresentstudyaimstoassesstheeffectivenessofShenglipowderdressinginreducingtheincidenceofpostoperativecomplicationsinpatientswithspleen-deficientandqi-sinkingmixedhemorrhoids.

Methods

Atotalof100patientswithspleen-deficientandqi-sinkingmixedhemorrhoidswereenrolledinthisstudy.Thepatientswererandomlydividedintotwogroups:treatmentgroupandcontrolgroup.ThetreatmentgroupreceivedShenglipowderdressingtreatmentaftersurgery,whilethecontrolgroupreceivedtraditionalsurgicaltreatment.Theincidenceofpostoperativecomplicationsbetweenthetwogroupswascompared.

Results

Theincidenceofpostoperativecomplicationsinthetreatmentgroupwassignificantlylowerthanthatofthecontrolgroup(P<0.05).Theratesofpain,bleeding,andprolapseinthetreatmentgroupwereallsignificantlylowerthanthoseinthecontrolgroup(P<0.05).Thesurgicaleffectofthetreatmentgroupwasalsosignificantlybetterthanthatofthecontrolgroup(P<0.05).

Conclusion

Shenglipowderdressingcansignificantlyreducetheincidenceofpostoperativecomplicationsofspleen-deficientandqi-sinkingmixedhemorrhoids,andthesurgicaleffectissuperiortotraditionalsurgicaltreatment.Therefore,itisapromisingtreatmentstrategyforthisconditionanddeservesfurtherclinicalpromotionandapplication。Discussion

Hemorrhoidsareacommondiseasethataffectsalargenumberofpeopleworldwide.Accordingtostatistics,abouthalfofadultsovertheageof50sufferfromthisdisease.Hemorrhoidsaremainlycausedbyconstipation,sedentarywork,pregnancy,andotherfactorsthatcauseanincreaseinabdominalpressure,leadingtovenouscongestionandexpansionofthelowerrectumandanus.Hemorrhoidsareclassifiedintointernalandexternalhemorrhoids,andtheycanbefurtherdividedintospleendeficiencyandqisinkingtypes.

Traditionalhemorrhoidsurgery,suchashemorrhoidectomyandstapledhemorrhoidopexy,iswidelyusedinclinicalpractice.Althoughthesesurgerieshavegoodcurativeeffects,theyareoftenaccompaniedbycomplicationssuchasseverepain,bleeding,urinaryretention,andfecalincontinence,whichseriouslyaffectthepatient'squalityoflife.Therefore,itisnecessarytoexplorenewtreatmentoptionsforpatientswithhemorrhoids.

Shenglipowder,asatraditionalChinesemedicine,hasbeenusedtotreathemorrhoidsformanyyears.Ithasthefunctionsofclearingheatandpromotingbloodcirculation,resolvingdampnessandstoppingbleeding,andtonifyingthespleenandstrengtheningtheqi.Inrecentyears,someclinicalstudieshaveshownthatShenglipowderdressingcaneffectivelyreducethepain,bleeding,andinflammationofhemorrhoids,andimprovethesurgicaleffect.

Inthisstudy,wefoundthatShenglipowderdressingcansignificantlyreducetheincidenceofpostoperativecomplicationsofspleen-deficientandqi-sinkingmixedhemorrhoids.Theincidenceofpostoperativesymptomssuchaspain,bleeding,andinflammationwassignificantlylowerinthetreatmentgroupthaninthecontrolgroup,indicatingthatShenglipowderdressingcaneffectivelyalleviatethediscomfortofpatientsaftersurgery.Inaddition,thesurgicaleffectofthetreatmentgroupwassignificantlybetterthanthatofthecontrolgroup,suggestingthatShenglipowderdressingcanimprovethecurativeeffectoftraditionalsurgicaltreatment.

ThemechanismofShenglipowderdressinginthetreatmentofhemorrhoidsmayberelatedtoitspharmacologicaleffectssuchaspromotingbloodcirculation,relievingpain,andreducinginflammation.TheactivecomponentsofShenglipowder,suchasAtractylodesmacrocephala,Paeonialactiflora,andGardeniaJasminoides,havebeenshowntohaveanti-inflammatoryandanti-oxidanteffects,andcaninhibittheexpressionofpro-inflammatorycytokinessuchasTNF-α,IL-1β,andIL-6.Meanwhile,thesecomponentscanalsoimprovebloodcirculationandrelievepainbypromotingthereleaseofnitricoxideandincreasingbloodflow.Moreover,theherbsinShenglipowdercantonifythespleenandstrengthentheqi,whichmayhelprelievethesymptomsofspleendeficiencyandqisinkinginpatientswithhemorrhoids.

However,therearestillsomelimitationsinourstudy.First,thesamplesizewasrelativelysmall,andthestudywasconductedinasinglecenter,whichmayaffectthereliabilityoftheresults.Second,thisstudydidnotinvestigatethelong-termefficacyofShenglipowderdressing,suchasrecurrencerateandqualityoflifeofpatients,whichrequiresfurtherresearch.Third,themechanismofactionofShenglipowderdressinginthetreatmentofhemorrhoidsisnotyetfullyunderstood.FurtherstudiesareneededtoelucidatethespecificmechanismsofactionofShenglipowderdressing.

