乐洗一号方坐浴联合补中益气汤治疗对轻中度贫血痔术后恢复的影响  

Effect of Hip Bath with Lexi Prescription I Combined with Buzhong Yiqi Decoction on Postoperative Recovery of Mild-to-Moderate Anemic Hemorrhoids

作　　者：程灵智 冯群虎 CHENG Lingzhi;FENG Qunhu(Bao'an Hospital of Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine(Shenzhen Bao'an District Hospital of Chinese Medicine),Shenzhen Guangdong 518000,China)

机构地区：[1]广州中医药大学附属宝安中医院(深圳市宝安区中医院),广东深圳518000

出　　处：《新中医》2023年第18期71-76,共6页New Chinese Medicine

摘　　要：目的:观察乐洗一号方坐浴联合补中益气汤治疗对轻中度贫血痔术后恢复的影响。方法:选取74例行外剥内扎术治疗的贫血痔患者,随机分为对照组和治疗组,每组37例。治疗组术后采用乐洗一号方坐浴联合补中益气汤治疗,对照组术后采用高锰酸钾溶液坐浴治疗。2组均治疗14 d,随访至术后20 d。比较2组临床疗效,肛门疼痛、水肿、坠胀评分,血红蛋白(Hb)、血管内皮生长因子(VEGF)水平,住院、创面愈合时间。记录不良反应。结果:术后20 d,治疗组临床疗效优于对照组(P<0.05)。术后第3天,2组肛门疼痛、水肿、坠胀评分均较术后第1天降低(P<0.05),治疗组肛门疼痛、水肿、坠胀评分均低于对照组(P<0.05)。术后第14天,2组Hb、VEGF水平均较术后第1天升高(P<0.05),治疗组Hb、VEGF水平均高于对照组(P<0.05)。治疗组住院及创面愈合时间均短于对照组(P<0.05)。治疗期间,2组均无明显不良反应发生。结论:乐洗一号方坐浴联合补中益气汤治疗能有效缓解轻中度贫血痔术后患者的临床症状,提高Hb、VEGF水平,加快创面愈合,缩短住院时间。Objective:To observe the effect of therapy of hip bath with Lexi Prescription I combined with Buzhong Yiqi Decoction on postoperative recovery of mild-to-moderate anemic hemorrhoids.Methods:A total of 74 patients with anemic hemorrhoids who were given external stripping and internal ligation for treatment were randomly divided into the control group and the treatment group,with 37 cases in each group.The treatment group was treated with hip bath with Lexi Prescription I combined with Buzhong Yiqi Decoction,and the control group was given the hip bath with Potassium Permanganate Solution for treatment.Both groups were treated for 14 days,and followed up for 20 days after surgery.The clinical effects,scores of pain,edema and dragging and distending discomfort in the anus,levels of hemoglobin(Hb) and vascular endothelial growth factor(VEGF),and hospitalization time and recovery time of postoperative wound were compared between the two groups.The incidence of adverse reactions was recorded.Results:After 20 days of surgery,the clinical effective of the treatment group was better than that of the control group(P<0.05).On the third day after surgery,the scores of pain,edema and dragging and distending discomfort in the anus in the two groups were decreased when compared with those on the first day after surgery(P<0.05),and the above three scores in the treatment group were lower than those in the control group(P<0.05).On the fourteenth day after surgery,the levels of Hb and VEGF in both groups were increased when compared with those on the first day after surgery(P<0.05),and the above two levels in the treatment group were higher than those in the control group(P<0.05).The hospitalization time and recovery time of postoperative wound in the treatment group were shorter than those in the control group(P<0.05).During treatment,there was no significant adverse reaction in the two groups.Conclusion:The therapy of hip bath with Lexi Prescription I combined with Buzhong Yiqi Decoction can effectively mitigate the postoperativ

关 键 词：贫血痔 轻中度 外剥内扎术 乐洗一号方 坐浴 补中益气汤 血红蛋白 血管内皮生长因子 

分 类 号：R657.18[医药卫生—外科学]