【摘要】：目的觀察苦參湯加減肛門熏洗坐浴預(yù)防和治療混合痔術(shù)后肛緣水腫的臨床效果。方法選取130例內(nèi)痔為Ⅱ-Ⅳ期的混合痔患者,隨機(jī)將其分為A、B兩組,每組各65例,其中試驗組A組患者于術(shù)后第二天開始予苦參湯加減肛門熏洗坐浴,以后每日一次,共持續(xù)7日；對照組B組患者術(shù)后第二天則予溫水肛門熏洗坐浴,觀察并比較1周后A、B兩組患者水腫發(fā)生率。再選取60例混合痔術(shù)后肛緣水腫患者,隨機(jī)分為C、D兩組,每組30例,試驗組C組患者,每日以苦參湯加減肛門熏洗坐浴一次；對照組D組患者,每日則以聚維酮碘溶液兌水后肛門熏洗坐浴一次,共持續(xù)7日,觀察并比較治療3、5、7天后C、D兩組患者肛緣水腫評分情況、治療7天后C、D兩組患者總有效率情況以及C組患者治療3、5、7天后水腫評分情況。結(jié)果1、預(yù)防方面A、B兩組水腫發(fā)生率比較,P0.05,差異有統(tǒng)計學(xué)意義,苦參湯加減組(A組)水腫發(fā)生率僅為6.6%,低于溫水組(B組)19.0%的水腫發(fā)生率：2、治療方面①治療3天后C、D兩組患者肛緣水腫評分比較,P0.05,差異無統(tǒng)計學(xué)意義；治療5天后C、D兩組患者肛緣水腫評分比較,P0.05,苦參湯加減組(C組)水腫評分低于聚維酮碘溶液組(D組)：治療7天后C、D兩組患者肛緣水腫評分比較,P0.01,苦參湯加減組(C組)水腫評分明顯低于聚維酮碘溶液組(D組)；②C、D兩組患者治療7天后總有效率比較,P0.05,苦參湯加減組(C組)總有效率96.6%,高于聚維酮碘溶液組(D組)的70%；③苦參湯加減組(C組)治療3、5、7天后水腫評分比較,P0.01,說明痔術(shù)后水腫發(fā)生1周內(nèi),水腫評分隨著治療時間延長有明顯降低的趨勢。3、安全性方面整個試驗過程中,A、B、C、D四組患者均未發(fā)生任何不良反應(yīng)。結(jié)論苦參湯加減肛門熏洗坐浴,既可有效預(yù)防痔術(shù)后肛緣水腫發(fā)生,又可有效治療痔術(shù)后肛緣水腫,且水腫發(fā)生1周內(nèi)水腫評分隨著治療時間延長有明顯降低趨勢,其安全有效,簡單實(shí)用,值得臨床推廣應(yīng)用。
[Abstract]:Objective to observe the clinical effect of Radix Sophora flavescens decoction on prevention and treatment of perianal edema after operation of mixed hemorrhoids by abatement of anus fumigation and sitting bath. Methods 130 patients with mixed hemorrhoids were randomly divided into two groups: group A (n = 65) and group A (n = 65). For a total of 7 days; The patients in group B were given warm water anus fumigation and sitting bath on the second day after operation. The incidence of edema in group A and B was observed and compared one week later. 60 patients with anorectal edema after operation of mixed hemorrhoids were randomly divided into two groups: group C (n = 30) and group C (n = 30). The patients in the control group D were treated with povidone iodine solution and water once a day for 7 days. The scores of perianal edema were observed and compared between the two groups after 3 days of treatment and 7 days after treatment, and C after 7 days of treatment, the patients in group D were treated with povidone iodine solution for 7 days, and the scores of edema in the anal margin of patients in group C were compared after 7 days of treatment. The total effective rate in group D and the score of edema in group C were evaluated after 3 days of treatment. Results 1. The incidence of edema in group A was significantly higher than that in group A (P 0.05). The incidence of edema in group A was only 6.6. The incidence of edema in group B was 19.0% lower than that in group B: (2) the score of perianal edema in group C and D after 3 days of treatment had no significant difference (P 0.05). After 5 days of treatment, the scores of perianal edema in group C were lower than those in group D (P 0.05) and those in group C (group C) were lower than those in group D (group D): after 7 days of treatment, the scores of edema in group C were lower than those in group C (group D), and the scores of edema in group C were lower than those in group C (group D) after 7 days of treatment. P0.01, the edema score of Kushen decoction group (group C) was significantly lower than that of povidone iodine solution group (group D). 2The total effective rate of Con D group was higher than that of povidone iodine solution group (D group), P0.05, Kushen decoction group (C group) 96.6, higher than that of povidone iodine solution group (D group). 3The scores of edema in group C (group C) were significantly lower than those in group C after 3 days of treatment (P 0.01), indicating that edema score decreased significantly with the prolongation of treatment time within 1 week after hemorrhoids operation. During the whole safety trial, no adverse reactions occurred in all four groups of patients. Conclusion by reducing anus fumigation and sitting bath, Kushen decoction can effectively prevent anal edema after hemorrhoids operation, and can effectively treat anal edema after hemorrhoids operation, and the score of edema within 1 week after hemorrhoids has a tendency to decrease obviously with the prolongation of treatment time. It is safe and effective, simple and practical, worthy of clinical application.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R657.18

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