消痔汤联合九华痔疮栓治疗痔疮的疗效观察  

Observation on efficacy of Xiaozhi decoction combined with Jiuhua Zhichuang suppository on hemorrhoids

作　　者：符新建 FU Xin-jian(Guangchang County People's Hospital,Fuzhou 344900,China)

机构地区：[1]广昌县人民医院,344900

出　　处：《中国现代药物应用》2022年第23期143-146,共4页Chinese Journal of Modern Drug Application

摘　　要：目的 观察消痔汤联合九华痔疮栓治疗痔疮的临床疗效。方法 60例痔疮患者,以随机数字表法分为对照组和研究组,每组30例。对照组给予九华痔疮栓治疗,研究组给予消痔汤联合九华痔疮栓治疗。比较两组患者治疗前后相关症状评分及症状明显减轻与消失时间、治疗效果、复发情况。结果 治疗前,两组肛门形态异常、痔黏膜形态异常、便血、水肿、疼痛、坠胀感及痔核脱出评分比较,差异无统计学意义(P>0.05);治疗后,两组肛门形态异常、痔黏膜形态异常、便血、水肿、疼痛、坠胀感及痔核脱出评分均低于治疗前,且研究组肛门形态异常评分(0.33±0.08)分、痔黏膜形态异常评分(0.41±0.17)分、便血评分(0.35±0.06)分、水肿评分(0.26±0.05)分、疼痛评分(0.45±0.12)分、坠胀感评分(0.56±0.14)分及痔核脱出评分(0.41±0.16)分均低于对照组的(0.75±0.16)、(0.90±0.20)、(0.79±0.15)、(0.74±0.13)、(1.09±0.29)、(0.94±0.23)、(1.07±0.24)分,差异具有统计学意义(P<0.05)。研究组疼痛明显减轻时间与消失时间分别为(2.76±0.56)、(3.51±0.75)d,便血明显减轻时间与消失时间分别为(1.61±0.36)、(2.43±0.49)d,肛门形态异常明显减轻时间与消失时间分别为(2.43±0.37)、(7.37±1.63)d,均明显短于对照组的(4.67±1.17)与(7.96±1.38)d、(3.15±0.88)与(5.27±1.06)d、(6.71±0.86)与(10.15±1.97)d,差异有统计学意义(P<0.05)。研究组治疗总有效率100.00%高于对照组的80.00%,复发率3.33%低于对照组的23.33%,差异有统计学意义(P<0.05)。结论 给予痔疮患者消痔汤联合九华痔疮栓治疗可明显提升临床治疗效果,缓解相关症状,缩短症状恢复时间,减少短期复发率,值得推广应用。Objective To observe the clinical efficacy of Xiaozhi decoction combined with Jiuhua Zhichuang suppository on hemorrhoids.Methods A total of 60 hemorrhoids patients were randomly divided into control group and research group,with 30 patients in each group.The control group was treated with Jiuhua Zhichuang suppository,and the research group was treated with Xiaozhi Decoction and Jiuhua Zhichuang suppository.The related symptom scores before and after treatment,symptom relief and disappearance time,therapeutic effect and the recurrence of the two groups were compared.Results Before treatment,there was no statistically significant difference in the scores of abnormal anal morphology,abnormal hemorrhoid mucosa morphology,hematochezia,edema,pain,feeling of swelling and prolapse of hemorrhoids between the two groups(P>0.05).After treatment,the scores of abnormal anal morphology,abnormal hemorrhoid mucosa morphology,hematochezia,edema,pain,feeling of swelling and prolapse of hemorrhoids in both groups were lower than those before treatment in this group;the research group had abnormal anal morphology score of(0.33±0.08) points,abnormal hemorrhoid mucosa morphology score of(0.41±0.17) points,hematochezia score of(0.35±0.06) points,edema score of(0.26±0.05) points,pain score of(0.45±0.12) points,feeling of swelling score(0.56±0.14) points and prolapse of hemorrhoids score of(0.41±0.16) points,which were lower than(0.75±0.16),(0.90±0.20),(0.79±0.15),(0.74±0.13),(1.09±0.29),(0.94±0.23),and(1.07±0.24) points in the control group;the differences were all statistically significant(P<0.05).The research group had pain relief and disappearance time of(2.76±0.56) and(3.51±0.75) d,hematochezia relief and disappearance time of(1.61±0.36) and(2.43±0.49) d,and relief and disappearance time of abnormal anal morphology of(2.43±0.37) and(7.37±1.63) d,which were obviously shorter than(4.67±1.17) and(7.96±1.38) d,(3.15±0.88) and(5.27±1.06) d,(6.71±0.86)and(10.15±1.97) d in the control group,and the differences we

关 键 词：消痔汤 九华痔疮栓 痔疮 

分 类 号：R266[医药卫生—中医外科学]