摘要
目的采用前瞻性、随机对照、盲法的临床试验设计方法 ,观察丹卿方治疗混合痔术后并发症并评价其临床疗效和安全性。方法 90例患者随机分为治疗组和对照组两组,各45例。治疗组采用丹卿方熏洗,对照组采用痔疾洗剂,每日2次,用药2周。观察术后第1日、2日、7日、2周,两组术后水肿、疼痛、创面肉芽生长、上皮爬生情况等。结果术后3、7 d,治疗组疼痛积分改善优于对照组(P<0.05);术后1、3、7 d,治疗组水肿积分改善优于对照组(P<0.05)。术后3 d,治疗组渗液积分改善优于对照组(P<0.05)。治疗后,治疗组创面愈合时间优于对照组(P<0.05),而两组治疗费用方面差异不大(P>0.05)。结论丹卿方熏洗坐浴治疗混合痔术后并发症疗效较好。
Objective: To carry out scientific and standardized clinical trials of Danqing Decoction on mixed hemorrhoids postoperative complications with a prospective,randomized,blinded clinical trial design method,and to evaluate the clinical efficacy and safety,providing technical reference for future declaration hospital preparations or new drug of Chinese Medicine. Methods: 90 patients were randomly divided into two groups according to1∶1,45 cases in each group. The treatment group used Danqing Decoction fumigation,the control group with hemorrhoids lotion,2 times/d,2 weeks. The postoperative edema,pain,granulation growth and epithelial climbing of the two groups were observed after 1 d,2 d,7 d,2 week after operation. Results: 1)In the improvement of postoperative edema and pain;1 d,2 d and 7 d score of the treatment group was better than that of the control group in the postoperative improvement of edema(P 0.05). In the improvement in pain after surgery: 2 d and 7 d score of the treatment group was better than that of the control group(P 0.05). 2)In the postoperative wound healing:the treatment group was better than the control group. 3)In terms of hospitalization costs: the treatment group was superior to the control group. Conclusion: In the statistical analysis after treatment,compared with the ontrol group,the treatment group is better in treating or reducing the complications of mixed hemorrhoids,saving economic costs,worthy of further clinical application and research.
出处
《中国中医急症》
2016年第5期886-888,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
上海市进一步加快中医药事业发展三年行动计划-中医流派传承规律和模式研究-海派中医流派(顾氏外科)传承研究基地建设项目(ZY3-CCCX-1-1004)
浦东新区中医药事业发展专项资金"院内制剂和经验方规范化临床验证"(PDYNZJ2014-31)
上海市市级医院适宜技术项目任务书分段拖线法治疗复杂性肛瘘基层推广应用(SHDC12014201)
关键词
肛肠术后
水肿
疼痛
丹卿方
熏洗
After anorectal operation
Edema
Pain
Danqing Decoction
Fumigation and washing with medicinal solution