[1]范艺缤,魏照洲,邓文斌,等.泻心效灵汤治疗环状混合痔术后肛门肿痛的临床疗效[J].医学信息,2019,(18):162-164.[doi:10.3969/j.issn.1006-1959.2019.18.057]
 FAN Yi-bin,WEI Zhao-zhou,DENG Wen-bin,et al.Clinical Effect of Xiexin Xiaoling Decoction in Treating Anal Swelling and Pain After Ring-mixed Hemorrhoids[J].Medical Information,2019,(18):162-164.[doi:10.3969/j.issn.1006-1959.2019.18.057]
点击复制

泻心效灵汤治疗环状混合痔术后肛门肿痛的临床疗效()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期数:
2019年18期
页码:
162-164
栏目:
中医中药
出版日期:
2019-09-15

文章信息/Info

Title:
Clinical Effect of Xiexin Xiaoling Decoction in Treating Anal Swelling and Pain After Ring-mixed Hemorrhoids
文章编号:
1006-1959(2019)18-0162-03
作者:
范艺缤魏照洲邓文斌赵俊丰
南充市中医医院肛肠科,四川 南充 637000
Author(s):
FAN Yi-binWEI Zhao-zhouDENG Wen-binZHAO Jun-feng
Department of Anorectal Surgery,Nanchong Hospital of Traditional Chinese Medicine,Nanchong 637000,Sichuan,China
关键词:
环状混合痔肛门肿痛泻心效灵汤吲哚美辛呋喃唑酮栓
Keywords:
Key words:Ring mixed sputumAnal swelling and painXiexin Xiaoling DecoctionIndomethacin furazolidone suppository
分类号:
R657.18
DOI:
10.3969/j.issn.1006-1959.2019.18.057
文献标志码:
A
摘要:
目的 观察泻心效灵汤治疗环状混合痔术后肛门肿痛的临床疗效。方法 选取2017年1月~2018年12月我院收治的环状混合痔拟行经典的外剥内扎术患者128例,随机分为观察组和对照组,每组64例。对照组直接在换药时行吲哚美辛呋喃唑酮栓纳肛,观察组给予中药泻心效灵汤水煎薰洗坐浴治疗,然后再行创面换药处理,两组均于术后第2天开始,连续使用至术后第5天。对比两组患者首次治疗前后及术后第6天疼痛评分、术后第6天肛门水肿发生率和不良反应情况。结果 两组首次治疗后疼痛评分均低于首次治疗前,且观察组术后第6天疼痛评分低于对照组[(2.67±1.64)分 vs (4.55±1.96)分],差异有统计学意义(P<0.05);两组首次治疗后疼痛评分比较,差异无统计学意义(P>0.05)。观察组术后第6天肛门水肿发生率低于对照组(15.63% vs 29.69%),差异有统计学意义(P<0.05)。观察组未见明显不良反应,对照组有5例患者出现胃痛、胃烧灼感、恶心反酸症状。结论 泻心效灵汤治疗环状混合痔术后肛门肿痛,可减轻术后疼痛,降低肛门水肿发生率,安全性较高。
Abstract:
Abstract:Objective To observe the clinical effect of Xiexin Xiaoling Decoction in the treatment of anal swelling and pain after ring-shaped mixed hemorrhoids. Methods A total of 128 patients with classic external stripping and internal ligation were enrolled in our hospital from January 2017 to December 2018. They were randomly divided into observation group and control group, with 64 cases in each group. The control group was treated with indomethacin and sedative anal directly during the dressing change. The observation group was given the traditional Chinese medicine Xiexing Xiaoling Decoction, and then the wound dressing treatment. Both groups started on the second day after surgery and were used continuously until the fifth day after surgery. The pain scores before and after the first treatment and the anal edema on the 6th day after surgery were compared between the two groups. Results The pain scores of the first treatment group were lower than those before the first treatment, and the pain score on the 6th day after operation was lower than that of the control group [(2.67±1.64) points vs (4.55±1.96) points],the difference was statistically significant(P<0.05); there was no significant difference in pain scores between the two groups after the first treatment (P>0.05). The incidence of anal edema on the 6th day after operation was lower in the observation group than in the control group (15.63% vs 29.69%),the difference was statistically significant (P<0.05). No obvious adverse reactions were observed in the observation group. Five patients in the control group developed stomach pain, stomach burning sensation, and nausea and acid reflux symptoms. Conclusion Xiexin Xiaoling Decoction can treat postoperative anal swelling and pain after ring-shaped mixed hemorrhoids, which can reduce postoperative pain, reduce the incidence of anal edema, and have higher safety.

参考文献/References:

[1]范艺缤,魏照洲,邓文斌,等.消痔散坐浴联合TDP照射治疗环状混合痔术后疼痛46例临床观察[J].中国民族民间医药,2016,25(7):69-70. [2]中华医学会外科学分会结直肠肛门外科学组,中华中医药学会肛肠病专业委员会,中国中西医结合学会结直肠肛门病专业委员会.痔临床诊治指南(2006版)[J].中华胃肠外科杂志,2006,9(5):461-463. [3]朱仲军,李良,张云峰.痔切除术后疼痛原因及局部长效麻醉药物镇痛体会[J].中国现代药物应用,2019,13(5):110-111. [4]王云,岳云.术后疼痛分子机理研究进展[J].中国继续医学教育,2011,3(10):94-98,160. [5]郑晓静,疏树华.多模式镇痛在术后快速康复中的临床研究进展[J].医学综述,2019,25(4):800-804. [6]张亚梅,吕小平.盐酸奥布卡因凝胶配合中药熏洗对痔术后疼痛及恢复进程的影响[J].云南中医中药杂志,2018,39(10):46-47. [7]沈坚,李娥,鲁仙红.规范化疼痛管理对普外科患者镇痛效果的研究[J].医院管理论坛,2018,35(1):36-38.

相似文献/References:

[1]陈显韬,祝 琦,陈玉川.内痔注射后套扎联合外痔切除术治疗环状混合痔的疗效[J].医学信息,2019,(19):89.[doi:10.3969/j.issn.1006-1959.2019.19.026]
 CHEN Xian-tao,ZHU Qi,CHEN Yu-chuan.Therapeutic Effect of Ligation Combined with External Hemorrhoids for Treatment of Circumferential Mixed Hemorrhoids after Internal Hemorrhoid Injection[J].Medical Information,2019,(18):89.[doi:10.3969/j.issn.1006-1959.2019.19.026]

更新日期/Last Update: 2019-09-15