肿痛消减汤防治混合痔外剥内扎术后并发症的临床探究.pdf

提 要 目的：观察经验方肿痛消减汤对防治混合痔外剥内扎术后疼痛、创缘水肿及相关 并发症的临床疗效。 方法：将符合纳入标准的75例患者按随机数字表法随机分为两组，两组均在配合 肛肠科术后常规治疗，便后予中药坐浴，九华膏换药的基础上，治疗组（40例）术后 予中药肿痛消减汤口服，对照组（35 例）术后予“迈之灵”片口服，均从术后第一天 口服，连服七天；观察服药期间两组患者的病情变化，将术后第 1、3、5、7 天肛门疼 痛、创缘水肿、便血、肛门下坠的症状体征积分按标准填入“混合痔术后临床观察表”， 并记录创面的愈合情况，对比治疗后两组患者的症状缓解及总体情况，评定治疗后的 临床疗效。 结果：临床研究表明，术后第 1 天两组在改善疼痛、创缘水肿、肛门下坠方面无 显著差异（P0.05 ），术后第3、5、7 天治疗组在改善疼痛、创缘水肿、肛门下坠方面 分别有显著性差异（P≤0.05 ），术后第 1、3、5、7 天两组在改善便血方面均无显著性 差异（P0.05 ）。 结论：肿痛消减汤以清热祛风利湿，活血散瘀止痛为原则，可以预防和缓解混合 痔术后疼痛、创缘水肿等症状，在防治混合痔术后并发症方面优于迈之灵片。本方安 全、有效，值得临床推广应用。 关键词：肿痛消减汤；混合痔；外剥内扎；并发症；临床疗效 Clinical Study on cure post-Operative complications of Mixed Hemorrhoids by External Dissection and Internal Ligation surgery with Gall subtractive soup SPeciality：Surgery of TCMng Chunying Author ：Liu HongxiaLiu Hong Tutor:Professor ：Jiang ChunyingJia Abstract Objective:To observe the experience Gall subtractive soup in the prophylaxis and treatment of mixed hemorrhoids Milligan-Morgan postoperative pain, a margin of edema and associated comPlications clinical curative effect. Methods:75 cases of mixed hemorrhoid criteria were randomly divided into two groups with Random number table: With anorectal postoperative routine treatment, After to the sitz bath of Chinese medicine, On the basis of traditional Chinese medicine dressing change. postoperative 40 cases in treatment group were given he Gall subtractive soup oral,35 cases in control group were given“ Aescuven forte Tables ”oral,Both from the first postoperative day oral, even served seven days,To observe both patients’ condition changes in period of medication,According to the standard to fill the postoperative first, 3, 5, 7 days of their pain, hemorrhage, edema, anal tenesmus score i