自拟苦参消痔汤熏洗治疗外痔的临床疗效观察(1)
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【摘要】目的：观察自拟苦参消痔汤熏洗治疗外痔的临床疗效，为临床治疗外痔提供参考。方法：选择我院肛肠科2009年5月～2010年3月收治的外痔患者104例，随机分为对照组和观察组各52例，对照组患者给予1∶5000高锰酸钾溶液坐浴；观察组患者给予自拟苦参消痔汤熏洗，7d为一个疗程，连续治疗3个疗程。结果：经过3个疗程的治疗后，对照组患者显效15例，有效23例，无效14例，总有效率73.08%；观察组患者显效17例，有效28例，无效7例，总有效率86.54%。两组总有效率比较，观察组患者明显高于对照组，差异有统计学意义(p<0.05)。结论：采用自拟苦参消痔汤熏洗治疗外痔，可以取得较满意的疗效，值得临床推广。
【关键词】自拟苦参消痔汤；外痔；熏洗；临床疗效
Tom Self Washing flavescens Xiaozhiling Clinical efficacy of treatment of external hemorrhoids
Liu Zuolin Kou QiangAo Ying
(Gaoping District, Nanchong City, Sichuan Nanchong First Hospital of Chinese Medicine 637100)
【Abstract】Objective To observe the self flavescens Xiaozhiling soup clinical efficacy of fumigation treatment of hemorrhoids, external hemorrhoids provide a reference for clinical treatment. Methods Anorectal our hospital in May 2009 ~ March 2010 104 cases of patients admitted to external hemorrhoids were randomly divided into control group and observation group of 52 patients in the control group were treated with 1:5000 potassium permanganate solution bath; The patients given self flavescens Xiaozhi soup Fumigation, 7d for a course of treatment, continuous treatment of 3 courses. Results After 3 courses of treatment, control group, 15 cases were markedly effective in 23 cases, 14 cases ineffective, the total efficiency of 73.08%; observation group, 17 cases were markedly effective in 28 cases, 7 cases, total effective rate 86.54% . The total effective rate compared to the observation group were significantly higher, the difference was statistically significant (p <0.05). Conclusion The self flavescens Xiaozhiling soup Fumigation treatment external hemorrhoids, you can obtain more satisfactory results, it is worth to be popularized.
【Key words】self Kushen Xiaozhiling soup; external hemorrhoids; Fumigation; clinical efficacy
痔疮是肛肠科临床最常见的疾病之一，可分为内痔、外痔、混合痔。我院肛肠科对收治的外痔患者采用自拟苦参消痔汤熏洗治疗，取得了较满意的疗效，现将结果报告如下。
1资料与方法
1.1一般资料
选择我院肛肠科2009年5月～2010年3月收治的104例外痔患者，年龄19～68岁，平均年龄(36.1±12.6)岁；其中男性55例，女性49例；病程10d～16年。全部患者均参照国家中医药管理局制定的《中医病症诊断疗效标准》确诊为外痔，其中炎性外痔21例，血栓性外痔25例，静脉曲张性外痔32例，结缔组织外痔26例。同时排除直肠癌、直肠脱垂、直肠息肉等患者。将104例患者随机分为对照组和观察组，每组各52例。两组患者在性别、年龄、病情、病程等方面比较，差异无统计学意义(p>0.05)，具有可比性。
1.2治疗方法
对照组患者给予浓度为1∶5000高锰酸钾溶液坐浴，保持水温40℃左右，20min/次，2次/日。观察组患者给予自拟苦参消痔汤趁热熏蒸患处，待水温降至40℃左右坐浴，20min/次，2次/日。7d为一个疗程，连续治疗3个疗程。治疗期间，两组患者均应忌烟、酒、辛辣刺激性食物，保持大便通畅。
自拟苦参消痔汤处方组成为：苦参15g、黄柏10g、蛇床子15g、地肤子12g、金银花20g、地榆10g、蒲公英10g、白及10g、延胡索15g、五倍子15g、朴硝10g ......
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