五倍子汤在环状混合痔黏膜环形切除术后患者中的应用  被引量:4

Application of Wubeizi Decoction in Patients with Annular Mixed Hemorrhoids after Mucosal Annular Resection

在线阅读下载全文

作  者:张谢梅 李兵 张明星 ZHANG Xiemei;LI Bing;ZHANG Mingxing(Zhongxiang Hospital of Traditional Chinese Medicine,Zhongxiang 431900,China;不详)

机构地区:[1]钟祥市中医院,湖北钟祥431900

出  处:《中外医学研究》2023年第27期5-9,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘  要:目的:分析五倍子汤在环状混合痔黏膜环形切除术后患者中的应用。方法:选取2020年2月—2022年2月钟祥市中医院肛肠科收治的60例环状混合痔黏膜环形切除术后患者。根据电脑随机数表法将其分为对照组和观察组,各30例。两组均行黏膜环形切除术。对照组术后第1天起予以高锰酸钾溶液治疗,观察组术后第1天起予以五倍子汤治疗。比较两组临床疗效,创面恢复情况,治疗前后炎症因子及肛门功能。结果:治疗后,观察组总有效率为96.67%,高于对照组的80.00%,差异有统计学意义(P<0.05)。治疗后,观察组创面面积、创面渗液、创面疼痛、肛缘水肿、肉芽组织评分均低于对照组,差异有统计学意义(P<0.05)。治疗后,两组白细胞介素-2(IL-2)、白细胞介素-6(IL-6)、白细胞介素-8(IL-8)及肿瘤坏死因子-α(TNF-α)水平均降低,观察组IL-2、IL-6、IL-8、TNF-α水平均低于对照组,差异有统计学意义(P<0.05)。治疗后,两组肛管静息压、肛管舒张压、肛管最大收缩压均升高,且观察组高于对照组,而肛管高压带的长度则缩短,且观察组短于对照组,差异有统计学意义(P<0.05)。结论:五倍子汤治疗环状混合痔黏膜环形切除术后患者效果显著,不仅能提升疗效,促进创面恢复,而且还能改善炎症因子水平及肛门功能。Objective:To analyze the application of Wubeizi Decoction in patients with annular mixed hemorrhoids after mucosal annular resection.Method:A total of 60 patients with annular mixed hemorrhoids after mucosal annular resection treated in the Anorectal Department of Zhongxiang Hospital of Traditional Chinese Medicine from February 2020 to February 2022 were selected.According to the method of computer random number table,the patients were divided into control group and observation group,30 cases in each group.Mucosal annular resection was performed in both groups.The control group was treated with Potassium Permanganate solution from the first day after surgery,and the observation group was treated with Wubeizi Decoction from the first day after surgery.The clinical efficacy,wound recovery condition,inflammatory factors and anal function before and after treatment were compared between the two groups.Result:After treatment,the total effective rate of the observation group was 96.67%,which was higher than 80.00%of the control group,and the difference was statistically significant(P<0.05).After treatment,the wound area,wound seepage,wound pain,anal border edema and granulation tissue score in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the levels of interleukin-2(IL-2),interleukin-6(IL-6),interleukin-8(IL-8)and tumor necrosis factor-α(TNF-α)in both groups were decreased,and the levels of IL-2,IL-6,IL-8 and TNF-αin observation group were lower than those in control group,and the differences were statistically significant(P<0.05).After treatment,the resting pressure of anal canal,diastolic pressure of anal canal and maximum systolic pressure of anal canal in both groups increased,and those in the observation group were higher than those in the control group,while the length of anal canal high pressure band was shortened,and that in the observation group was shorter than that in the control group,the differences were stati

关 键 词:环状混合痔 五倍子汤 黏膜环形切除术 肛门功能 炎症因子 

分 类 号:R657.18[医药卫生—外科学]

 

参考文献:

正在载入数据...

 

二级参考文献:

正在载入数据...

 

耦合文献:

正在载入数据...

 

引证文献:

正在载入数据...

 

二级引证文献:

正在载入数据...

 

同被引文献:

正在载入数据...

 

相关期刊文献:

正在载入数据...

相关的主题
相关的作者对象
相关的机构对象