自制金黄膏外敷治疗混合痔术后肛门水肿的临床观察
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摘要
目的探讨自制金黄膏外敷治疗混合痔术后肛门水肿的临床效果。方法将2014年9月~2017年2月因嵌顿性混合痔于我院住院行外剥内扎术治疗的80例患者纳入研究并随机分组,对照组40例单用马应龙痔疮膏外敷,观察组40例联合我院自制金黄膏外敷。治疗7 d,比较两组的临床疗效。结果治疗后,两组患者的肛门坠胀疼痛、水肿评分及症状自评量表(SCL-90)评分均降低,差异有统计学意义(P<0.05);治疗后,观察组的肛门坠胀疼痛、水肿评分及SCL-90评分均更低(P<0.05)。观察组的总有效率为95.00%,高于对照组的72.50%(P<0.05)。结论自制金黄膏外敷治疗混合痔术后肛门水肿的效果显著,可有效改善临床症状,促进疾病康复,值得推广。
Objective To investigate the clinical effect of external application of Homemade Jinhuang Ointment in the treatment of anal edema after operation of mixed hemorrhoids.Methods From September 2014 to February 2017,80 cases suffering from incarcerated mixed hemorrhoids performed with Milligan-Morgan in our hospital were recruited and evenly divided into the control group(external application of Mayinglong hemorrhoid cream only) and observation group(addition of external application of homemade Jinhuang Ointment) in random.The course of treatment was lasted for 7 days.The clinical curative effect was compared between the two groups.Results After treatment,the score of anal distending pain and edema,and scores of symptom checklist 90(SCL-90) were all decreased significantly in the two groups with statistical differences(P<0.05).After therapy,the score of anal distending pain and edema,and the score of SCL-90 were lower than those of the observation group(P<0.05).The total effective rate in the observation group was 95.00%,which was higher than that of the control group(72.50%)(P<0.05).Conclusion External application of homemade Jinhuang Ointment can obtain a remarkable in the treatment of postoperative anal edema of mixed hemorrhoids,and can effectively improve the clinical symptoms and facilitate the rehabilitation,which is worthy of promotion.
Objective To investigate the clinical effect of external application of Homemade Jinhuang Ointment in the treatment of anal edema after operation of mixed hemorrhoids.Methods From September 2014 to February 2017,80 cases suffering from incarcerated mixed hemorrhoids performed with Milligan-Morgan in our hospital were recruited and evenly divided into the control group(external application of Mayinglong hemorrhoid cream only) and observation group(addition of external application of homemade Jinhuang Ointment) in random.The course of treatment was lasted for 7 days.The clinical curative effect was compared between the two groups.Results After treatment,the score of anal distending pain and edema,and scores of symptom checklist 90(SCL-90) were all decreased significantly in the two groups with statistical differences(P<0.05).After therapy,the score of anal distending pain and edema,and the score of SCL-90 were lower than those of the observation group(P<0.05).The total effective rate in the observation group was 95.00%,which was higher than that of the control group(72.50%)(P<0.05).Conclusion External application of homemade Jinhuang Ointment can obtain a remarkable in the treatment of postoperative anal edema of mixed hemorrhoids,and can effectively improve the clinical symptoms and facilitate the rehabilitation,which is worthy of promotion.
引文
[1]罗江伟,岑立成,甘能中,等.TST联合消痔灵注射液治疗混合痔的效果观察[J].中国当代医药,2015,22(12):57-59.
[2]贾雄,刘海林,邱静,等.痔上黏膜环切术加外痔分段切除血栓剥离治疗急性嵌顿性混合痔临床研究[J].中国临床医生,2014,42(7):61-62.
[3]杨界辉.黏膜环切术配合千槐椒痔疮熏洗液治疗急性嵌顿痔78例[J].河南中医,2014,34(10):1982.
[4]胡智亮,毛龙飞,李春伟,等.中药水肿坐浴方减轻痔术后疼痛水肿的临床疗效研究[J].中国急诊医学,2014,23(9):1698-1699.
[5]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):461-463.
[6]李俊岩.同期手术治疗混合痔合并低位肛瘘的临床疗效及安全性[J].中国现代普通外科进展,2016,19(3):223-225.
