益气升提汤治疗重度混合痔术后肛门坠胀30例
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摘要
目的:观察益气升提汤治疗重度混合痔术后肛门坠胀的临床疗效。方法:将60例重度混合痔术后患者随机分为治疗组和对照组,每组各30例。对照组术后给予止血、止痛、常规抗感染、微波肛周局部物理治疗、中药创面换药等治疗,治疗组在对照组的基础上口服益气升提汤。比较两组患者术后肛门坠胀的发生情况,观察两组患者创面愈合时间、肛门疼痛及肛缘皮瓣水肿程度。结果:治疗组创面愈合时间为(15.27±0.96)d,对照组为(18.12±1.53)d,两组患者创面愈合时间比较,差异有统计学意义(P<0.05)。治疗组肛门坠胀严重程度低于对照组,差异有统计学意义(P<0.05)。治疗组肛门疼痛及肛缘皮瓣水肿程度均低于对照组,差异有统计学意义(P<0.05)。结论:重度混合痔术后口服益气升提汤能降低肛门坠胀的发生率,加快患者术后恢复,改善患者生存质量。
Objective: To observe the clinical curative effect of Qi-Boosting and Qi-Lifting Decoction on anal distension after severe mixed hemorrhoids Operation. Methods: Sixty patients with severe mixed hemorrhoid were randomly divided into the treatment group and the control group,with 30 cases in each group. The ones in the control group were given hemostasis,pain prevention,conventional anti infection,microwave perianal regional physical therapy,change fresh dressing for a wound with TCM and other treatment,while the ones in the treatment group were added Qi-Boosting and Qi-Lifting Decoction based on the treatment of the control group. The incidence of anal swelling after operation was compared between the two groups. The wound healing time,the anal pain and the degree of edema of the anal verge flap were observed in the two groups. Results: The wound healing time in the treatment group was( 15. 27 ± 0. 96) d,and that of the control group was( 18. 12 ± 1. 53) d. The difference in the wound healing time between the two groups was statistically significant( P < 0. 05). The severity of anal swelling in the treatment group was lower than that in the control group,and the difference was statistically significant( P < 0. 05). The anal pain and anal flap edema in the treatment group were lower than those in the control group,and all the differences were statistically significant( P < 0. 05). Conclusion: After the operation of severe mixed hemorrhoid,Qi-Boosting and Qi-Lifting Decoction for oral administration can reduce the incidence of anal swelling,accelerate the recovery,and improve the patients' quality of life.
Objective: To observe the clinical curative effect of Qi-Boosting and Qi-Lifting Decoction on anal distension after severe mixed hemorrhoids Operation. Methods: Sixty patients with severe mixed hemorrhoid were randomly divided into the treatment group and the control group,with 30 cases in each group. The ones in the control group were given hemostasis,pain prevention,conventional anti infection,microwave perianal regional physical therapy,change fresh dressing for a wound with TCM and other treatment,while the ones in the treatment group were added Qi-Boosting and Qi-Lifting Decoction based on the treatment of the control group. The incidence of anal swelling after operation was compared between the two groups. The wound healing time,the anal pain and the degree of edema of the anal verge flap were observed in the two groups. Results: The wound healing time in the treatment group was( 15. 27 ± 0. 96) d,and that of the control group was( 18. 12 ± 1. 53) d. The difference in the wound healing time between the two groups was statistically significant( P < 0. 05). The severity of anal swelling in the treatment group was lower than that in the control group,and the difference was statistically significant( P < 0. 05). The anal pain and anal flap edema in the treatment group were lower than those in the control group,and all the differences were statistically significant( P < 0. 05). Conclusion: After the operation of severe mixed hemorrhoid,Qi-Boosting and Qi-Lifting Decoction for oral administration can reduce the incidence of anal swelling,accelerate the recovery,and improve the patients' quality of life.
引文
[1]中华医学会外科学分会结直肠肛门外科学组,中华中医药学会肛肠病专业委员会,中国中西医结合学会结直肠肛门病专业委员会.痔临床诊治指南(2006版)[J].中华胃肠外科杂志,2006,9(5):461.
