Method for preventing mixed hemorrhoid postoperative urination disorder through external application of traditional Chinese medicine Reyan bag

Abstract

The invention relates to the technical field of prevention of mixed hemorrhoid postoperative urination disorder, in particular to a method for preventing mixed hemorrhoid postoperative urination disorder through external application of a traditional Chinese medicine hot compress bag, which comprises the following steps: preparing a traditional Chinese medicine bag with the effects of promoting blood circulation to remove blood stasis, relieving swelling and pain and inducing diuresis for treating stranguria, and preparing a proper amount of sea salt for heating together with traditional Chinese medicine powder to enhance the hot compress effect. According to the method, the treatment effect can be remarkably improved, urination disorder of patients after the mixed hemorrhoids operation can be effectively relieved, adverse reactions can be reduced or avoided, the treatment safety is improved, the method is suitable for wider patient groups including patients with taboo, meanwhile, the treatment process is greatly simplified, and the treatment cost is reduced. Compared with the prior art, time and resource investment needed by treatment are reduced, treatment convenience is improved, factors which possibly have adverse effects on urination due to postoperative pain, anesthetic residues and psychological factors of a patient are comprehensively considered, a comprehensive treatment scheme is provided, and the mixed hemorrhoid postoperative urination disorder is better prevented and treated.

Description

Technical Field

[0001] The invention relates to the technical field of preventing urinary dysfunction after mixed hemorrhoid surgery, and in particular to a method for preventing urinary dysfunction after mixed hemorrhoid surgery by external application of a traditional Chinese medicine hot pack. Background Art

[0002] After mixed hemorrhoid surgery, patients often face the problem of urination disorder. This is mainly due to the stimulation and damage to the surrounding tissues during the operation, which leads to local congestion and edema, and then compresses the urethra or affects the contraction function of the bladder. Therefore, urination disorder is one of the common complications after mixed hemorrhoid surgery. Modern medical treatment methods include physical therapy, drug therapy, and indwelling catheterization, but these treatment methods have obvious shortcomings. Physical treatment methods such as psychological auxiliary therapy, hot compress, infrared irradiation, etc. have more processing processes and require a lot of time and resources, and the efficacy is poor.

[0003] For some patients after mixed hemorrhoid surgery, intramuscular injection of neostigmine is an effective treatment method, but some adverse reactions are prone to occur after treatment; in addition, the applicability of this method is not high. Patients with contraindications should avoid using neostigmine because it may cause urinary tract obstruction and other problems. In addition, postoperative pain, residual anesthetics and the patient's psychological factors may also have an adverse effect on urination.

[0004] In summary, it is necessary to propose a method of applying a Chinese medicine hot pack to prevent urinary dysfunction after mixed hemorrhoid surgery to solve the above problems. Summary of the invention

[0005] The purpose of the present invention is to provide a method for preventing urinary dysfunction after mixed hemorrhoid surgery by external application of traditional Chinese medicine hot packs, so as to solve the problems raised in the above background technology.

[0006] To achieve the above object, the present invention provides the following technical solutions:

[0007] A method for external application of Chinese medicine hot pack to prevent urination disorder after mixed hemorrhoid surgery comprises the following steps:

[0008] S1. Preparation of Chinese medicine packages having the effects of promoting blood circulation and removing blood stasis, reducing swelling and relieving pain, and promoting diuresis and relieving stranguria;

[0009] S2. Prepare an appropriate amount of sea salt and heat it together with the Chinese medicine powder to enhance the effect of hot compress;

[0010] S3. Make a cloth cover with good air permeability to hold the Chinese medicine bag and the sea salt bag to ensure that the heat can be evenly transferred to the affected area during hot compress;

[0011] S4. Place the Chinese medicine bag and the sea salt bag together in the cloth bag to ensure that the two are in close contact to facilitate heat transfer during heating;

[0012] S5. Heat the cloth bag containing the Chinese medicine bag and the sea salt bag in a microwave oven or hot water until the temperature reaches a suitable application temperature, generally 40-50°C;

[0013] S6. Apply hot compress externally;

[0014] S7. Continue external application and observation;

[0015] S8. Repeated external application;

[0016] S9. Effect evaluation and adjustment.

[0017] Preferably, the implementation steps of step S1 are:

[0018] S1.1. Select 10g of Polyporus umbellatus, 10g of Poria cocos, 6g of Rhizoma Alismatis, 3g of Rhizoma Anemarrhenae, and 9g of stir-fried Plantago seed;

[0019] S1.2. Crush and mix the medicinal materials. Crush the medicinal materials in step S1.1 and mix them evenly to make Chinese medicine powder.

