自制生肌玉红膏联合中药坐浴治疗肛裂临床疗效观察.docVIP

自制生肌玉红膏联合中药坐浴治疗肛裂临床疗效观察 　　[摘要] 目的 研究肛裂患者使用生肌玉红膏与中药坐浴联合治疗的临床效果。方法 临床纳入100例该院2012年6月―2014年6月期间肛肠科收治的肛裂患者，按随机抽样法分为两组各50例。其中50例患者单纯使用中药坐浴进行治疗作为对照组，另50例患者在中药坐浴的基础上使用生肌玉红膏进行治疗作为观察组。结果 观察组治疗总有效率高达98%，远高于对照组的84%，P0.05；对比两组患者创面愈合时间、创面疼痛程度以及创面渗血、渗液等情况发现，观察组明显好于对照组，P0.05。结论 生肌玉红膏与中药坐浴联合治疗对肛裂患者临床效果显著，值得临床应用及推广。 　　[关键词] 肛裂；中药；生肌玉红膏；联合治疗；临床效果 　　[中图分类号] R26 [文献标识码] A [文章编号] 1674-0742（2015）06（a）-0174-02 　　Clinical Effect Observation of Self-Made Shengji Yuhonggao Combined With Traditional Chinese Medicine Hip Bath for Anal Fissure 　　NA Yun-lang，FU Yu-xiang，SU Zhen-yu，FAN Lu-yang 　　Department of Anus-intestines， Harbin Hospital of Traditional Chinese Medicine， Harbin， Helongjiang Province， 150076 China 　　[Abstract] Objective To observe the clinical effect of Shengji Yuhonggao combined with traditional Chinese medicine hip bath in the treatment of patients with anal fissure. Methods 100 patients with anal fissure treated from June 2012 to June 2014 in our anorectal department were selected and randomly divided into 50 cases each group. The control group took traditional Chinese medicine hip bath； observation group took traditional Chinese medicine hip bath combined with Shengji Yuhonggao. Results The total effective rate of observation group （98%） was significantly higher than that of control group （84%） （P0.05）； the wound healing time， pain intensity， errhysis and oozing of observation group were significantly better than those of control group （P0.05）. Conclusion For patients with anal fissure， Shengji Yuhonggao combined with traditional Chinese medicine hip bath has an obvious clinical effect. It is worthy of clinical application and promotion. 　　[Key words] Anal Fissure； Traditional Chinese Medicine； Shengji Yuhonggao； Combined Therapy； Clinical Effect 　　肛裂是最常见的肛肠科疾病之一，好发于青中年人群，是一种肛部齿状线下肛管皮肤层裂伤后形成的溃疡。一般与肛管纵轴平行，常引起剧烈疼痛，尤其在患者排便时疼痛尤为剧烈。由于排便时疼痛剧烈，导致患者不愿排便，长时间容易引起便秘以及大便干硬，使病情加重，造成恶性循环[1]。临床常表现为排便疼痛、排便出血等症状。在我国，肛裂属于较为常见的疾病，如何进行治疗，提高患者生活质量成为人们关注的重点问题。该研究在2012年6月―2014年6月将该院肛