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[6]龚代平.提肛运动对痔上黏膜环切术后肛门坠胀的改善效果[J].中国医药导报,2015,12(17):80-83.
[7]王小婉,余自君,王晓林.混合痔引发肛门坠胀病因与防治[J].实用中医药杂志,2013,29(3):213-214.
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[9]胡小娟,胡晓阳,谌建平.补中益气汤加减治疗混合痔术后肛门坠胀临床疗效观察[J].实用中西医结合临床,2014,14(8):65-66.
[10]杨喜乐,曾莉,钱海华,等.中医药防治痔术后肛门坠胀研究态势探析[J].辽宁中医药大学学报,2015,17(5):243-245.
[11]王业皇.丁泽民学术思想与临证经验研究[M].南京:东南大学出版社,2007:49,173.
[12]卢本银,李扬轶,赖彪,等.参麦注射液在混合痔术后应用减轻肛门坠胀的临床疗效观察[J].中国当代医药,2011,18(2):53-54.
[13]黄伟,张芯,唐建,等.补气活血法对混合痔直肠黏膜套扎吻合术后肛门坠胀的防治研究[J].黑龙江中医药,2015,44(5):44-46.
[14]陈国英.黄芪的药理作用研究进展[J].北方医学,2013,10(10):53-54.
[15]叶妮,王业皇.中医治疗肛门坠胀的处方用药分析[J].现代中西医结合杂志,2010,19(25):3270-3271.
[16]张斌.黄芪药对配伍浅析[J].河南中医,2007,27(10):71-72.
[17]张华,张龙,夏勤弟.益气升提汤治疗中老年肛瘘术后肛门坠胀临床研究[J].中医学报,2013,28(9):1301-1302.
[2]陆金根,丁义江,李国栋.中西医结合肛肠病学[M].北京:中国中医药出版社,2009:110-112.
[3]彭军良,姚向阳,沈冬晓,等.内扎外剥保留齿线后侧切术治疗环状混合痔疗效观察[J].现代中西医结合杂志,2012,21(19):2058-2060.
[4]高枫.肛垫的研究进展对痔治疗的影响[J].中国现代手术学杂志,2003,7(3):164-166.
[5]陆金根,丁义江,李国栋.中西医结合肛肠病学[M].北京:中国中医药出版社,2009:113.
[6]龚代平.提肛运动对痔上黏膜环切术后肛门坠胀的改善效果[J].中国医药导报,2015,12(17):80-83.
[7]王小婉,余自君,王晓林.混合痔引发肛门坠胀病因与防治[J].实用中医药杂志,2013,29(3):213-214.
[8]胡选亚.肛门坠胀的中西医治疗概况[J].中国中医药现代远程教育,2016,14(3):Ⅲ-Ⅳ.
[9]胡小娟,胡晓阳,谌建平.补中益气汤加减治疗混合痔术后肛门坠胀临床疗效观察[J].实用中西医结合临床,2014,14(8):65-66.
[10]杨喜乐,曾莉,钱海华,等.中医药防治痔术后肛门坠胀研究态势探析[J].辽宁中医药大学学报,2015,17(5):243-245.
[11]王业皇.丁泽民学术思想与临证经验研究[M].南京:东南大学出版社,2007:49,173.
[12]卢本银,李扬轶,赖彪,等.参麦注射液在混合痔术后应用减轻肛门坠胀的临床疗效观察[J].中国当代医药,2011,18(2):53-54.
[13]黄伟,张芯,唐建,等.补气活血法对混合痔直肠黏膜套扎吻合术后肛门坠胀的防治研究[J].黑龙江中医药,2015,44(5):44-46.
[14]陈国英.黄芪的药理作用研究进展[J].北方医学,2013,10(10):53-54.
[15]叶妮,王业皇.中医治疗肛门坠胀的处方用药分析[J].现代中西医结合杂志,2010,19(25):3270-3271.
[16]张斌.黄芪药对配伍浅析[J].河南中医,2007,27(10):71-72.
[17]张华,张龙,夏勤弟.益气升提汤治疗中老年肛瘘术后肛门坠胀临床研究[J].中医学报,2013,28(9):1301-1302.