[0020] Preferably, the implementation steps of step S6 are:

[0021] S6.1. The patient is positioned comfortably, with the surgical site or lower abdomen and perineum exposed.

[0022] S6.2. Gently apply the heated Chinese medicine hot pack containing Chinese medicine bag and sea salt bag to the designated area, taking care to avoid the wound and ensure that the hot pack fits tightly to the skin.

[0023] Preferably, the implementation steps of step S7 are:

[0024] S7.1. The application time is 30-60 minutes, and the specific time can be adjusted according to the patient's tolerance and the doctor's guidance;

[0025] S7.2. During the external application process, closely observe the patient's reaction to ensure that no allergic or scalding reactions occur.

[0026] Preferably, the implementation steps of step S8 are:

[0027] S8.1. Repeat the application 1-2 times a day depending on the patient's recovery.

[0028] S8.2. Continue the application for several days to several weeks until the patient's urination function returns to normal or the desired therapeutic effect is achieved.

[0029] Preferably, the implementation steps of step S9 are:

[0030] S9.1. Evaluate the preventive effect of external application of traditional Chinese medicine hot pack by observing the patient's urination and pain index;

[0031] S9.2. Adjust the topical application regimen or take other treatment measures based on the evaluation results and the patient's specific condition.

[0032] Compared with the prior art, the beneficial effects of the present invention are: the present invention can significantly improve the treatment effect, effectively alleviate the urination disorder of patients after mixed hemorrhoid surgery, reduce or avoid these adverse reactions, improve the safety of treatment, and is suitable for a wider range of patient groups, including those with contraindications. At the same time, the method of the present invention also greatly simplifies the treatment process, reduces the time and resource investment required for treatment, improves the convenience of treatment, and comprehensively considers postoperative pain, anesthetic drug residues and patient psychological factors that may have an adverse effect on urination, providing a comprehensive treatment plan to better prevent and treat urination disorder after mixed hemorrhoid surgery. BRIEF DESCRIPTION OF THE DRAWINGS

[0033] Figure 1 A method diagram of external application of a Chinese medicine hot pack to prevent urination disorders after mixed hemorrhoid surgery according to the present invention; DETAILED DESCRIPTION

[0034] The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0035] Example 1

[0036] See also Figure 1 The present invention provides a method for preventing urination disorder after mixed hemorrhoid surgery by external application of Chinese medicine hot pack, comprising the following steps:

[0037] S1. Preparation of Chinese medicine packages having the effects of promoting blood circulation and removing blood stasis, reducing swelling and relieving pain, and promoting diuresis and relieving stranguria;

[0038] S2. Prepare an appropriate amount of sea salt and heat it together with the Chinese medicine powder to enhance the effect of hot compress;

[0039] S3. Make a cloth cover with good air permeability to hold the Chinese medicine bag and the sea salt bag to ensure that the heat can be evenly transferred to the affected area during hot compress;

[0040] S4. Place the Chinese medicine bag and the sea salt bag together in the cloth bag to ensure that the two are in close contact to facilitate heat transfer during heating;

[0041] S5. Heat the cloth bag containing the Chinese medicine bag and the sea salt bag in a microwave oven or hot water until the temperature reaches a suitable application temperature, generally 40-50°C;

[0042] S6. Apply hot compress externally;

[0043] S7. Continue external application and observation;

[0044] S8. Repeated external application;

[0045] S9. Effect evaluation and adjustment.

[0046] In this embodiment, it should be noted that the implementation steps of step S1 are:

[0047] S1.1. Select 10g of Polyporus umbellatus, 10g of Poria cocos, 6g of Rhizoma Alismatis, 3g of Rhizoma Anemarrhenae, and 9g of stir-fried Plantago asiatica;

[0048] S1.2. Crush and mix the medicinal materials. Crush the medicinal materials in step S1.1 and mix them evenly to make Chinese medicine powder.

[0049] In this embodiment, it should be noted that the implementation steps of step S6 are:

[0050] S6.1. The patient is positioned comfortably, with the surgical site or lower abdomen and perineum exposed.

[0051] S6.2. Gently apply the heated Chinese medicine hot pack containing Chinese medicine bag and sea salt bag to the designated area, taking care to avoid the wound and ensure that the hot pack fits tightly to the skin.

[0052] In this embodiment, it should be noted that the implementation steps of step S7 are:

[0053] S7.1. The application time is 30-60 minutes, and the specific time can be adjusted according to the patient's tolerance and the doctor's guidance;

[0054] S7.2. During the external application process, closely observe the patient's reaction to ensure that no allergic or scalding reactions occur.

