地奥司明片对环状混合痔术后水肿的预防及治疗观察

The prevention and treatmernt of modial siming tablets in circuar mixed hemorrhoid postoperative edeme

目的观察地奥司明片在预防和治疗环状混合痔术后水肿及水肿后机化方面的作用。方法120例环状混合痔患者，按完全随机设计方法用随机数字表随机分为治疗组60例，对照组60例。两组均行环状混合痔外切内注结扎术，术后常规抗炎、止血、局部马应龙麝香痔疮膏换药。治疗组术后第1天开始口服地奥司明片1．5g，一天两次服4d，以后改为1g，一天两次服3d。结果治疗组水肿发生率为6．6％，对照组水肿发生率为30％，两组水肿发生率有显著性性差异（P〈0．01）。治疗组水肿无机化，对照组水肿后机化4例，两组水肿机化率有显著性差异（P〈0．01）。结论地奥司明片能有效预防和消散环状混合痔术后水肿。

Objective To observe the effect of Diosmin Tablets about the prevention and treatment of edema that breaks out after a circular mixed hemorrhoids operation and the role of fibrosis on edema. Methods Having 120 cases of circular mixed hemorrhoid patients, Acco 60 cases were randomly divided into treatment group and the others were in comparison group. Both groups were outside the cut line of circular mixed hemorrhoid ligation within the injection, after these operations do conventional anti-inflammatory, hemostasia and local Ma Ying Long musk hemorrhoids ointment medication. The next day of the operation, the treatment group take a dose of Diosmin tablets 1.5 g bid 4 d, then changing the dose 1 g bid 3 d. ResultsThe incidence of edema, treatment group was 6.6% and the other group was 30%. edema in the incidence of the two groups were significantly different （ P 〈 0.01 ）. The treatment group non-fibrosis, but the other group have 4 patients getting fibrosis. The two sets of rate about edema fibrosis were significantly different （P 〈 0.01 ）. Conclusion Diosmin Tablets can effectively do prevent and disperse circular mixed hemorrhoid postoperative edema.