摘要
目的:探讨木香通理汤治疗PPH术后常见并发症的临床疗效。方法:选择2007年6月-2010年6月我院收治的PPH术后并发症痔病患者70例,按随机数字表法分为观察组和对照组各35例。两组患者均在PPH术后给予1/5000高锰酸钾溶液坐浴治疗,并常规给予抗生素静滴5天。观察组在此基础上在术后当天开始服用木香通理汤,水煎200mL,早晚各服用1次,共服用5天。结果:两组治疗后疼痛、出血、尿潴留、坠胀的症状评分均有明显改善,差异有显著性意义(P<0.05);观察组疼痛、坠胀改善明显优于对照组,差异有显著性意义(P<0.05);出血、尿潴留改善与对照组无明显差异,无显著性意义(P>0.05);观察组PPH术后并发症总有效率为94.2%(34/35),明显高于对照组的68.6%(24/35),差异有显著性意义(P<0.01)。结论:木香通理汤能发挥活络止痛、消胀解郁作用,有效治疗PPH术后常见并发症,尤其对疼痛和坠胀,有一定的临床意义。
Objective ： To investigate the clinical efficacy of common complications after PPH operation using Muxiang Tongli Tang treatment. Method： Seventy patients with complication of hemorrhoid after PPH operation received by our hospital during June 2007 -June 2010, were divided into observation b＇roup and control group, containing 35 patients in each group according to the random digits table method. After PPH operation, two groups patients were given hip bath with 1/5000 potassium permanganate solution and were administrated routinely with antibiotics by I. V infusion for 5 days. On this basis, the observation group started to be given Muxiang Tongli Tang, water decoction 200mL, once in the morning and in the evening for 5days on the day after the operation. Results： The symptom scores of pain, hemorrhage, urine retention, and expand were improved obviously after treatment in both groups, which had significance difference （ P 〈 0.05 ） ; The pain and expand in observation group were improved obviously and superior than control group, which had significance difference （ P 〈 0.05 ） ; There is no remarkable difference on hemorrhage and urine retention improvement between two groups with no significance difference （ P 〈 0.05 ） ; The total efficacy rate of complications after PPH operation in observation group was 94.2% （ 34/35 ） , which was obviously higher than the control group （ 68.6% （ 24/35 ） ）with significance difference （ P 〈 0. 01 ）. Conclusion： The Muxiang Tongli Tang has the effect of activating collaterals to relieve pain, debulk and relieving qi depression, treating common complications after PPH operation. Especially for pain and expand, it has a certain clinical significance.
出处
《中华中医药学刊》
CAS
2011年第5期1183-1185,共3页
Chinese Archives of Traditional Chinese Medicine
关键词
木香通理汤
PPH术
并发症
成功率
Muxiang Tongli Tang
PPH operation
Complications
Achievement ratio
