中药熏洗治疗痔术后肛缘水肿用药规律分析  

Analysis of Medication Regularity of Chinese Medicine in Treatment of Anal Verge Edema after Hemorrhoid Surgery by Fumigating and Washing

作　　者：罗纯娣 梁劲军[2] 陈超云[2] 李洋[2] LUO Chundi1, LIANG Jinjun2, CHEN Chaoyun2, LI Yang2(1.Guangzhou University of Chinese Medicine,Guangzhou 510405,China;2.Proctology Department of Guangzhou Municipal Hospital of Traditional Chinese Medicine,Guangzhou 510130,Chin)

机构地区：[1]广州中医药大学,广东广州510405 [2]广州市中医医院肛肠科,广东广州510130

出　　处：《山东中医杂志》2018年第4期302-305,321,共5页Shandong Journal of Traditional Chinese Medicine

摘　　要：目的：基于相关文献分析中药熏洗治疗痔术后肛缘水肿的用药规律。方法：收集中国知网数据库（CNKI）1997年1月1日至2016年12月30日发表的中药熏洗治疗痔术后肛缘水肿的文献,从符合纳入标准的文献中提取相关信息,行规范化处理后建立数据库,利用Access数据库、SPSS 17.0及SPSS Clement 12.0统计软件进行频数与关联规则分析,总结中药熏洗治疗痔术后肛缘水肿的用药规律。结果：共收录符合纳入标准的文献101篇,包括处方101首、中药112味。中药类别共19类,使用频数前3位由高到低分别为清热药（主要是清热燥湿药和清热解毒药）、活血化瘀药、泻下药,总频率为56.62%;中药使用频数前5位由高到低依次为黄柏、苦参、芒硝、五倍子、大黄,累计频率为30.69%。所用药物中,寒性药物使用频数为521次（63.00%）,苦味594次（41.98%）;中药归经前3位为肝经、脾经、大肠经,三者的使用总频率为48.33%。结论 ：中药熏洗治疗痔术后肛缘水肿常从祛湿、清热、化瘀着手,用药以清热解毒、清热燥湿、活血化瘀类药物为主。Objective：To analyze the medication regularity of Chinese medicine in treatment of anal verge edema after hemorrhoid surgery by fumigating and washing based on relevant literature. Methods：Literature about treatment of anal verge edema after hemorrhoid surgery by fumigating and washing with Chinese medicine in CNKI published from January 1,1997 to December 30,2016 were collected,and relevant infor- mation were extracted from literature which met the inclusion criteria. After standardization,the database was built up and the frequency and association rule analysis was made by statistics softwares,including Access Database,SPSS17.0 and SPSS Clement 12.0,in an effort to sum up the medication regularity of Chinese medicine in treatment of anal verge edema after hemorrhoid surgery by fumigating and washing method. Results：A total of 101 pieces of literature which matched the inclusion criteria were collected,inluding 101 prescriptions and 112 kinds of Chinese Medicine. There were 19 categories of Chinese medicine,the top 3 categories with high usage frequency were heat-clearing medicine（mainly for clearing heat,dampness and poison） ,medicine for invigorating blood circulation and eliminating blood stasis and purgating medicine,with a total frequency of 56.62%. The top 5 Chinese medicines with high usage frequency were Huangbai （Phellodendri Chinensis Cortex ）, Kushen （Sophorae Flavescentis Radix ）, Mangxiao （Natrii Sulfas ）, Wubeizi （Galla Chinensis） ,Dahuang（Rhei Radix Et Rhizoma）,with an accumulative frequency of 30.69%. Among all the medicines,medicines with cold nature were used 521 times（63.00%） and medicines with bitter flavor were used 594 times（41.98%）. For the meridian tropism,the top 3 meridians were liver meridian,spleen meridian and large intestine meridian,of which the total frequency was 48.33%. Conclusions：The treatment of anal verge edema after hemorrhoid surgery by fumigating and washing with Chinese medicine usually based on clearing dampness,heat and blood sta

关 键 词：痔术后 肛缘水肿 中药 熏洗 用药规律 频数分析 

分 类 号：R266[医药卫生—中医外科学]