金玄痔科熏洗散联合地奥司明片治疗混合痔术后疼痛、水肿疗效观察
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Observation on Therapeutic Effect of Jinxuan Zhike Fumigation- Washing Powder Combined with Diosimine Tablets on Pain and Edema After Surgery for Mixed Hemorrhoids
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    摘要:

    目的:观察金玄痔科熏洗散联合地奥司明片治疗混合痔术后疼痛、水肿的临床疗效。方法:选取混合痔术后患者72 例,按随机数字表法分为对照组和治疗组各36 例。2 组均给予外剥内扎手术,术后常规处理,对照组术后加用地奥司明片治疗;治疗组在对照组基础上给予金玄痔科熏洗散治疗。2 组疗程均为7 d。比较2 组肛周疼痛评分、肛缘水肿评分及总体临床疗效。结果:治疗组总有效率为94.44%,对照组为72.22%,2 组比较,差异有统计学意义(P<0.05)。术后治疗3、7 d,2 组肛周疼痛视觉模拟评分法(VAS)评分均较术前明显减少(P<0.05),且治疗组在相同时间点的疼痛VAS 评分均低于对照组(P<0.05)。术后治疗3、7 d,2 组肛缘水肿评分均较术前明显减少(P<0.05),且治疗组在相同时间点的肛缘水肿评分均低于对照组(P<0.05)。结论:金玄痔科熏洗散联合地奥司明片应用于混合痔术后患者,能够减轻肛周疼痛及肛缘水肿,提高临床治疗效果。

    Abstract:

    Abstract: Objective: To observe the therapeutic effect of the therapy of Jinxuan Zhike Fumigation- Washing Powder combined with diosimine tablets on pain and edema after surgery for mixed hemorrhoids. Methods:A total of 72 patients who underwent surgery for mixed hemorrhoids were selected and divided into the control group and the treatment group according to random number table method,with 36 cases in each group. Both groups were treated with routine postoperative treatment of external stripping and internal ligation,the control group was treated with diosimin tablets after surgery,and the treatment group was additionally treated with Jinxuan Zhike Fumigation-Washing Powder combined with diosimine tablets. The treatment course of both groups was seven days. The score of perianal pain,the score of perianal edema and overall clinical effects were compared between the two groups. Results:The total effective rate was 94.44% in the treatment group and 72.22% in the control group,the difference being significant(P<0.05). On day three and day seven of postoperative treatment, the scores of perianal pain based on Visual Analogue Scale(VAS) in both groups were significantly decreased when compared with those before surgery (P<0.05), and the VAS score of perianal pain in the treatment group was lower than that in the control group at the same time point(P<0.05). On day three and day seven of postoperative treatment,the scores of perianal edema in both groups were significantly decreased when compared with those before surgery (P<0.05),and the score of perianal edema in the treatment group was lower than that in the control group at the same time point(P<0.05). Conclusion:The therapy of Jinxuan Zhike Fumigation- Washing Powder combined with diosimine tablets can relieve perianal pain and perianal edema, and improve the clinical treatment effect.

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林诗佳,连旭,倪乐.金玄痔科熏洗散联合地奥司明片治疗混合痔术后疼痛、水肿疗效观察[J].新中医,2022,54(20):83-86

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  • 在线发布日期: 2022-10-28
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