摘要
目的:探讨血热肠燥型肛裂术后应用加味凉血地黄汤口服联合苦参汤坐浴治疗的临床效果。方法:选取2020年6月至2022年5月,本院收治的120例肛裂患者,随机分为观察组和对照组,每组各60例。观察组肛裂术后采用加味凉血地黄汤口服联合苦参汤坐浴治疗,对照组术后采用乳果糖口服联合高锰酸钾溶液坐浴治疗。比较2组术后4 h、24 h、3 d和10 d,两组疼痛评分,创面愈合时间及疗效等。结果:术后各时点观察组VAS评分均低于对照组(P<0.05);创面愈合时间、排便改善时间、止血时间、住院时间均短于对照组(P<0.05);瘢痕面积小于对照组(P<0.05);临床总有效率高于对照组(P<0.05);并发症评分低于对照组(P<0.05)。结论:血热肠燥型肛裂术后采用加味凉血地黄汤口服联合苦参汤坐浴治疗,能提高临床疗效,减轻术后创面疼痛,减少出血,促进创面愈合,改善排便情况,降低并发症的发生,安全有效。
Objective To investigate the clinical effect of orally administering modified liangxue Dihuang Tang a TCM formula,shorthy named as Decoction plus Kushen Tang sitz bath after surgery for anal fissure(AF)in type of intestinal dryness due to blood heat.Methods Randomly divided 120 AF patients underwent surgery from 2020-06-2022-05 in author’s hospital into observation group(60 cases,orally administered Decoction and adopted Kushen Tang sitz bath after surgery for AF)and control group(60 cases,orally administered lactulose and adopted PP solution sitz bath after surgery for AF);then,compared both groups’ratings on pain 4 h,24 h,3 day and 10 days after surgery,as well as wound-surface healing time and effect,etc.Results At above each time-points the VAS ratings of observation group were all lower than that of control group(P<0.05);in the time for wound-surface healing,for defecation improved,for bleeding-stopped,and for hospitalization,observation group was all shorter than control group(P<0.05);in the time for wound-surface healing,for defecation improved,for bleeding stopped,and for hospitalization,observation group was all shorter than control group(P<0.05);Also,in scar area,in total effective rate,and in the ratings on complication,observation group was respectively less,higher,and lower than control group(all,P<0.05).Conclusion After the surgery for AF in type of intestine dryness due to blood heat orally administering Decoction plus Kushen Tang sitz bath can enhance effect,relieve postoperative wound-surface sufferings,reduce bleeding,promote wound-surface healing,improve defecation,and decline complication incidence,which are safe and effective.
作者
刘涛
胡海北
王洪
LIU Tao;HU Hai-bei;WANG Hong(East Branch Area of Shenzhen Hospital,University of Chinese Academy of Sciences,Shenzhen,Guangdong 523000)
出处
《中国肛肠病杂志》
2022年第12期33-35,共3页
Chinese Journal of Coloproctology
基金
深圳市光明区科技创新局卫生系统科研项目(编号:2020R01123)
关键词
肛裂
血热肠燥型
术后
加味凉血地黄汤
苦参汤
Anal fissure
Syndrome of intestinal dryness due to blood heat
Postoperation
Modified Liangxue Dihuang Tang
Kushen Tang
