紫白膏促进湿热下注型混合痔术后创面愈合的临床研究.doc

分类号： R657.18 R644 单位代码：10393 学 号福建中医学院2006届硕士研究生 MASTER′S DEGREE GRADUATE STUDENT OF FJTCM, 2006′S 学 位 论 文 ※※※※※※※※※※※※ ※※※※※※※※※※※※ MASTER S THESIS 紫白膏促进湿热下注型混合痔术后创面愈合的 临床研究 Clinical study of zibai ointment for wounds healing after operation of mixed hemorrhoids of the type of downward flow damp-heat 专业：中西医结合临床 研究生：王 菁 导师：石荣副主任医师 ―――――――――――――――――――――――― 2006年 5月 中国·福州 目 录 中文摘要·························································1 ABSTRACT·························································2 前言·····························································4 材料与方法·······················································5 一、一般资料···················································5 二、药物制备、治疗前准备及外治方法·····························8 三、观察指标···················································9 四、疗效性评定指标·············································9 结果····························································12 讨论····························································15 一、祖国医学对痔的病因病机及其术后的认识······················15 二、现代医学对创面修复的研究··································16 三、紫白膏的组方、方解········································17 四、紫白膏的临床疗效分析······································18 结语····························································22 参考文献························································23 致谢····························································25 附录····························································26 文献综述························································26 紫白膏促进湿热下注型混合痔术后创面愈合的临床研究 专业: 中西医结合临床 研究生: 王 菁 导师: 石荣副主任医师 中 文 摘 要 目的：观察紫白膏在湿热下注型混合痔术后创面愈合中的作用。 方法：本项研究将60例湿热下注型混合痔术后患者随机分组，治疗组30例，对照组30组。治疗组患者用紫白膏换药；对照组患者用马应龙麝香痔疮膏换药。分别记录术后第2、4、6天两组病例疼痛、肛缘水肿及出血的积分情况并进行统计；术后第6天观察统计两组治疗的综合总体疗效；记录术后第14、21天创面愈合率；观察术后创面愈合时间； 结果：治疗组总有效率96.67％，对照组总有效率86.67％，用统计学方法处理，两组总疗效比较有显著性差异(P0. 05)；两组间症状疗效比较，在减少出血、创缘水肿