金玄痔科熏洗散辅助亚甲蓝封闭术治疗陈旧性肛裂临床观察  

Clinical Observation of Chronic Anal Fissure Treated with Jinxuan Zhike Xunxi Powder Adjuvant with Methylene Blue Block

作　　者：霍斌[1] 

机构地区：[1]成都市新都区中医医院,四川成都610500

出　　处：《世界中西医结合杂志》2011年第7期593-595,共3页World Journal of Integrated Traditional and Western Medicine

摘　　要：目的通过对陈旧性肛裂患者于局麻下行稀释亚甲蓝肛周封闭后辅以金玄痔科熏洗散熏洗、坐浴治疗的临床观察,探讨此方法对肛肠科门诊陈旧性肛裂患者治疗的有效性。方法将72例肛裂患者随机分成两组,其中治疗组38例,行稀释亚甲蓝肛周封闭后辅以金玄痔科熏洗散熏洗、坐浴治疗;对照组34例则以金玄痔科熏洗散熏洗、坐浴治疗配合栓剂纳肛治疗。以症状、体征评分方式观察两组的治疗效果。结果治疗后24 h,治疗组与对照组的症状、体征总得分相比较,无统计学差异;治疗后72 h及第7天,治疗组症状、体征总得分则优于对照组。结论金玄痔科熏洗散辅助亚甲蓝封闭术可以有效改善陈旧性肛裂患者的临床症状,施行简易、安全,易于掌握,适合在肛肠科门诊推广。Objective To explore the effectiveness on chronic anal fissure treated with fumigation washing with jinxuan zhike xunxi powder and hip bath therapy after methylene blue block under local anesthesia.Methods 72 cases of anal fissure were divided randomly into two groups.38 cases in a treatment group were treated with fumigation washing with jinxuan zhike xunxi powder and hip bath therapy after methylene blue block under local anesthesia.34 cases in a control group were treated with fumigation washing with jinxuan zhike xunxi powder and hip bath therapy combined with anal suppository therapy.The therapeutic effect of two groups was observed in terms of the assessment of symptoms and physical signs.Results In 24 h after treatment,the comparison of the total scores of symptoms and physical signs did not present statistical difference between treatment group and control group.In 72 h and on the 7th day after treatment,the total scores of symptoms and physical signs in treatment group were superior to those in control group,indicating statistical different significance（P0.05 or P0.01）.Conclusion Jinxuan zhike xunxi powder adjuvant with methylene blue block may effectively improve in clinical symptoms of the patients with chronic anal fissure.This therapy is easy and safe in application and is suitable to be promoted in anorectal clinic.

关 键 词：肛裂 封闭 熏洗散 

分 类 号：R657.14[医药卫生—外科学]