摘要
目的:观察谭静范老中医经验方(芒硝、五倍子、地肤子、蛇床子、黄柏、防风、苦参)对痔术后水肿、肛门肿胀、疼痛的临床治疗效果。方法:选择混合痔外拨内扎术后患者400例,随机分为两组,各200例。对照组采用肛洗一号(我院自制剂:败酱草、马齿苋、地丁、净蝉蜕、白芷、大黄)术后常规中药坐浴;试验组采用谭静范老中医经验方术后常规中药坐浴。结果:术后3个月,试验组患者的总有效率为96.00%,而对照组仅为89.00%,两组数据比较差异具有统计学意义(P<0.05);两组患者的年龄、性别差异无统计学意义(P>0.05);试验组患者术后第7天、第14天肛缘水肿评分低于对照组,第14天发生创面过敏以及肛周湿疹比例低于对照组,差异均有统计学意义(P<0.05)。创面疼痛评分、肛门肿胀评分、创面坐浴后舒适度评分比较差异无统计学意义(P>0.05)。结论:谭静范老中医经验方在痔术后肛缘水肿、肛门肿胀及疼痛治疗中安全、有效。具有临床应用价值,值得推广。
Objective ： To evaluate the clinical therapeutic effect of TAN Jingfan＇s traditional Chinese medicine （ Mirabilite, Galla chinensis, Fructus Cnidii, Fructus Kochiae, Cortex Phellodendri, Radix Saposhnikoviae, Radix Sophorae Flavescentis）on edema, anal swelling and pain after hemorrhoid surgery. Methods ： 400cases of patients with mixed hemorrhoids in our hospital implementation outdialing internal ligation were randomly divided into two groups, each group included 200patients. The controlled group received anal wash number （in our hospital from preparation： Patrinia, Purslane, Ding, Net cicada, Angelica, Rhubarb） after conventional sitz bath of Chinese medicine was used in the experimental group; TAN Jingfan old Chinese medi- cine experience Fangshu after conventional sitz bath of Chinese medicine. Results ： After 3months, the total effective rate of the experimental group was 96%, while that of the controlled group was only about 89%. The difference between the two groups was statistically significant （P〈0.05）. The two groups had no statistically significant differences in age and gender （P〉0. 05） ; The experimental group patients after 7d, the 14d perianal edema score was lower than the controlled group, the incidence of 14d wound allergy and perianal eczema was lower than that of the controlled group, the differences were statistically significant （ P〈 0. 05）. No significant wound pain score, swelling score, anus wound after bath comfort score difference comparison （P 〉 0. 05）. Conclusion ： TAN Jingfan＇s experience of traditional Chinese medicine is safe and effective in the treatment of anal margin edema, anal swelling and pain. It is worthy of clinical application.
出处
《四川中医》
2018年第1期141-143,共3页
Journal of Sichuan of Traditional Chinese Medicine
基金
北京市中医药科技项目基金资助课题(编号:QN2014-07)
关键词
混合痔
水肿
中药坐浴
老中医经验
验方
谭静范
Mixed hemorrhoids
Edema
Traditional Chinese medicine bath
Clinical experience of elderly doctor
Proved recipe
TAN Jingfan
