中西医结合治疗肛肠科术后合并肛门瘙痒的临床效果  

Clinical Effect of Traditional Chinese Combining with Western Medicine in Treatment of Postoperative Anal and Rectal Diseases with Anal Itching

作　　者：白贵生 BAI Guisheng(Department of Integrated Traditional Chinese and Western Medicine,Pingliang City Chongxin County People's Hospital,Pingliang,Gansu,744299)

机构地区：[1]甘肃省平凉市崇信县人民医院中西医结合科,甘肃平凉744299

出　　处：《智慧健康》2024年第9期48-51,共4页Smart Healthcare

摘　　要：目的观察中西医结合治疗肛肠科术后合并肛门瘙痒的效果。方法收集2021年1月—2023年1月本院收治的肛肠科术后合并肛门瘙痒患者88例。根据治疗方案不同分为常规治疗组和中西医结合治疗组,每组44例,对比分析两组的治疗效果。结果中西医结合治疗组患者肛周分泌物消失时间、皮损症状消失时间比常规治疗组更短(P<0.05)。中西医结合治疗组的临床疗效优良率比常规治疗组更高(P<0.05)。中西医结合治疗组的不良反应发生率比常规治疗组更低(P<0.05)。治疗10d后,中西医结合治疗组的血清因子水平比常规治疗组更低(P<0.05)。治疗10d后,中西医结合治疗组的中医证候积分值比常规治疗组更低(P<0.05)。结论中西医结合治疗肛肠科术后疾病合并肛门瘙痒患者,能够取得更佳治疗效果。Objective To observe effect of traditional Chinese combined with western medicine in treatment of postoperative anal and rectal diseases complicated with anal itching.Methods The paper collected 88 cases of postoperative diseases complicated with anal itching in colorectal surgery department from January 2021 to January 2023.Routine treatment group(44 cases)was treated with routine western medicine treatment;combination of TCM and western medicine group(44 cases)with traditional Chinese combined with western medicine.Curative effect was researched.Results Disappearance time of perianal secretions and skin lesion symptoms in combination of traditional Chinese and western medicine treatment group was shorter than routine treatment group,(3.89±1.02)d vs(5.67±1.87)d;(5.64±1.01)d vs(7.68±1.45)d(P<0.05).Clinical effect rate of combination of traditional Chinese and western medicine treatment group was higher than routine treatment group,95.46%vs 77.27%(P<0.05).Incidence of adverse reactions in combination of traditional Chinese and western medicine treatment group was lower than routine treatment group,4.54%vs.22.73%(P<0.05).After 10 days of treatment,serum factor levels in combination of traditional Chinese and western medicine treatment group were lower than routine treatment group(P<0.05).After 10 days of treatment,traditional Chinese medicine syndrome scores of combination of traditional Chinese and western medicine treatment group were lower than routine treatment group:itching symptom scores(0.39±0.02)points and(1.69±0.33)points;constipation symptom scores(0.59±0.06)points and(1.69±0.17)points;perianal abscess symptom scores(0.58±0.03)points and(1.11±0.24)points(P<0.05).Conclusion Combination of traditional Chinese and western medicine can achieve better curaitve effect for patients with postoperative anal and rectal diseases complicated by anal itching.

关 键 词：肛肠科 术后疾病 肛门瘙痒 疗效 预后 

分 类 号：R657.1[医药卫生—外科学]