中药熏洗制剂在混合痔术后辅助治疗的疗效观察(1)
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[摘要] 目的：探讨中药熏洗在混合痔术后应用的疗效。方法：将160例混合痔行外剥内扎术后的患者按照随机数字表法分成实验组(80例)和对照组(80例)，两组均在术后第2天行创面熏洗，实验组采用自制中药汤剂熏洗，对照组采用1∶5 000高锰酸钾溶液治疗。结果：实验组术后第7天初次疼痛视觉模拟评分下降至(1.3±0.5)分，水肿程度为(0.76±0.50)，实验组分别为(1.7±0.8)分和(1.06±0.74)，实验组递减的程度明显大于对照组(P<0.01)；实验组创面平均愈合时间为17.5 d，明显短于对照组的26.5 d(P<0.01)。结论：中药熏洗在混合痔术后的辅助治疗存在优势，值得进一步推广应用。
[关键词] 痔；中药熏洗；术后
[中图分类号] R692.05 [文献标识码] A [文章编号] 1673-7210(2011)07(a)-106-02
Observation on the therapeutic efficacy of the Fumigation with Herbal Decoction in the treatment of postoperative patients with mixed hemorrhoids
YU Dengfeng, DONG Yi, ZHANG Wenjun*
Department of Proctology, Xinhua Hospital Affiliated to Dalian University, Liaoning Province, Dalian 116021, China
[Abstract] Objective: To observe the therapeutic efficacy of the Fumigation with Herbal Decoction (FHD) in the treatment of postoperative patients with mixed hemorrhoids (MH). Methods: 160 patients with MH who had undergone surgical treatment were divided into study group (80 cases) and control group (80 cases). Patients in the study group were received FHD, while patients in the control group were received Fumigation with Potassium Permanganate (1∶5 000). Results: The postoperative 7th visual analog scale of pain and perianal edema decreased to 1.3 scores and 0.76 in the study group, wile 1.7 scores and 1.06 in the control group. The study group was better than the control group (P<0.01). The mean wound healing time of the study group (17.5 d) was significantly shorter than the control group (26.5 d) (P<0.01). Conclusion: There is predominance in the treatment of postoperative patients with mixed hemorrhoids with Herbal Decoction and to be worth further popularizing.
[Key words] Hemorrhoid; Fumigation with Herbal Decoction; Postoperation
混合痔手术后恢复时间长，患者痛苦大[1]，我院自2009年开展中药熏洗应用于混合痔术后以来，取得了良好的效果，现报道如下：
1 资料与方法
1.1 一般资料
选取2010年2~10月我科混合痔术后患者160例，按数字随机数字表将其随机分为实验组(80例)和对照组(80例)。在实验组中，男44，女36例；年龄 16~65岁，平均(29.8±7.2)岁；病程1.5~5.0 d。在对照组中，男47，女33例；年龄 18~64岁，平均(31.2±6.9)岁；病程1周~2年。两组性别、年龄、病程等比较，差异无统计学意义(P>0.05)，具有可比性。
1.2 病例入选标准
参照2002年9月中华医学会肛肠病专业委员会《痔诊断暂行标准》明确诊断为重度混合痔[2] ......
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