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目的：探讨纳米银痔疮净联合地奥司明治疗混合痔术后并发症的有效性。方法86例混合痔术后患者随机分治疗组和对照组，每组43例，治疗组应用纳米银痔疮净联合地奥司明治疗，对照组应用马应龙麝香痔疮膏治疗，观察两组术后并发症改善情况。结果治疗组术后第1d、3d、5d伤口疼痛、出血要低于对照组，差异有统计学意义（<0.05），肛缘水肿发生率较对照组明显降低，差异有统计学意义（<0.01）。结论混合痔术后联合使用纳米银痔疮净和地奥司明可减轻术后伤口疼痛、出血及肛缘水肿，值得临床推广应用。“,”Objective Explore the combined ef ect of Nano silver gel and Diosmin in patients with mixed hemor hoids who underwent surgery.Methods A total of 86 patients were included in this study,al the patients were randomly divided into treatment and control groups.Treatment group were treated with Nano silver gel and Diosmin,control group were treated with musk hemorrhoids ointment.Postoperative complications were observed.Results Postoperative wound pain and bleeding scores in treatment group was lower than the control group,the dif erence was statistical y significant ( <0.05).The incidence of perianal edema in treatment group was lower than control group,the dif erence was statistical y significant( <0.01).Conclusion Use of Nano silver gel and Diosmin in patients with mixed hemor hoids could reduce postoperative wound pain,bleeding and perianal edema,deserve the clinical expansion.