苦参汤加减肛门熏洗坐浴防治痔术后肛缘水肿的临床观察

发布时间：2018-12-19 07:31

【摘要】：目的观察苦参汤加减肛门熏洗坐浴预防和治疗混合痔术后肛缘水肿的临床效果。方法选取130例内痔为Ⅱ-Ⅳ期的混合痔患者,随机将其分为A、B两组,每组各65例,其中试验组A组患者于术后第二天开始予苦参汤加减肛门熏洗坐浴,以后每日一次,共持续7日；对照组B组患者术后第二天则予温水肛门熏洗坐浴,观察并比较1周后A、B两组患者水肿发生率。再选取60例混合痔术后肛缘水肿患者,随机分为C、D两组,每组30例,试验组C组患者,每日以苦参汤加减肛门熏洗坐浴一次；对照组D组患者,每日则以聚维酮碘溶液兑水后肛门熏洗坐浴一次,共持续7日,观察并比较治疗3、5、7天后C、D两组患者肛缘水肿评分情况、治疗7天后C、D两组患者总有效率情况以及C组患者治疗3、5、7天后水肿评分情况。结果1、预防方面A、B两组水肿发生率比较,P0.05,差异有统计学意义,苦参汤加减组(A组)水肿发生率仅为6.6%,低于温水组(B组)19.0%的水肿发生率：2、治疗方面①治疗3天后C、D两组患者肛缘水肿评分比较,P0.05,差异无统计学意义；治疗5天后C、D两组患者肛缘水肿评分比较,P0.05,苦参汤加减组(C组)水肿评分低于聚维酮碘溶液组(D组)：治疗7天后C、D两组患者肛缘水肿评分比较,P0.01,苦参汤加减组(C组)水肿评分明显低于聚维酮碘溶液组(D组)；②C、D两组患者治疗7天后总有效率比较,P0.05,苦参汤加减组(C组)总有效率96.6%,高于聚维酮碘溶液组(D组)的70%；③苦参汤加减组(C组)治疗3、5、7天后水肿评分比较,P0.01,说明痔术后水肿发生1周内,水肿评分随着治疗时间延长有明显降低的趋势。3、安全性方面整个试验过程中,A、B、C、D四组患者均未发生任何不良反应。结论苦参汤加减肛门熏洗坐浴,既可有效预防痔术后肛缘水肿发生,又可有效治疗痔术后肛缘水肿,且水肿发生1周内水肿评分随着治疗时间延长有明显降低趋势,其安全有效,简单实用,值得临床推广应用。
[Abstract]:Objective to observe the clinical effect of Radix Sophora flavescens decoction on prevention and treatment of perianal edema after operation of mixed hemorrhoids by abatement of anus fumigation and sitting bath. Methods 130 patients with mixed hemorrhoids were randomly divided into two groups: group A (n = 65) and group A (n = 65). For a total of 7 days; The patients in group B were given warm water anus fumigation and sitting bath on the second day after operation. The incidence of edema in group A and B was observed and compared one week later. 60 patients with anorectal edema after operation of mixed hemorrhoids were randomly divided into two groups: group C (n = 30) and group C (n = 30). The patients in the control group D were treated with povidone iodine solution and water once a day for 7 days. The scores of perianal edema were observed and compared between the two groups after 3 days of treatment and 7 days after treatment, and C after 7 days of treatment, the patients in group D were treated with povidone iodine solution for 7 days, and the scores of edema in the anal margin of patients in group C were compared after 7 days of treatment. The total effective rate in group D and the score of edema in group C were evaluated after 3 days of treatment. Results 1. The incidence of edema in group A was significantly higher than that in group A (P 0.05). The incidence of edema in group A was only 6.6. The incidence of edema in group B was 19.0% lower than that in group B: (2) the score of perianal edema in group C and D after 3 days of treatment had no significant difference (P 0.05). After 5 days of treatment, the scores of perianal edema in group C were lower than those in group D (P 0.05) and those in group C (group C) were lower than those in group D (group D): after 7 days of treatment, the scores of edema in group C were lower than those in group C (group D), and the scores of edema in group C were lower than those in group C (group D) after 7 days of treatment. P0.01, the edema score of Kushen decoction group (group C) was significantly lower than that of povidone iodine solution group (group D). 2The total effective rate of Con D group was higher than that of povidone iodine solution group (D group), P0.05, Kushen decoction group (C group) 96.6, higher than that of povidone iodine solution group (D group). 3The scores of edema in group C (group C) were significantly lower than those in group C after 3 days of treatment (P 0.01), indicating that edema score decreased significantly with the prolongation of treatment time within 1 week after hemorrhoids operation. During the whole safety trial, no adverse reactions occurred in all four groups of patients. Conclusion by reducing anus fumigation and sitting bath, Kushen decoction can effectively prevent anal edema after hemorrhoids operation, and can effectively treat anal edema after hemorrhoids operation, and the score of edema within 1 week after hemorrhoids has a tendency to decrease obviously with the prolongation of treatment time. It is safe and effective, simple and practical, worthy of clinical application.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R657.18

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