摘要
目的:观察瘀热同治法中药坐浴对湿热下注型混合痔术后肛缘水肿的影响。方法:采用前瞻性随机双盲对照研究方法,选取符合入选条件的160例患者,随机分为对照组和治疗组,治疗组术后给予瘀热同治法中药洗剂坐浴,对照组给予添加有与治疗组具有相同颜色且无药效无毒副作用的食用色素的温水坐浴;分别观察记录术后第3 d、第7 d、第14 d肛缘水肿情况,并评价临床疗效。结果:治疗组显效95%、有效5%,对照组显效70%、有效6.25%、无效23.75%(P<0.05);治疗组水肿发生率11.25%,对照组30%(P<0.05)。两组同时点水肿评分及组间延续性时点水肿评分比较,治疗组术后第3 d(0.30±0.88)、第7 d(0.23±0.75)、第14 d(0.10±0.44),较对照组(分别为0.95±1.64、0.91±1.50、0.91±1.49)明显降低,(均P<0.05)。结论:瘀热同治法中药坐浴可以有效预防并治疗湿热下注型混合痔术后的肛缘水肿。
Objective To observe the effect of simultaneous treatment of stasis heat with bath medicine on perianal edema after operation of mixed hemorrhoids of damp heat type. Methods Using prospective, randomized, double blind controlled study, 160 patients were selected in accordance with the inclusion criteria and randomly divided into the treatment group and the con- trol group, 80 cases in each group were observed after operation, and recorded on the 3rd day, the 7th day, and the 14th day in patients with anal margin of edema to evaluate clinical efficacy. Results Comparating the efficacy of the two groups , the excellent rate in the treatment group was 95%, effective rate was 5%; but in the control group, the excellent rate was 70%, effective rate was 6.25%, and inefficiency was 23.75%; while the comparative edema incidence in the treatment group was 11.25%, in the control group was 30%. Comparating the same point edema score between the two groups and continuation points between the same group, the edema score in the treatment group was （0.30 ± 0.88）at the 3rd day,（0.23±0.75）and at the 7th day, （0.10 ± 0.44）at the 14th day. But in the control group,（0.95 ± 1.64）at the 3rd day,（0.91 ± 1.50）and at the 7th day, and （0.91 ±1.49）at the 14th day. The differences between two groups were statistically significant （P 〈 0.05）. Conclusion Simultaneous treatment of Stasis and Heat with bath medicine can effectively prevent and cure perianal edema after operation of mixed hemorrhoids of damp heat type.
出处
《中国中西医结合外科杂志》
CAS
2016年第6期534-537,共4页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
基金
天津市中医药管理局中医中西医结合科研专项课题(13164)
天津市滨海新区卫生局科技项目(2013BWKZ007)
关键词
瘀热同治法
湿热下注
混合痔
水肿
Simultaneous treatment of stasis and heat
damp heat type
mixed hemorrhoids
edema
