中医药综合疗法对混合痔患者术后生活质量影响的研究
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摘要
目的观察中医药综合疗法对混合痔患者术后生活质量的影响。方法将100例混合痔患者随机分为治疗组和对照组,50例/组。2组均采用微创手术(RPH),治疗组在对照组的基础上给予中医药综合干预(耳穴压丸、内服中药、熏洗坐浴、外敷中药)治疗。比较2组患者术后临床疗效、生活质量积分的差异。结果治疗组临床疗效明显优于对照组(P <0.05),2组治疗后生活质量积分与本组治疗前比较均明显升高(P <0.05),治疗组治疗后生活质量积分与对照组比较升高更明显(P <0.05)。结论对混合痔患者术后采用中医药综合疗法,能促进创面愈合,提高患者生活质量。
Objective To observe the effect of comprehensive therapy of traditional Chinese medicine on the postoperative quality of life of patients with mixed hemorrhoids. Methods 100 cases of mixed hemorrhoids patients were divided into treatment group and control group(50 cases each) randomly, both of the two groups were adopted minimally invasive surgery(RPH). The treatment group received TCM comprehensive therapy(ear pills, take orally Chinese traditional medicine, fume wash hip bath, apply Chinese traditional medicine) on the basis of the control group, afterwards the study focused on comparing the differences in clinical efficacy and life quality score between the two groups. Results The clinical efficacy of the treatment group was obviously higher than that of the control group(P < 0.05). The scores on quality of life for the two groups after treatment were significantly better than those before(P < 0.05). The score on quality of life of the treatment group after treatment rose even more than that of the control group(P < 0.05). Conclusion Comprehensive therapy of traditional Chinese medicine can promote wound healing, improve patients' quality of life and reduce postoperative complications.
Objective To observe the effect of comprehensive therapy of traditional Chinese medicine on the postoperative quality of life of patients with mixed hemorrhoids. Methods 100 cases of mixed hemorrhoids patients were divided into treatment group and control group(50 cases each) randomly, both of the two groups were adopted minimally invasive surgery(RPH). The treatment group received TCM comprehensive therapy(ear pills, take orally Chinese traditional medicine, fume wash hip bath, apply Chinese traditional medicine) on the basis of the control group, afterwards the study focused on comparing the differences in clinical efficacy and life quality score between the two groups. Results The clinical efficacy of the treatment group was obviously higher than that of the control group(P < 0.05). The scores on quality of life for the two groups after treatment were significantly better than those before(P < 0.05). The score on quality of life of the treatment group after treatment rose even more than that of the control group(P < 0.05). Conclusion Comprehensive therapy of traditional Chinese medicine can promote wound healing, improve patients' quality of life and reduce postoperative complications.
引文
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[11]魏朝辉,莫一心,陈和年.生命质量测定量表SF-36的应用[J].国外医学社会医学分册, 1997, 14(4):145-147.
[12]孙静怡,陈长香.耳穴贴压对混合痔术后疼痛及排尿功能的影响[J].贵阳中医学院学报, 2016, 38(2):49-52.
[13]雷载权.中药学[M].上海:上海科学技术出版社, 1995:236.
[14]任鸣放.中药熏洗疗法在肛门中的应用[J].国际医药卫生导报, 2003, 9(8):111.
[15]宋立峰,赵占强,孙海芳,等.中药外用治疗痔疮术后并发症研究概述[J].环球中医药, 2016, 9(1):105-109.
[2]朱慧婷,王业皇.双波混合激光消融术联合围扎悬吊治疗Ⅱ~Ⅲ度内痔[J].长春中医药大学学报, 2018, 34(2):319-322.
[3]丁敏,高树坤,张明清.莱菔子敷脐疗法防治痔术后疼痛和尿潴留的分析[J].中外医疗, 2015, 34(22):87-88.
[4]何晓萍,郭珊,刘恺.耳穴贴压配合常规治疗混合痔术后疼痛效果观察[J].湖北中医杂志, 2016, 38(3):67-68.
[5]王斌.增液汤化裁联合穴位按摩辨治混合痔术后便秘的临床研究[J].现代中西医结合杂志, 2016, 25(5):529-531.
[6]霍巨,刘丽辉.中药熏洗坐浴治疗湿热下注型混合痔术后并发症临床研究[J].辽宁中医杂志, 2015, 42(5):1010-1012.
[7]姚向阳,彭军良,吴伟光,等.敛痔散外敷用于混合痔外剥内扎术后换药的临床观察[J].中国中医急症, 2011, 20(9):1387-1389.
[8]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.
[9]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社, 1994:53.
[10]郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社, 2002:287-288.
[11]魏朝辉,莫一心,陈和年.生命质量测定量表SF-36的应用[J].国外医学社会医学分册, 1997, 14(4):145-147.
[12]孙静怡,陈长香.耳穴贴压对混合痔术后疼痛及排尿功能的影响[J].贵阳中医学院学报, 2016, 38(2):49-52.
[13]雷载权.中药学[M].上海:上海科学技术出版社, 1995:236.
[14]任鸣放.中药熏洗疗法在肛门中的应用[J].国际医药卫生导报, 2003, 9(8):111.
[15]宋立峰,赵占强,孙海芳,等.中药外用治疗痔疮术后并发症研究概述[J].环球中医药, 2016, 9(1):105-109.