中医扩肛加激素注射治疗痔术后瘢痕性肛管狭窄的临床研究  

Clinical Study of TCM anal Dilatation Comnbined with Steroid Injection for the Treatment of Cicatricial Anal Canal Stenosis After Annular Mixed Hemorrhoids

作　　者：钱峻[1] 刘纪炎[1] 陈允[1] 孙锞 

机构地区：[1]新昌县人民医院肛肠外科,浙江新昌312500

出　　处：《中华中医药学刊》2015年第4期1002-1004,共3页Chinese Archives of Traditional Chinese Medicine

摘　　要：目的:探讨中医扩肛加激素注射治疗痔术后瘢痕性肛管狭窄的临床效果。方法:将收治的环状混合痔术后瘢痕性肛管狭窄患者按照随机数字表法随机分为研究1组、研究2组及对照组,其中研究1组和研究2组均采用中医扩肛加激素注射治疗,而对照组则仅给予中医扩肛治疗,比较3组患者的临床症状评分结果差异。结果:对照组患者在术后1个月、术后2个月的肛门直径均较本组治疗前明显下降,而研究1组、研究2组的肛门直径则与治疗前比较无明显差异;另外,在术后2个月对照组的肛门直径较研究1组、研究2组明显下降,且差异具有统计学意义(t=3.21、3.10、3.69,P<0.05)。研究1组、研究2组及对照组患者在术后1个月、术后2个月的症状总积分均较本组治疗前明显改善,而其中研究组1组和研究2组在术后2个月的改善程度明显优于对照组,且差异具有统计学意义(t=5.69、8.11,P<0.05)。研究1组、研究2组及对照组患者在术后1个月、术后2个月的排便困难、排泄物直径、坠痛、排便时间等症状积分均较本组治疗前明显改善,而其中研究组1组和研究2组在术后2个月的改善程度明显优于对照组,且差异具有统计学意义(t=10.32、11.52、7.82、5.69、6.21、6.34、4.58、4.49,P<0.05)。结论:中医扩肛法联合复方倍他米松注射液注射治疗具有明显的减轻环状混合痔术后瘢痕性肛管狭窄的形成,具有良好的临床防治效果。Objective： To investigate the clinical effect of cicatricial stenosis of anal canal TCM anal dilatation and steroid injection for the treatment of hemorrhoid after operation. Methods： This study will ring mixed hemorrhoids treated patients with cicatricial stenosis of anal canal after according to the random number table method were randomly divided into 1 groups,2 of the study group and the control group,in which 1 group study and research 2 groups use the TCM anal plus hormone therapy,while the control group was only given TCM anal the treatment,the clinical symptoms of the patients between the three groups in the score difference of the results. Results： the patients in the control group at postoperative 1 months,2 months after operation of anal diameter were significantly decreased in this group before treatment,and the study group 1,2 groups in the study of anal diameter compared with that before treatment had no significant difference; in addition,in 2 months after operation of anal diameter than those of the control group the 1 group,research2 group decreased significantly,and the difference has statistical significance（ t = 3. 21,3. 10,3. 69,P〈0. 05）. Study on 1 groups of study group and control group,2 patients in the postoperative 1 month,2 months after operation,the symptom total score were significantly improved after treatment in this group,in which 1 groups of and Research on the 2groups in the postoperative 2 months improved significantly better than the control group,with statistical significance and the difference（ t = 5. 69,8. 11,P〈0. 05）. Study on 1 groups of study group and control group,2 patients in the postoperative 1 month,2 months after the operation the difficult defecation,excreta diameter,fell the pain,defecation time of symptom scores were significantly improved after treatment in this group,in which 1 groups of 2 groups and 2 months after operation the improved significantly better than the control group,the difference has statistical significance and（ t =10. 32,1

关 键 词：中医扩肛 激素 环状混合痔术 瘢痕性肛管狭窄 

分 类 号：R574.8[医药卫生—消化系统]