清热活血消肿方治疗混合痔术后并发症临床研究  

Clinical Studies of Clearing Heat,Circulating Blood and Eliminating Swelling Prescription Treatment of Postoperative Complications of Mixed Hemorrhoids

作　　者：张鑫麟[1] 朱丽娟[1] 黄烃[1] 

机构地区：[1]上海市中医医院,上海200071

出　　处：《中医学报》2014年第3期433-435,共3页Acta Chinese Medicine

基　　金：上海市卫生局科研基金项目(编号:Z0114046)

摘　　要：目的：观察清热活血消肿方熏洗治疗混合痔术后并发症的临床疗效。方法：将60例Ⅱ～Ⅳ期混合痔外剥内扎术后患者随机分为治疗组和对照组，每组各30例，术后第1天开始，治疗组采用清热活血消肿方熏洗，对照组采用痔疾洗液熏洗；两组均治疗7d，观察两组患者用药前、用药第1、3、5、7天创面疼痛、出血、水肿情况，记录患者有效率和创面实际愈合时间，同时观察与用药相关的局部皮肤过敏反应、全身不良反应情况。结果：两组创面实际愈合天数比较，差异有统计学意义（P〈0．05）。两组治疗前后疼痛、出血、水肿积分比较，差异有统计学意义（P〈0．05），两组治疗后组间疼痛、出血、水肿积分比较，差异有统计学意义（P〈0．05）。结论清热活血消肿方在减轻混合痔术后创面疼痛、出血、水肿及促进创面愈合方面安全有效。Objective：To investigate the clinical efficacy of clearing heat and blood swelling Fumigation postoperative complications mixed hemorrhoid treatment. Methods ：60 cases of 1] -IV mixed hemorrhoid surgery within Milligan were randomly divided into treat- ment group and control group ,30 cases in each, the first day after surgery, the use of heat treated blood swelling side Fumigation the control group, hemorrhoids lotion fumigation; groups were treated 7 d, were observed before treatment, medication 1,3,5,7 days wound pain, bleeding, edema, efficient and patient records actual wound healing time, while observing the local skin and drug-related allergic reactions, systemic adverse reactions. Results ： The actual wound healing days, the difference was statistically significant （ P 〈 0.05 ）. Pain, hemorrhage, edema points before and after treatment in both groups, the difference was statistically significant（ P 〈 0.05 ）, between the two groups after the treatment of pain, hemorrhage, edema points, the difference was statistically significant （ P 〈 0.05 ）. Conclusion heat blood swelling is safe and effective in reducing side mixed hemorrhoids postoperative wound pain, hemorrhage, edema and promote wound healing aspects.

关 键 词：混合痔 术后并发症 清热活血消肿方 中药熏洗 痔疾洗液 

分 类 号：R269.199[医药卫生—中西医结合]