痔血安合剂治疗湿热下注型老年痔出血临床疗效观察  

Clinical observation of Zhixuean Mixture in treating hemorrhoids bleeding in elderly patients of damp-heat pouring downward syndrome

作　　者：任盛静 马燕玲[1] 陈勇[1] 徐浩[1] 邓蓓蕾 陆宏[1] 芦亚峰[1] 瞿胤 张志君[1] 郑德[1] REN Sheng-jing MA Yan-ling CHEN Yong XU Hao DENG Bei-lei LU Hong LU Ya-feng QU Yin ZHANG Zhi-jun ZHENG De(Anorectal Department, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200021 Shanghai Municipal Hospital of Integrated Chinese and Western Medicine, Shanghai, 200082 Jingan District Hospital of Traditional Chinese Medicine, Shanghai, 200072)

机构地区：[1]上海中医药大学附属曙光医院肛肠科,上海200021 [2]上海市中西医结合医院,上海200082 [3]上海市静安区中医医院,上海200072

出　　处：《上海中医药杂志》2017年第2期58-60,共3页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市卫计委中医药发展三年行动计划项目(ZY3-JSFC-2-1037);上海市卫计委中医药科研基金项目(2010QL045A;2014LP099A);上海市第五批全国老中医专家学术经验继承项目(201240);上海市科委科研计划项目(13401902503)

摘　　要：目的观察痔血安合剂治疗湿热下注型老年痔出血的临床疗效。方法将120例老年痔出血患者随机分成治疗组和对照组,每组60例;治疗组口服痔血安合剂,对照组口服槐角丸,疗程均为2周。观察两组治疗前后和随访2周时便血、坠痛、痔黏膜状态、痔核大小和脱出积分变化。结果治疗后,两组便血、坠痛、痔黏膜、痔核大小积分均较治疗前降低(P<0.05,P<0.01),且治疗组便血、痔黏膜、痔核大小积分低于对照组(P<0.05);随访2周时,两组便血、坠痛、痔黏膜、痔核大小积分较治疗前后显著下降(P<0.05),且治疗组便血、痔黏膜积分低于对照组(P<0.05)。结论痔血安合剂治疗老年痔出血效果良好。Objective To observe the clinical efficacy of Zhixuean Mixture in treating hemorrhoids bleeding in elderly patients of damp-heat pouring downward syndrome. Methods 120 elderly patients with hemorrhoids bleeding were randomly divided into the treatment group and control group,60 cases in each group.The treatment group was orally treated with Zhixuean Mixture,the control group was orally treated with Huaijiao Pills,with a course of 2 weeks. The changes of hematochezia,bearing-down pain,hemorrhoids mucosa,hemorrhoidal node size and prolapse in both groups were observed before and after treatment and follow-up for 2 weeks. Results After treatment,the integrals of hematochezia,bearing-down pain,hemorrhoids mucosa and hemorrhoidal node size were decreased in both groups compared with treatment before（ P 〈0. 05,P〈 0. 01）,and the integrals of hematochezia,hemorrhoids mucosa and hemorrhoidal node size in the treatment group were lower than those in the control group（ P 〈0. 05）. When followed-up for 2 weeks,the integrals of hematochezia,bearing-down pain,hemorrhoids mucosa and hemorrhoidal node size were significantly decreased in both groups compared with treatment before and after（ P 〈0. 05）,and the integrals of hematochezia and hemorrhoids mucosa in the treatment group were lower than those in the control group（ P 〈0. 05）. Conclusion Zhixuean Mixture shows good effects in the treatment of hemorrhoids bleeding in elderly patients.

关 键 词：痔血安合剂 痔 出血 老年患者 

分 类 号：R266[医药卫生—中医外科学]