云南白药胶囊联合中药局部熏蒸对湿热下注型混合痔患者术后康复的影响  

Effect of Yunnan Baiyao Capsule Combined with Local Fumigation of Traditional Chinese Medicine on Postoperative Rehabilitation of Patients with Damp-Heat Mixed Hemorrhoids

作　　者：阳忠 雍铁山 范新萍 李仕亮 YANG Zhong;YONG Tieshan;FAN Xinping;LI Shiliang(General Hospital of Jiangxi Pingxiang Mining Group Co.,Pingxiang 337000,China)

机构地区：[1]萍乡矿业集团有限责任公司总医院,江西萍乡337000

出　　处：《江西中医药大学学报》2025年第1期37-39,共3页Journal of Jiangxi University of Chinese Medicine

基　　金：江西省中医药管理局科技计划项目(2023B0510)。

摘　　要：目的:探讨云南白药胶囊联合中药局部熏蒸对湿热下注型混合痔患者术后康复的影响。方法:选取2021年5月—2023年8月萍乡矿业集团有限责任公司总医院收治的行外剥内扎术治疗的90例混合痔患者,采用随机数字表法分为对照组和观察组,各45例。对照组术后采用中药局部熏洗,观察组在此基础上加用云南白药胶囊治疗。比较2组临床疗效、肛肠动力学指标、症状改善情况、新生血管相关指标和并发症情况。结果:观察组治疗总有效率高于对照组(P<0.05);观察组治疗后直肠最大容量阈值、直肠感觉阈值及新生血管相关指标均高于对照组(P<0.05),肛管最大收缩压、肛管静息压均低于对照组(P<0.05);观察组症状消失时间短于对照组(P<0.05)。结论:湿热下注型混合痔患者术后应用云南白药胶囊联合中药局部熏蒸可促进新生血管生成,有效控制并发症的发生,使肛门功能改善,值得推广。Objective:To investigate the effect of Yunnan Baiyao Capsule combined with local fumigation of Traditional Chinese Medicine on postoperative rehabilitation of patients with damp-heat mixed hemorrhoids.Methods:Ninety cases of mixed hemorrhoids patients treated with external peeling and internal ligation admitted to our hospital from May 2021 to August 2023 were divided into two groups by using the random number table method.In the control group,45 cases were treated with localized fumigation with Traditional Chinese Medicine after surgery,and in the observation group,45 cases were treated with Yunnan Baiyao Capsule.The clinical efficacy,anorectal kinetic indexes,symptom improvement,neovascularization-related indexes and complications of the two groups were compared.Results:The total effective rate of observation group was higher than that of control group(P<0.05).After treatment,the maximum rectal volume threshold,rectal sensory threshold and neovasculum related indexes in the observation group were higher than those in the control group(P<0.05),and the maximum rectal systolic pressure and anal canal resting pressure were lower than those in the control group(P<0.05).Symptom disappearance time of observation group was shorter than that of control group(P<0.05).Conclusion:Postoperative application of Yunnan Baiyao Capsule combined with local fumigation of Traditional Chinese Medicine in patients with mixed hemorrhoids of the damp-heat-infiltration type can promote neovascularization,effectively control the occurrence of complications,and improve anal function,which is worthy of promotion.

关 键 词：混合痔 云南白药胶囊 中药局部熏蒸 

分 类 号：R266[医药卫生—中医外科学]