芙蓉膏联合痔瘘洗剂治疗血栓性外痔临床观察  

Clinical Effect of Hibiscus Paste Combined with Hemorrhoids-Fistula Lotion in Treatment of Thrombosed External Hemorrhoids

作　　者：宋思璇 王建民[2] SONG Sixuan;WANG Jianmin(Anhui University of Chinese Medicine,Anhui Hefei 230012,China;The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230031,China)

机构地区：[1]安徽中医药大学,安徽合肥230012 [2]安徽中医药大学第一附属医院,安徽合肥230031

出　　处：《安徽中医药大学学报》2023年第6期12-15,共4页Journal of Anhui University of Chinese Medicine

基　　金：“十三五”医疗卫生重点专科建设项目([2016]658号);全国名老中医药专家传承工作室建设项目(2016)。

摘　　要：目的 观察痔瘘洗剂熏洗联合芙蓉膏外敷治疗血栓性外痔的临床疗效。方法 将40例血栓性外痔患者随机分为联合组和肛泰组,每组20例。联合组用痔瘘洗剂熏洗联合芙蓉膏外敷患处,肛泰组用肛泰软膏外敷患处。治疗3、5、7 d后,分别比较两组患者肛门疼痛、肛缘水肿及血栓颜色评分;治疗7 d后,观察两组患者临床疗效。结果 肛泰组治疗5、7 d后,联合组治疗3、5、7 d后肛门疼痛、肛缘水肿、血栓颜色评分均显著低于治疗前(P<0.05);治疗3、5、7 d后,联合组3种症状评分均显著低于肛泰组(P<0.05)。联合组临床疗效显著优于肛泰组(P<0.05)。结论 痔瘘洗剂熏洗联合芙蓉膏外敷可减轻肛门疼痛,促进肛缘血栓吸收。Objective To investigate the clinical effect of fumigation-washing therapy with hemorrhoids-fistula lotion combined with hibiscus paste in the treatment of thrombosed external hemorrhoids.Methods A total of 40 patients with thrombosed external hemorrhoids were divided into combination group and Gangtai group,with 20 patients in each group.The patients in the combination group were treated with fumigation-washing therapy with hemorrhoids-fistula lotion combined with hibiscus paste,and those in the Gangtai group were treated with external application of Gangtai ointment.The two groups were observed in terms of the scores of anal pain,anal edema,and thrombus color on days 3,5,and 7 of treatment,and clinical outcome was observed after 7 days of treatment.Results The Gangtai group had significant reductions in the scores of anal pain,anal edema,and thrombus color on days 5 and 7 of treatment,while the combination group had significant reductions in these scores on days 3,5,and 7 of treatment(P<0.05);on days 3,5,and 7 of treatment,the combination group had significantly lower scores of the three symptoms than the Gangtai group(P<0.05).The combination group had a significantly better clinical outcome than the Gangtai group(P<0.05).Conclusion For patients with thrombosed external hemorrhoids,fumigation-washing therapy with hemorrhoids-fistula lotion combined with hibiscus paste can alleviate anal pain and promote the absorption of anal thrombus.

关 键 词：血栓性外痔 水肿 芙蓉膏 痔瘘洗剂 

分 类 号：R657.1[医药卫生—外科学] R266[医药卫生—临床医学]