[0055] In this embodiment, it should be noted that the implementation steps of step S8 are:

[0056] S8.1. Repeat the application 1-2 times a day depending on the patient's recovery.

[0057] S8.2. Continue the application for several days to several weeks until the patient's urination function returns to normal or the desired therapeutic effect is achieved.

[0058] In this embodiment, it should be noted that the implementation steps of step S9 are:

[0059] S9.1. Evaluate the preventive effect of external application of traditional Chinese medicine hot pack by observing the patient's urination and pain index;

[0060] S9.2. Adjust the topical application regimen or take other treatment measures based on the evaluation results and the patient's specific condition.

[0061] Example 2

[0062] See also Figure 1 In actual application, the method of applying Chinese medicine hot pack to prevent urination disorder after mixed hemorrhoid surgery specifically includes the following steps:

[0063] S1. Preparation of Chinese medicine packages having the effects of promoting blood circulation and removing blood stasis, reducing swelling and relieving pain, and promoting diuresis and relieving stranguria;

[0064] S1.1. Select 10g of Polyporus umbellatus, 10g of Poria cocos, 6g of Rhizoma Alismatis, 3g of Smilax glabra, and 9g of Stir-fried Plantago seed. These herbs have the effects of promoting blood circulation and removing blood stasis, relieving swelling and pain, and promoting diuresis and relieving stranguria.

[0065] S1.2. Crush and mix the medicinal materials. Crush the medicinal materials in step S1.1 and mix them evenly to make Chinese medicine powder;

[0066] S2. Prepare an appropriate amount of sea salt and heat it together with the Chinese medicine powder to enhance the effect of hot compress;

[0067] S3. Make a cloth cover with good air permeability to hold the Chinese medicine bag and the sea salt bag to ensure that the heat can be evenly transferred to the affected area during hot compress;

[0068] S4. Place the Chinese medicine bag and the sea salt bag together in the cloth bag to ensure that the two are in close contact to facilitate heat transfer during heating;

[0069] S5. Heat the cloth bag containing the Chinese medicine bag and the sea salt bag in a microwave oven or hot water until the temperature reaches a suitable application temperature, generally 40-50°C;

[0070] S6. External application of hot packs:

[0071] S6.1. The patient is positioned comfortably, with the surgical site or lower abdomen and perineum exposed.

[0072] S6.2. Gently apply the heated Chinese medicine hot pack (i.e. the cloth bag containing the Chinese medicine pack and the sea salt pack) to the designated area, taking care to avoid the wound and ensure that the hot pack fits tightly against the skin;

[0073] S7. Continuous application and observation:

[0074] S7.1. The application time is generally 30-60 minutes, and the specific time can be adjusted according to the patient's tolerance and the doctor's guidance;

[0075] S7.2. During the application process, closely observe the patient's reaction to ensure that no allergic or scalding reactions occur;

[0076] S8. Repeated application:

[0077] S8.1. The topical application may be repeated 1-2 times a day, depending on the patient's recovery and the doctor's instructions.

[0078] S8.2. Continue to apply the drug for several days to several weeks until the patient's urination function returns to normal or the desired therapeutic effect is achieved.

[0079] S9. Effect evaluation and adjustment:

[0080] S9.1. Evaluate the preventive effect of external application of traditional Chinese medicine hot pack by observing the patient's urination and pain index;

[0081] S9.2. Adjust the topical application regimen or take other treatment measures based on the evaluation results and the patient's specific condition.

[0082] In summary, 120 patients who underwent mixed hemorrhoid surgery with internal sleeve and external stripping with tooth-line retention in our hospital between January 1, 2023 and December 31, 2023 were selected and randomly divided into two groups using SPSS18.0 statistical software, with 60 cases in the treatment group and 60 cases in the control group. All 120 selected patients completed this study. Statistical analysis showed that there was no statistical difference in the basic data of the two groups, such as gender, age, course of disease, and main symptom-related indicators (all P>0.05), as shown in Table 1:

[0083] Table 1 Comparison of general basic data of patients in the two groups before surgery

[0084]

[0085] (1) Treatment methods

[0086] Control group:

[0087] 3 days after surgery, traditional treatment methods were used, such as turning on the faucet to listen to the sound of running water to induce urination, auricular acupoint pressing pills (method: stick Wangbuliuxing seeds on the auricular acupoints Shenmen, urethra, and lower screen tip, press gently until a sore and swollen feeling appears, and ask the patient to press at least 3 to 5 times a day, 20 to 30 times per acupoint each time), bladder hot compress (warm towel hot compress the patient's bladder area, the temperature should be higher than normal body temperature, the appropriate temperature is 35 to 40°C), and use relevant drugs to promote urination; if the patient still has urination difficulties after the above treatment, the treatment should be terminated and catheterization should be performed as soon as possible according to the doctor's advice;

[0088] Treatment Group:

[0089] Combine traditional treatment with hot compress with Chinese medicine hot packs;

[0090] The traditional Chinese medicine hot pack used in the experiment is composed of 10g of Polyporus umbellatus, 10g of white Poria cocos, 6g of Alisma orientalis, 3g of Tongcao, and 9g of stir-fried Plantago seed.