[7]叶卓敏,吴绍飞.同期与分期切开挂线法联合粘膜环切术治疗混合痔合并肛瘘效果比较[J].中国乡村医药,2015,22(14):234-235.
[8]王红旭.选择性痔上黏膜切除术联合外痔切除治疗重度混合痔的临床研究[J].中国当代医药,2016,23(15):38-40.
[9]周凯亮,邹贤军,司徒光伟.弹力线套扎术治疗混合痔嵌顿的疗效观察[J].广东医学,2017,38(11):1717-1719.
[10]何芳,谢永俊,彭兵.消痔灵注射术治疗老年性混合痔临床应用及与其它方法的比较[J].安徽医药,2016,20(5):987-989.
[11]周军惠,乔敬华,潘一滨.“三黄膏”治疗急性嵌顿痔35例临床研究[J].江苏中医药,2017,49(7):33-35.
[12]邓业巍,王东,张胜威.RPH治疗混合痔合并直肠粘膜内脱垂临床研究[J].中华结直肠疾病电子杂志,2015,4(5):511-514.
[13]胡琦.金玄痔科熏洗散治疗混合痔术后水肿及促进创面愈合的临床疗效[J].世界中西医结合杂志,2016,11(12):1724-1727.
[14]徐珊,张凡,刘蓬蓬.基于大鼠物质、能量代谢研究炮制对黄柏药性的影响[J].中药材,2015,38(9):1835-1841.
[15]罗志林,聂君,徐基平.如意金黄膏结合马应龙痔疮膏外敷治疗嵌顿性混合痔30例临床观察[J].湖南中医杂志,2017,33(5):64-65.
[2]贾雄,刘海林,邱静,等.痔上黏膜环切术加外痔分段切除血栓剥离治疗急性嵌顿性混合痔临床研究[J].中国临床医生,2014,42(7):61-62.
[3]杨界辉.黏膜环切术配合千槐椒痔疮熏洗液治疗急性嵌顿痔78例[J].河南中医,2014,34(10):1982.
[4]胡智亮,毛龙飞,李春伟,等.中药水肿坐浴方减轻痔术后疼痛水肿的临床疗效研究[J].中国急诊医学,2014,23(9):1698-1699.
[5]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):461-463.
[6]李俊岩.同期手术治疗混合痔合并低位肛瘘的临床疗效及安全性[J].中国现代普通外科进展,2016,19(3):223-225.
[7]叶卓敏,吴绍飞.同期与分期切开挂线法联合粘膜环切术治疗混合痔合并肛瘘效果比较[J].中国乡村医药,2015,22(14):234-235.
[8]王红旭.选择性痔上黏膜切除术联合外痔切除治疗重度混合痔的临床研究[J].中国当代医药,2016,23(15):38-40.
[9]周凯亮,邹贤军,司徒光伟.弹力线套扎术治疗混合痔嵌顿的疗效观察[J].广东医学,2017,38(11):1717-1719.
[10]何芳,谢永俊,彭兵.消痔灵注射术治疗老年性混合痔临床应用及与其它方法的比较[J].安徽医药,2016,20(5):987-989.
[11]周军惠,乔敬华,潘一滨.“三黄膏”治疗急性嵌顿痔35例临床研究[J].江苏中医药,2017,49(7):33-35.
[12]邓业巍,王东,张胜威.RPH治疗混合痔合并直肠粘膜内脱垂临床研究[J].中华结直肠疾病电子杂志,2015,4(5):511-514.
[13]胡琦.金玄痔科熏洗散治疗混合痔术后水肿及促进创面愈合的临床疗效[J].世界中西医结合杂志,2016,11(12):1724-1727.
[14]徐珊,张凡,刘蓬蓬.基于大鼠物质、能量代谢研究炮制对黄柏药性的影响[J].中药材,2015,38(9):1835-1841.
[15]罗志林,聂君,徐基平.如意金黄膏结合马应龙痔疮膏外敷治疗嵌顿性混合痔30例临床观察[J].湖南中医杂志,2017,33(5):64-65.