止痛如神汤加减配合康复新液灌肠在混合痔(气滞血瘀证)术后患者治疗中的应用效果OA
Application Effect of Modified Zhitong Rushen Decoction Combined with Kangfuxin Liquid Enema in the Treatment of Patients with Mixed Hemorrhoids(Qi Stagnation and Blood Stasis Syndrome)after Operation
目的:探讨止痛如神汤加减配合康复新液灌肠在混合痔(气滞血瘀证)术后患者治疗中的应用效果.方法:选择 2023 年 1-12 月高安市人民医院 92 例混合痔(气滞血瘀证)患者,按照随机数字表法将其分为对照组(46 例)、观察组(46 例).观察组采用止痛如神汤加减配合康复新液灌肠进行治疗,对照组则采用康复新液进行灌肠治疗.比较两组临床指标、疼痛程度、肛门功能及血液指标.结果:观察组疼痛消失时间、创面愈合时间、创面水肿消退时间均比对照组早,住院时间比对照组短,差异均有统计学意义(P<0.05).术后 2、4、6 d,观察组VAS评分均比对照组低,差异均有统计学意义(P<0.05).术后 1 个月,观察组肛管高压带长度比对照组短,肛管静息压、肛管最大收缩压均比对照组高,差异均有统计学意义(P<0.05).术后 7 d,观察组血管内皮生长因子(VEGF)、表皮生长因子(EGF)水平均比对照组高,白细胞介素-22(IL-22)、肿瘤坏死因子-α(TNF-α)水平均比对照组低,差异均有统计学意义(P<0.05).结论:混合痔(气滞血瘀证)术后患者采用止痛如神汤加减配合康复新液灌肠治疗可缩短各临床指标时间,降低疼痛程度,促进肛门功能恢复,改善血液指标水平.
Objective:To explore the application effect of modified Zhitong Rushen Decoction combined with Kangfuxin Liquid enema in the treatment of postoperative patients with mixed hemorrhoids(Qi stagnation and blood stasis syndrome).Method:A total of 92 patients with mixed hemorrhoids(Qi stagnation and blood stasis syndrome)in People's Hospital of Gao'an from January to December 2023 were selected,and were divided into control group(46 cases)and observation group(46 cases)by random number table method.The observation group was treated with modified Zhitong Rushen Decoction combined with Kangfuxin Liquid enema,while the control group was treated with Kangfuxin Liquid enema.The clinical indicators,pain degree,anal function and blood indicators of the two groups were compared.Result:The pain disappearance time,wound healing time,wound edema regression time of the observation group were earlier than those of the control group,hospitalization time of the observation group was shorter than that of the control group,the differences were statistically significant(P<0.05).The VAS scores of the observation group at 2,4 and 6 days after operation were lower than those of the control group,the differences were statistically significant(P<0.05).One month after operation,the length of anal high pressure zone in the observation group was shorter than that in the control group,and the anal resting pressure and the maximum systolic pressure of the anal canal in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).At 7 d after operation,the levels of vascular endothelial growth factor(VEGF)and epidermal growth factor(EGF)in the observation group were higher than those in the control group,and the levels of interleukin-22(IL-22)and tumor necrosis factor-α(TNF-α)levels were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The modified Zhitong Rushen Decoction combined with Kangfuxin Liquid enema in the treatment of postoperative patients with mixed hemorrhoids(Qi stagnation and blood stasis syndrome)can shorten the time of clinical indicators,reduce the degree of pain,promote the recovery of anal function,and improve the level of blood indicators.
梁高华;廖丽云;单辉强
高安市人民医院肛肠科 江西 高安 330800高安市中医院儿科 江西 高安 330800
混合痔止痛如神汤加减康复新液灌肠
Mixed hemorrhoidsModified Zhitong Rushen DecoctionKangfuxin LiquidEnema
《中国医学创新》 2024 (019)
76-80 / 5
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