四妙散熏蒸治疗混合痔术后肛周水肿及并发症的临床研究

发布时间：2018-10-10 20:49

【摘要】：目的:观察四妙散加味熏蒸治疗混合痔术后肛周水肿及并发症的临床疗效。方法:89例混合痔患者随机分为实验组42例,对照组47例。两组患者均采用混合痔切扎术,术后常规止血、抗炎及创面换药等处理。术后第1次排大便后始,实验组予四妙散煎剂,对照组予1:5000高锰酸钾熏洗坐浴。比较分析两组病例第3天、第7天、第14天的肛门水肿情况及评分,随访12月观察复发情况,综合评估疗效。结果:术后第3天水肿积分,两组间差异无统计学意义(P0.05)。用药第7天比较,两组间差异无统计学意义(P0.05)。实验组肛门疼痛、及肛门坠胀、出血评分明显低于对照组,差异有统计学意义(P0.05)。实验组疗效明显优于对照组,差异有统计学意义(P0.05)。结论:四妙散熏洗方防治痔疮术后水肿疗效确切,可促进创面愈合,减轻病人的痛苦,提高临床疗效。
[Abstract]:Objective: to observe the clinical effect of modified Simiao Powder fumigation on perianal edema and complications after operation of mixed hemorrhoids. Methods: 89 cases of mixed hemorrhoids were randomly divided into experimental group (n = 42) and control group (n = 47). Both groups were treated with mixed hemorrhoidectomy, routine hemostasis, anti-inflammation and dressing change. After the first defecation, the experimental group was treated with Simiao San decoction and the control group with 1: 5000 potassium permanganate fumigation and sitting bath. The anus edema and score of the two groups were analyzed on the 3rd, 7th and 14th day. The recurrence was observed in 12 months and the curative effect was evaluated. Results: there was no significant difference in edema score between the two groups on the 3rd day after operation (P0.05). On the 7th day, there was no significant difference between the two groups (P0.05). The scores of anal pain, anal distention and bleeding in the experimental group were significantly lower than those in the control group (P0.05). The experimental group was significantly better than the control group, the difference was statistically significant (P0.05). Conclusion: Simiao San fumigation and washing prescription is effective in preventing and treating postoperative edema of hemorrhoids, which can promote wound healing, alleviate the pain of patients and improve clinical efficacy.
【作者单位】：南京医科大学附属淮安市第一医院中医科;
【基金】：江苏省中医药局科技项目,(编号:YB2015124)
【分类号】：R657.1

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