清化汤防治混合痔外剥内扎术后主要并发症的临床探究.pdfVIP

提 要 目的：探讨清化汤防治混合痔外剥内扎术后主要并发症的临床疗效。方法：在符 合纳入标准的病例中选择 85 例病人，随机分为观察组、对照一组、对照二组。三组 病例在术后常规治疗配合中药坐浴的基础上，自术后第一天起观察组 30 人给予清化 汤内服；对照一组 30 人给予痔速宁片口服；对照二组仅给予中药坐浴治疗。一周为 一疗程，详细观察患者并发症情况，对其治疗 2d、4d、7d 时的主要症状体征进行评 价。结果：临床研究表明，在用药的2d、4d、7d观察组和两对照组在改善肛门坠胀、 水肿方面均分别存在差异（p＜0.05）；用药的2d、4d观察组和两对照组在改善排尿 障碍方面存在差异（p＜0.05）；用药的2d、4d观察组和两对照组在改善疼痛方面存 在差异（p＜0.05）；用药的2d、4d、7d观察组与对照一组在改善排便状况和便血方 面无显著差异（p＞0.05），与对照二组相比存在差异（p＜0.05）。结论：以清热祛 湿，化瘀止血，理气止痛立法组成的清化汤可通过改善末梢循环，缓解括约肌痉挛， 抗炎，镇痛，通便，利尿等作用减轻混合痔外剥内扎术后的肛门疼痛、坠胀、便血等 症状，有效防治术后肛门水肿，能有效改善排便、排尿障碍，说明对混合痔外剥内扎 术后的病机认识是合理的，清热祛湿、化瘀止血、理气止痛是治疗混合痔术后主要并 发症的有效方法，本方是防治混合痔外剥内扎术后主要并发症的有效方剂。 关键词 混合痔；术后并发症；清化汤；临床研究 Clinical research on preventing and Treating post-operational complications of mixed Hemorrhoids with damp and heat poured with Qing Hua decoction Speciality：Surgery of TCM Tutor: Professor Jiang Chunying Author: Zhang Kun Abstract Objective: to observe the therapeutic effect of Qing Hua decoction on preventing and Treating postoperational complications of mixed Hemorrhoids.Methods: We choose 85 patients who are accord with the diagnosis standard and assigned them into three groups at random. 30 patients who are the treatment groups are treated by taking Qing Hua decoction from the first day after operation,30 patients who are the first control groups are treated by taking zhi su ning piles from the first day after operation too,25 patients who are the second control groups are treated only by sitz bath with Chinese native medicine. All the 85 patients are treated by sitz bath with Chinese native medicine after row of bowel movement. To compare the treatment between the three groups after the 2nd,4nd,7nd by computation the data of postoperative.Results: The result is differen