Conclusion

Inconclusion,Shenglipowderdressingcansignificantlyreducetheincidenceofpostoperativecomplicationsofspleen-deficientandqi-sinkingmixedhemorrhoids,andthesurgicaleffectissuperiortotraditionalsurgicaltreatment.Therefore,itisapromisingtreatmentstrategyforthisconditionanddeservesfurtherclinicalpromotionandapplication.However,furtherstudieswithlargersamplesizesandlongerfollow-upperiodsareneededtoconfirmtheefficacyandsafetyofShenglipowderdressinginthetreatmentofhemorrhoids。Inadditiontosurgicalinterventions,therearevariousconservativetreatmentsavailableforhemorrhoids.Theseincludechangesinlifestyleanddietaryhabits,suchasincreasingfiberintake,drinkingplentyoffluids,andavoidingprolongedsittingorstanding.Over-the-countermedicationssuchascreams,ointments,andsuppositories,canalsohelpalleviatesymptomssuchasitching,burningorpain.

Furthermore,complementaryandalternativetherapies,suchasacupunctureorherbalremedies,havebeenusedinthetreatmentofhemorrhoids.However,theirefficacyandsafetyhavenotbeenthoroughlystudiedandthustheiruseshouldbeapproachedwithcaution.

Inconclusion,hemorrhoidsareacommonconditionthataffectsmanypeopleworldwide.Althoughtheycancausediscomfortandpain,theytypicallyresolveontheirownorwithconservativetreatments.However,insomecases,surgicalinterventionmaybeneededtoalleviatemoreseveresymptoms.

NewerapproachessuchastheuseofShenglipowderdressingappeartoshowpromiseinreducingpostoperativecomplicationsandimprovingsurgicaloutcomes.However,morestudiesareneededtoconfirmtheireffectivenessandsafety.Inthemeantime,patientsshouldseektheadviceoftheirhealthcareprovidertodeterminethebesttreatmentapproachfortheirindividualcondition。Inadditiontomedicalandsurgicaltreatments,therearealsonon-pharmacologicalapproachesthatmayhelpmanagethesymptomsofendometriosis.Oneexampleistheuseofdietarymodifications,suchasavoidinginflammatoryfoodsandincreasingintakeoffruits,vegetables,andomega-3fattyacids.Physicaltherapy,acupuncture,andyogamayalsobebeneficialinmanagingpainandimprovingqualityoflife.

Itisimportantforindividualswithendometriosistohaveastrongsupportsystemandaccesstoresourcessuchaspeersupportgroupsandmentalhealthservices.Livingwithchronicpainandothersymptomscanbeextremelychallenging,andindividualsmaybenefitfromtherapyorcounselingtohelpmanagestress,anxiety,anddepression.

Additionally,advocacyandawarenesseffortsarecrucialforimprovingdiagnosisandtreatmentofendometriosis.Women'shealthcareprovidersshouldreceiveeducationonthemostup-to-datediagnosticandtreatmentguidelines,andmorefundingforresearchintothecausesandtreatmentsofendometriosisisneeded.

Inconclusion,endometriosisisacomplexandoftendebilitatingconditionthatrequiresamultidisciplinaryapproachtodiagnosisandtreatment.Whilecurrenttreatmentscanhelpmanagesymptoms,moreresearchisneededtodevelopmoreeffectiveandlong-lastinginterventions.Inthemeantime,individualswithendometriosismustbeadvocatesfortheirownhealth,seekoutsupportiveservicesandresources,andworkwiththeirhealthcareproviderstodevelopacomprehensivetreatmentplan。Despitesignificantadvancesinunderstandingandtreatingendometriosis,thereisstillmuchthatisnotknownaboutthiscondition.Moreresearchisneededtobetterunderstandtheunderlyingcausesofendometriosis,aswellastodevelopmoreeffectiveandtargetedtreatments.

Oneareathatresearchersareexploringistheroleofgeneticsinendometriosis.Thereisevidencetosuggestthatcertaingeneticmutationsmayincreaseaperson'sriskofdevelopingendometriosis.Bystudyingthesegeneticfactors,researchersmaybeabletoidentifynewtreatmenttargetsanddevelopmorepersonalizedapproachestomanagingthecondition.

Otherpromisingareasofresearchincludetheuseofnoveltherapiessuchasimmunotherapies,whichharnessthepoweroftheimmunesystemtofightendometriosis.Additionally,advancesintechnologysuchas3Dprintingandmicrofluidicsmayprovidenewtoolsforstudyingendometriosisatthecellularandmolecularlevels.

Despitethechallengesassociatedwithendometriosis,thereareanumberofsupportiveresourcesavailabletoindividualswiththecondition.Supportgroups,onlineforums,andpatientadvocacygroupscanprovideasenseofcommunityandsupporttothosestrugglingwithendometriosis.Healthcoachesandmentalhealthprofessionalscanalsoprovideguidanceandsupportforcopingwiththephysicalandemotionaltollofthecondition.

Inconclusion,whilethereisstillmuchtobedonetofullyunderstandandeffectivelytreatendometriosis,therearemanypromisingdevelopmentsandsupportiveresourcesavailabletoindividualswiththecondition.Byworkingtogetherandadvocatingfortheirownhealth,thosewithendometriosiscanachievegreaterphysicalandemotionalwellnessandimprovetheirqualityoflife。Oneimportantaspectofmanagingendometriosisisself-care.Thiscanincludeactivitiesthathelpreducestressandpromoteoverallwell-being,suchasyoga,meditation,andexercise.Eatingahealthydietandgettingenoughsleepcanalsohelpmanagesymptoms.Itmayalsobehelpfultokeepajournaltotracksymp