消肿止痛方坐浴后外用痔科生肌散在混合痔术后患者中的临床效果

Clinical effect of Xiaozhong Zhitong Prescription for sitz bath and external use of Zhike Shengji Powder in patients after mixed hemorrhoids surgery

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摘要目的探讨消肿止痛方坐浴后外用痔科生肌散在混合痔术后患者中的临床效果。方法选取82例混合痔术后患者作为研究对象,按照随机数字表法将其分为对照组和研究组,各41例。对照组采用消肿止痛方坐浴治疗,研究组采用消肿止痛方坐浴后外用痔科生肌散治疗。比较两组患者的临床疗效,术后恢复情况(肛周疼痛缓解时间、肛缘水肿缓解时间、创面愈合时间),治疗前、治疗2周后的中医证候积分、肛周疼痛视觉模拟量表(VAS)评分及肛缘水肿评分,治疗前、治疗1个月后的肛门功能(肛门感觉、控大便、肛门闭合、肛管最大收缩压、肛管静息压及肛管高压带长度),以及并发症发生情况。结果研究组的总有效率高于对照组,肛周疼痛缓解时间、肛缘水肿缓解时间及创面愈合时间短于对照组(P<0.05)。治疗2周后,两组患者的中医证候积分、肛周疼痛VAS评分及肛缘水肿评分低于治疗前,且研究组的上述指标低于对照组(P<0.05)。治疗1个月后,两组患者的肛门感觉评分、控大便评分、肛门闭合评分、肛管高压带长度低于或短于治疗前,肛管最大收缩压、肛管静息压高于治疗前,且研究组的上述指标改善程度优于对照组(P<0.05)。研究组的并发症总发生率低于对照组(P<0.05)。结论消肿止痛方坐浴后外用痔科生肌散可减轻混合痔术后患者肛周疼痛及肛缘水肿症状,减少并发症的发生,提高治疗效果,促进肛门功能的恢复。 Objective To explore the clinical effect of Xiaozhong Zhitong Prescription for sitz bath and external use of Zhike Shengji Powder in patients after mixed hemorrhoids surgery.Methods A total of 82 patients after mixed hemorrhoids surgery were selected as the research subjects,and according to the random number table method,they were divided into control group or study group,with 41 cases in each group.The control group received Xiaozhong Zhitong Prescription for sitz bath,whereas the study group received Xiaozhong Zhitong Prescription for sitz bath and external use of Zhike Shengji Powder for treatment.The clinical efficacy,postoperative recovery with respect to perianal pain remission time,anal edema remission time,wound healing time,and Traditional Chinese Medicine syndrome score,Visual Analogue Scale(VAS)score for perianal pain and anal edema score before treatment and 2 weeks after treatment,anal functions in terms of anal sensation,defecate control,anal closure,maximum systolic pressure in anal canal,resting pressure in anal canal,high pressure zone length in anal canal before treatment and after 1 month of treatment,as well as the occurrence states of complications were compared between patients of the two groups.Results The study group exhibited a higher total effective rate,shorter perianal pain remission time,anal edema remission time,and wound healing time as compared with the control group(P<0.05).After 2 weeks of treatment,both groups expressed lower score of Traditional Chinese Medicine syndrome,VAS score for perianal pain,and anal edema score as compared with before treatment,and the aforementioned indices of the study group were lower than those of the control group(P<0.05).After 1 month of treatment,both groups indicated lower anal sensation score,defecate control score,anal closure score,and a shorter high pressure zone length in anal canal as compared with before treatment;furthermore,interpreted higher maximum systolic pressure in anal canal,and higher resting pressure in anal canal as compared with before treatment,and the study group exert a superior improvement of the aforementioned indices as compared with the control group(P<0.05).The total incidence rate of complications of the study group was lower than that of the control group(P<0.05).Conclusion Xiaozhong Zhitong Prescription for sitz bath and external use of Zhike Shengji Powder can relieve symptoms of perianal pain and anal edema,reduce the occurrence of complications,improve therapeutic effect,and promote recovery of anal functions in patients after mixed hemorrhoids surgery.

作者朱欢欢颜蕾冯泽宇 ZHU Huanhuan;YAN Lei;FENG Zeyu(Department of Proctology,Wuxi Hospital of Traditional Chinese Medicine,Wuxi 214000,Jiangsu,China)

机构地区无锡市中医医院肛肠科

出处《广西医学》 2025年第1期66-71,共6页 Guangxi Medical Journal

基金江苏省卫生健康委科研项目(M2022021) 无锡市“双百”中青年医疗卫生拔尖人才项目(BJ2023067)。