[0091] Usage: Heat the sea salt bag and Chinese medicine in the Chinese medicine hot pack in a microwave oven at high heat for 2 to 3 minutes. Use a thermometer to measure the temperature. The appropriate temperature is 40-50 degrees Celsius. Put the Chinese medicine bag and the sea salt bag together in the cloth bag, relax the abdomen, and cool it down slightly (the patient should test the temperature first, and can choose whether to apply hot compresses with diaphragm clothes according to the patient's self-feeling to avoid skin burns). Then cover the sea salt bag on the medicine bag, and then apply the Chinese medicine bag to the Guanyuan and Qihai acupoints in the patient's bladder area, and iron it repeatedly;

[0092] The Chinese medicine hot compress should be started 2 hours after mixed hemorrhoid surgery. Each hot compress should last for half an hour. Repeat the heating and application for 3 times. Use it continuously for 3 days after surgery.

[0093] Observation indicators: observe whether the two groups of patients urinate on their own, the time of first urination, the smoothness of the first urination, lower abdominal distension and pain, bladder filling, urination 3 days after surgery, the incidence of anal edema and anal pain;

[0094] The scoring criteria for the main symptom observation indicators are shown in Table 2;

[0095] Table 2 Scoring criteria for the main postoperative symptoms of patients with mixed hemorrhoids in the two groups

[0096]

[0097]

[0098] Statistical methods First, the data obtained in this study were entered into the Excel 2010 worksheet and preliminarily sorted, and then the data were imported into SPSS18.0 statistical software for statistical analysis and processing;

[0099] (2) Results

[0100] Comparison of spontaneous urination between the two groups In terms of spontaneous urination, there were 59 cases in the treatment group and 53 cases in the control group.

[0101] The statistical results showed that the treatment group was superior (P<0.05) (specific comparison is shown in Table 3);

[0102] Table 3 Comparison of spontaneous urination between the two groups of patients after surgery (cases)

[0103]

[0104] Comparison of the first urination time between the two groups: The first urination time of the treatment group was (250.60±63.643) min, and the first urination time of the control group was (438.38±80.286) min. The treatment group was better than the control group.

[0105] (t=14.198, P<0.05) (see Table 4);

[0106] Table 4 Comparison of first urination time between the two groups of patients (min)

[0107]

[0108] Comparison of the first urination discharge and the first lower abdominal distension and bladder filling scores between the two groups: the first urination discharge score and the first lower abdominal distension and bladder filling score of the treatment group were better than those of the control group (all P<0.05) (see Table 5);

[0109] Table 5 Comparison of the first urination patency and lower abdominal distension and bladder filling index between the two groups

[0110]

[0111]

[0112] Comparison and analysis of the lower abdominal distension and bladder filling scores of the two groups on the 3rd day after surgery showed that, compared with the control group, the two indicators of the treatment group on the 1st, 2nd, and 3rd day after surgery were better (all P<0.05) (see Table 6);

[0113] Table 6 Comparison of lower abdominal distension and pain and bladder filling scores between the two groups of patients 3 days after surgery

[0114]

[0115] Comparison of urination scores between the two groups on the 3rd day after surgery: The urination scores of the treatment group on the 1st, 2nd and 3rd day after surgery were better than those of the control group (all P<0.05), see Table 7:

[0116] Table 7 Comparison of urination scores between the two groups of patients 3 days after surgery

[0117]

[0118] Comparison of anal verge edema scores between the two groups: The anal verge edema score of the treatment group was lower on the first day after surgery, which was significantly different from that of the control group (P<0.05); there was no significant difference in anal verge edema scores between the two groups on the second and third days after surgery (P>0.05), Table 8:

[0119] Table 8 Comparison of anal margin edema scores between the two groups 3 days after surgery

[0120]

[0121]

