中药泡茶方治疗痔疮急性发作的疗效观察  

Observation on Therapeutic Effect of Traditional Chinese Herbal Tea Prescription on Acute Attack of Hemorrhoids

作　　者：谢珉宁 陈兴华 俞婷 孟凡宇 张磊 XIE Min-ning;CHEN Xing-hua;YU Ting;MENG Fan-yu;ZHANG Lei(Department of Anorectal Chinese Medicine,Jinshan Hospital,Fudan University,Shanghai 201508,China)

机构地区：[1]复旦大学附属金山医院中医肛肠科,上海201508

出　　处：《医学信息》2021年第1期161-163,169,共4页Journal of Medical Information

基　　金：上海市金山区卫计委资助项目(编号:JSKJ-KTZY-2017-03);上海市中医重点专科培育项目(编号:沪卫中管〔2019〕7号)。

摘　　要：目的观察中药泡茶方服治疗急性痔疮的临床效果,探讨活血化瘀治则与健脾益气治则在治疗急性痔疮中的意义。方法选择2018年6月~2019年2月在我院就诊的80例痔疮急性发作患者作为研究对象,将其随机分为活血组与补气组,各40例,活血组给予活血止痛中药治疗,补气给予健脾益气中药治疗,比较两组临床疗效、疼痛缓解程度、痔核消退程度、中医征候评分及不良反应发生情况。结果活血组总有效率为95.00%,高于补气组的80.00%,差异有统计学意义(P<0.05);治疗后两组疼痛评分均较治疗前下降,差异有统计学意义(P<0.05),但两组组间比较,差异无统计学意义(P>0.05);治疗后两种中医征候评分均较治疗前下降,差异有统计学意义(P<0.05),但两组组间比较,差异无统计学意义(P>0.05);治疗后,两组疼痛评分均较治疗前下降,差异有统计学意义(P<0.05);但两组疼痛评分、疼痛消失时间比较,差异无统计学意义(P>0.05);治疗后,活血组痔核消退程度高于补气组,差异有统计学意义(P<0.05);两组治疗后均无严重不良反应,轻症患者经改变服药习惯后症状均消失。结论中药泡茶方可以作为急性痔发作时中医治疗的简便用药,活血药物和补气药物在治疗痔疮急性发作期时的均可取得一定的效果,但活血药物对痔核的消退程度优于补气药物。Objective To observe the clinical effect of traditional Chinese herbal tea prescription in the treatment of acute hemorrhoids,and to explore the significance of the treatment of promoting blood circulation and removing blood stasis and the treatment of strengthening the spleen and qi in the treatment of acute hemorrhoids.Methods 80 patients with acute hemorrhoid attacks who were treated in our hospital from June 2018 to February 2019 were selected as the research objects,and they were randomly divided into the blood circulation group and the qi group,40 cases in each group.The blood circulation group was treated with Chinese medicine for activating blood circulation and pain relief,and the qi group was treated with Chinese medicine for strengthening the spleen and replenishing qi.The clinical efficacy,pain relief,degree of hemorrhoid regression,TCM symptom score and adverse reactions were compared between the two groups.Results The total effective rate of the blood-activating group was 95.00%,which was higher than the 80.00%of the qi group,the difference was statistically significant(P<0.05);the pain scores of the two groups after treatment were lower than before treatment,the difference was statistically significant(P<0.05),but the difference between the two groups was not statistically significant(P>0.05);after treatment,the scores of the two TCM symptoms were lower than before treatment,the difference was statistically significant(P<0.05),but between the two groups the difference was not statistically significant(P>0.05);after treatment,the pain scores of the two groups decreased compared with those before treatment,and the difference was statistically significant(P<0.05),but there was no significant difference in the pain scores and pain disappearance time between the two groups(P>0.05);after treatment,the degree of hemorrhoid regression in the blood circulation group was higher than that in the qi group,the difference was statistically significant(P<0.05);There were no serious adverse reactions after treatme

关 键 词：中药泡茶 急性痔疮 活血药 补气药 

分 类 号：R657.18[医药卫生—外科学] R278[医药卫生—中医学]