基于“治未

发布时间：2018-05-03 03:30

本文选题：痔 + 中草药　；参考：《中国全科医学》2017年S2期

【摘要】：目的探讨扩肛法联合中药熏洗对环状混合痔术后创口疼痛、水肿、肛门狭窄等并发症的预防及治疗作用,并分析评价其疗效。方法选取2014年2月—2015年7月上海中医药大学附属龙华医院首次进行手术治疗的环状混合痔患者70例,采用随机数字法分为治疗组和对照组,每组35例。治疗组术前应用肛门镜(直径3.3 cm)扩肛,术后予以五倍子汤坐浴;对照组术后予以五倍子汤坐浴。观察两组患者术后创口疼痛、水肿、肛门狭窄及坠胀情况。结果治疗组术后第3天、第5天、第7天视觉模拟评分法(VAS)较对照组降低,差异有统计学意义(P0.05)。治疗组术后第3天、第7天创口水肿评分较对照组降低,差异有统计学意义(P0.05)。治疗组术后第10天肛门狭窄情况评分较对照组降低,差异有统计学意义(P0.05)。治疗组术后第10天、第20天肛门坠胀情况评分较对照组降低,差异有统计学意义(P0.05)。结论扩肛法联合中药熏洗对环状混合痔术后创口疼痛、水肿及肛门坠胀的预防及治疗,对术后肛门狭窄的预防疗效确切,安全可靠。
[Abstract]:Objective to investigate the preventive and therapeutic effects of anal dilatation combined with fumigation and washing on wound pain, edema and anal stenosis in patients with circumferential mixed hemorrhoids. Methods from February 2014 to July 2015, 70 patients with annular mixed hemorrhoids were selected from Longhua Hospital affiliated to Shanghai University of traditional Chinese Medicine for the first time. They were randomly divided into two groups: treatment group (n = 35) and control group (n = 35). The treatment group was treated with anus dilatation (diameter 3.3 cm) before operation, and the control group was treated with Chinese gall decoction after operation. The wound pain, edema, anal stenosis and dilatation were observed in both groups. Results the visual analogue score (VAS) in the treatment group was significantly lower than that in the control group on the 3rd, 5th and 7th day after operation, and the difference was statistically significant (P 0.05). The score of wound edema in the treatment group was lower than that in the control group on the 3rd and 7th day after operation, and the difference was statistically significant (P 0.05). The score of anal stenosis in the treatment group was lower than that in the control group on the 10th day after operation, and the difference was statistically significant (P 0.05). The scores of anus drop and distention in the treatment group were lower than those in the control group on the 10th day and the 20th day after operation, and the difference was statistically significant (P 0.05). Conclusion the prevention and treatment of wound pain, edema and anal drop distension after operation with anal dilatation combined with fumigation and washing of traditional Chinese medicine are effective, safe and reliable in the prevention of anal stricture after operation.
【作者单位】：上海中医药大学附属龙华医院肛肠科;
【基金】：十二五国家科技支撑计划资助项目(2015BAI04B00) 国家自然科学基金资助项目(81303100) 上海市教育委员会资助项目(2014YSN36)
【分类号】：R657.18

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