肛泰栓联合地奥司明对混合痔术后患者创面愈合及肛管舒张压的影响
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R657.1+8

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浙江省中医药科技计划项目(2023ZL577);丽水市科技计划项目(2022GYX32)


Effect of Gangtai Suppository Combined with Diosmin on Wound Healing and Anal Canal Diastolic Pressure in Patients After Mixed Hemorrhoid Surgery
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    摘要:

    目的:观察肛泰栓联合地奥司明对混合痔术后患者创面愈合及肛管舒张压的影响。方法:选取丽 水市人民医院于2022年7月—2024年12月收治的80例混合痔患者进行回顾性研究,根据不同的治疗方法分为 单药组和联合组各40例。2组均给予外剥内扎手术,术后单药组采用地奥司明治疗,联合组采用肛泰栓联合地 奥司明治疗。治疗7天后比较2组临床疗效、肛缘水肿情况、疼痛程度[视觉模拟评分法(VAS) 评分]、创面 愈合时间和肛门功能。结果:治疗后,联合组总有效率为97.50%(39/40),单药组为75.00%(30/40),组间比 较,差异有统计学意义(P<0.05)。治疗后,联合组肛缘水肿程度评级优于对照组,差异有统计学意义(P< 0.05)。治疗后,2 组VAS 评分均较治疗前降低(P<0.05),且联合组VAS 评分降低幅度大于对照组(P< 0.05)。治疗后,联合组平均创面愈合时间为(17.72±2.06) 天,单药组为(24.64±3.55) 天,2组比较,差异有 统计学意义(P<0.05)。治疗后,2组肛管高压带长度均较治疗前缩短(P<0.05),舒张压和最大收缩压均较 治疗前升高(P<0.05);且联合组肛管高压带长度短于单药组(P<0.05),舒张压和最大收缩压高于单药 组(P<0.05)。结论:肛泰栓联合地奥司明能够减轻肛周疼痛及肛缘水肿,加速混合痔患者的创面愈合,改善 肛门功能。

    Abstract:

    Abstract:Objective:To observe the effect of Gangtai Suppository combined with Diosmin on wound healing and anal canal diastolic pressure in patients after mixed hemorrhoid surgery. Methods:A retrospective study was conducted on 80 patients with mixed hemorrhoids admitted to Lishui People's Hospital from July 2022 to December 2024. According to different treatment methods, the cases were divided into the single-drug group (n=40, treated with Diosmin alone) and the combination group (n=40, treated with Gangtai Suppository combined with Diosmin). Both groups underwent Milligan-Morgan hemorrhoidectomy. After seven days of treatment, clinical efficacy, perianal edema,pain severity [Visual Analogue Scale (VAS) scores],wound healing time,and anal function were compared between the two groups. Results:After treatment,the total effective rate in the combination group was 97.50% (39/ 40),significantly higher than that of 75.00%( 30/40) in the single-drug group( P<0.05). The perianal edema grade in the combination group was better than that in the single-drug group (P<0.05). The VAS scores of both groups decreased after treatment compared with those before treatment (P<0.05),with a greater reduction in the combination group (P<0.05). The average wound healing time in the combination group was (17.72 ± 2.06) days, significantly shorter than that of (24.64 ± 3.55) days in the single-drug group (P<0.05). After treatment,the length of the highpressure zone in the anal canal decreased in both groups compared with those before treatment (P<0.05), while diastolic pressure and maximum systolic pressure increased (P<0.05). The combination group showed a shorter highpressure zone length and higher diastolic and maximum systolic pressures compared to the single-drug group (P<0.05). Conclusion: Gangtai Suppository combined with Diosmin can alleviate perianal pain and edema, accelerate wound healing,and enhance anal function in patients after mixed hemorrhoid surgery.

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舒腾宇,苏钶,滕向龙.肛泰栓联合地奥司明对混合痔术后患者创面愈合及肛管舒张压的影响[J].新中医,2026,58(2):28-32

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  • 在线发布日期: 2026-01-29
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