摘要
目的:探讨慢性肛裂患者采用次侧切术后中药联合疗法治疗的临床疗效和预后情况。方法:纳入我院2014年12月-2016年8月收治的慢性肛裂患者共120例,随机分为对照组和观察组各60例,对照组采用次侧切术和凡士林纱条换药,观察组采用次侧切术联合中药内服、中药熏洗坐浴、中药涂擦的方法。两组患者共治疗2周,观察两组患者的临床疗效、2年复发率,并检测1年后肛管功能(检测肛管静息压、最大肛管收缩压和持续收缩时间)和患者自评肛门舒适度和满意度。结果:观察组的有效率显著高于对照组(P<0.05),对比差异具有统计学意义。两组患者的肛管静息压、最大肛管收缩压、持续收缩时间对比差异无统计学意义(P>0.05),观察组肛门舒适度和满意度积分显著高于对照组(P<0.05),对比差异具有统计学意义。两组患者随访期间均未出现复发情况。结论:次侧切术联合中药内服、中药熏洗坐浴、中药涂擦治疗慢性肛裂可有效的提高临床疗效,并不会增加术后的复发率,临床运用值得推广。
Objective:To investigate efficacy and prognosis of the TCM medicine combined therapy on chronic anal fissure after sublateral resection.Methods:From December 2014 to August 2016,120 cases were divided into two groups,60 cases in each.The control group was given sublateral resection plus vaseline gauze,and the observation group was given sublateral resection,oral TCM medicine,TCM medicine fumigation and TCM medicine rubbing,for two weeks.Results:Efficiency in the observation group was significantly higher than the control group(P﹤0.05).There was no significant difference in multicast address resolution protocol,maximum anal canal systolic pressure and continuous contraction time between the two groups(P﹥0.05).The anal comfort and satisfaction scores in the observation group were significantly higher than those in the control group(P﹤0.05).During the follow-up period,no recurrence occurred in either group.Conclusion:Sublateral resection,oral TCM medicine,TCM medicine fumigation and TCM medicine rubbing on chronic anal fissure can effectively improve the clinical efficacy without increasing the recurrence rate after surgery,and is worthy of promotion.
出处
《中医临床研究》
2020年第5期136-138,共3页
Clinical Journal Of Chinese Medicine
关键词
慢性肛裂
次侧切术
中药治疗
预后
Chronic anal fissure
Sublateral resection
The TCM therapy
Prognosis
