消肿止痛基本方加减坐浴在肛肠疾病术后恢复疗效观察  

Curative Observation of Modified Xiaozhong Zhitong Basic Prescription Sciatic Bath on Postoperative Recovery in Anorectal Diseases

作　　者：余志友 汪丽娜[2] 赵燕 YU Zhiyou;WANG Lina;ZHAO Yan(Jinniu District Traditional Chinese Medicine Hospital of Chengdu City,Chengdu Sichuan 610083,China;Chengdu Anorectal Specialized Hospital,Chengdu Sichuan 610083,China)

机构地区：[1]成都市金牛区中医医院,四川成都610083 [2]成都肛肠专科医院,四川成都610083

出　　处：《四川中医》2019年第12期138-140,共3页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:观察消肿止痛基本方随症加减坐浴肛肠疾病术后恢复临床疗效。方法:将2016年7月~2017年8月于我院择期行肛肠疾病手术的94例患者按随机对照原则分为观察组(n=47)和对照组(n=47),观察组于术后第2天给予消肿止痛基本方随症加减坐浴,对照组给予康复新稀释液坐浴熏洗,比较两组临床疗效、术后疼痛情况及治疗前、治疗1个疗程后、治疗2个疗程后的视觉模拟法(VAS评分)与水肿程度评分,并记录两组症状改善时间。结果:观察组疗效总有效率89.36%(42/47)显著高于对照组72.34%(34/47),差异具统计学意义(P<0.05);观察组术后疼痛情况显著优于对照组,治疗1个疗程及治疗2个疗程后VAS评分及水肿程度评分均显著低于对照组,差异具统计学意义(P<0.05);观察组疼痛消失时间、水肿消失时间、渗出物消失时间及创面愈合时间均显著早于对照组,差异具统计学意义(P<0.05)。结论:肛肠疾病手术患者术后应用消肿止痛基本方随症加减坐浴治疗,可迅速、有效作用于创面,减轻术后疼痛,加速水肿消退,具有较高临床应用价值。Objective: To investigate the clinical effect of the basic prescription for relieving swelling and relieving pain after operation.Methods: From July 2016 to August 2017,94 patients undergoing elective anorectal surgery in our hospital were randomly divided into two groups: observation group(n=47) and controlled group(n=47).The observation group was given an additional or subtractive sciatic bath with the basic prescription of detumescence and pain relief on the 2 nd day after operation.The patients in the controlled group were given ablution and fumigation with the new rehabilitative diluent.The clinical efficacy,postoperative pain,visual analogue(VAS) and edema degree were compared between the two groups before and after one course of treatment and two courses of treatment.Symptom improvement time was recorded in both groups.Results: The total effective rate of the observation group was 89.36%(42/47) significantly higher than that of the controlled group 72.34%(34/47),the difference was statistically significant(P < 0.05),the postoperative pain in the observation group was significantly better than that in the controlled group.The scores of VAS and edema after one course of treatment and two courses of treatment were significantly lower than those of the controlled group(P < 0.05).The time of exudate disappearance and wound healing were significantly earlier than that of the controlled group(P < 0.05).Conclusion: The basic prescription of relieving swelling and relieving pain after operation for anorectal diseases can be used to treat the wounds quickly and effectively,alleviate the postoperative pain and accelerate the regression of edema.It has high clinical application value.

关 键 词：消肿止痛汤 坐浴 肛肠疾病 术后恢复 

分 类 号：R657.1[医药卫生—外科学]