[0122] Comparison of anal pain scores between the two groups: The anal pain scores of the treatment group on the first and second days after surgery were better than those of the control group (all P<0.05); there was no significant difference in anal pain scores between the two groups on the third day after surgery (P>0.05), Table 9:

[0123] Table 9 Comparison of anal pain scores between the two groups 3 days after surgery

[0124]

[0125] (3) Conclusion

[0126] The postoperative spontaneous urination, first urination time, first urine discharge score and first lower abdominal distension and bladder filling score of the treatment group were better than those of the control group (all P<0.05); the lower abdominal distension and pain, bladder filling score and urination score on the first, second and third days after surgery were better than those of the control group (all P<0.05); the anal verge edema score on the first day after surgery was better in the treatment group than in the control group (P<0.05); the anal pain score on the first and second days after surgery was better in the treatment group than in the control group (all P<0.05);

[0127] This indicates that applying Chinese medicine hot packs after mixed hemorrhoid surgery can not only shorten the time to first urination, promote spontaneous urination, and reduce the incidence of postoperative urinary dysfunction, but also reduce the incidence of anal edema and anal pain.

[0128] The method of the present invention also has the advantages of simple operation, low cost and easy acceptance by patients.

[0129] Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that various changes, modifications, substitutions and variations may be made to the embodiments without departing from the principles and spirit of the present invention, and that the scope of the present invention is defined by the appended claims and their equivalents.

Claims

1. A method for preventing urinary dysfunction after mixed hemorrhoid surgery by external application of Chinese medicine hot packs, characterized in that: The following steps are involved: S1. Preparation of Chinese medicine packages having the effects of promoting blood circulation and removing blood stasis, reducing swelling and relieving pain, and promoting diuresis and relieving stranguria; S2. Prepare an appropriate amount of sea salt and heat it together with the Chinese medicine powder to enhance the effect of hot compress; S3. Make a cloth cover with good air permeability to hold the Chinese medicine bag and the sea salt bag to ensure that the heat can be evenly transferred to the affected area during hot compress; S4. Place the Chinese medicine bag and the sea salt bag together in the cloth bag to ensure that the two are in close contact to facilitate heat transfer during heating; S5. Heat the cloth bag containing the Chinese medicine bag and the sea salt bag in a microwave oven or hot water until the temperature reaches the appropriate application temperature of 40-50°C; S6. Apply hot compress externally; S7. Continue external application and observation; S8. Repeated external application; S9. Effect evaluation and adjustment.

2. The method for preventing urinary dysfunction after mixed hemorrhoid surgery by external application of a Chinese medicine hot pack according to claim 1, characterized in that: The implementation steps of step S1 are: S1.

1. Select 10g of Polyporus umbellatus, 10g of Poria cocos, 6g of Rhizoma Alismatis, 3g of Rhizoma Anemarrhenae, and 9g of stir-fried Plantago asiatica; S1.

2. Crush and mix the medicinal materials. Crush the medicinal materials in step S1.1 and mix them evenly to make Chinese medicine powder.

3. The method for preventing urinary dysfunction after mixed hemorrhoid surgery by external application of Chinese medicine hot pack according to claim 2, characterized in that: The implementation steps of step S6 are: S6.

1. The patient is positioned comfortably, with the surgical site or lower abdomen and perineum exposed. S6.

2. Gently apply the heated Chinese medicine hot pack containing Chinese medicine bag and sea salt bag to the designated area, taking care to avoid the wound and ensure that the hot pack fits tightly to the skin.

4. The method for preventing urinary dysfunction after mixed hemorrhoid surgery by external application of Chinese medicine hot pack according to claim 3, characterized in that: The implementation steps of step S7 are: S7.

1. The application time is 30-60 minutes, and the specific time can be adjusted according to the patient's tolerance and the doctor's guidance; S7.

2. During the external application process, closely observe the patient's reaction to ensure that no allergic or scalding reactions occur.

5. The method for preventing urinary dysfunction after mixed hemorrhoid surgery by external application of Chinese medicine hot pack according to claim 4, characterized in that: The implementation steps of step S8 are: S8.

1. Repeat the application 1-2 times a day depending on the patient's recovery. S8.

2. Continue the application for several days to several weeks until the patient's urination function returns to normal or the desired therapeutic effect is achieved.

6. The method for preventing urinary dysfunction after mixed hemorrhoid surgery by external application of Chinese medicine hot pack according to claim 5, characterized in that: The implementation steps of step S9 are: S9.

1. Evaluate the preventive effect of external application of traditional Chinese medicine hot pack by observing the patient's urination and pain index; S9.

2. Adjust the topical application regimen or take other treatment measures based on the evaluation results and the patient's specific condition.

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