自拟苦参消痔汤熏洗治疗外痔临床疗效观察.docVIP

自拟苦参消痔汤熏洗治疗外痔临床疗效观察【摘要】目的：观察自拟苦参消痔汤熏洗治疗外痔的临床疗效，为临床治疗外痔提供参考。方法：选择我院肛肠科2009年5月～2010年3月收治的外痔患者104例，随机分为对照组和观察组各52例，对照组患者给予1∶5000高锰酸钾溶液坐浴；观察组患者给予自拟苦参消痔汤熏洗，7d为一个疗程，连续治疗3个疗程。结果：经过3个疗程的治疗后，对照组患者显效15例，有效23例，无效14例，总有效率73.08%；观察组患者显效17例，有效28例，无效7例，总有效率86.54%。两组总有效率比较，观察组患者明显高于对照组，差异有统计学意义（p＜0.05）。结论：采用自拟苦参消痔汤熏洗治疗外痔，可以取得较满意的疗效，值得临床推广。 【关键词】自拟苦参消痔汤；外痔；熏洗；临床疗效 Tom Self Washing flavescens Xiaozhiling Clinical efficacy of treatment of external hemorrhoids Liu Zuolin Kou QiangAo Ying （Gaoping District, Nanchong City, Sichuan Nanchong First Hospital of Chinese Medicine 637100） 【Abstract】Objective To observe the self flavescens Xiaozhiling soup clinical efficacy of fumigation treatment of hemorrhoids, external hemorrhoids provide a reference for clinical treatment. Methods Anorectal our hospital in May 2009 ~ March 2010 104 cases of patients admitted to external hemorrhoids were randomly divided into control group and observation group of 52 patients in the control group were treated with 1:5000 potassium permanganate solution bath; The patients given self flavescens Xiaozhi soup Fumigation, 7d for a course of treatment, continuous treatment of 3 courses. Results After 3 courses of treatment, control group, 15 cases were markedly effective in 23 cases, 14 cases ineffective, the total efficiency of 73.08%; observation group, 17 cases were markedly effective in 28 cases, 7 cases, total effective rate 86.54% . The total effective rate compared to the observation group were significantly higher, the difference was statistically significant (p 中药汤剂外用熏洗方法是中医传统疗法之一，也是中医外治的一大特色，普遍应用于中医肛肠科。熏洗法是运用汤剂的热力和中药的药力对机体患处局部皮肤发生治疗作用。热力可引起患处局部血管扩张，改善表皮的通透性，促进药物的透皮吸收，使药力的活性和扩散作用明显增加。对患处局部用药可在局部形成较高的药物浓度，针对性强。药力和热力直接作用于局部病变处，使局部腠理疏通、气血流畅。药物通过皮肤和黏膜吸收迅速，对机体内环境干扰小，起效快。同时，中药汤剂的温度能刺激患处皮肤的神经末梢感受器，通过神经系统破坏原有的病理反射，形成新的反射状态，增强机体的抵抗力，促进肛门处糜烂溃破伤口的愈合。 我院自拟的苦参消痔汤组方中，苦参为君药，功能清热燥湿、解毒杀虫。苦参水提取物有明显的抗菌消炎作用，对多种病原体有抑制和杀灭作用。黄柏为臣药，功能清热燥湿，泻火解毒。黄柏水提取物对葡萄球菌、链球菌、炭疽杆菌、霍乱弧菌、白喉杆菌等均有不同程度的抑制作用。蛇床子燥湿杀虫、祛风止痒；地