自拟方坐浴和药物内服外用治疗肛裂75例疗效观察

Observation on the Therapeutic Efficacy of the Combined Therapy of Sitz Bath with Self-made Decoction and Oral Medication ＆ External Application of Drugs in the Treatment of Anal Fissure：Analysis of 75 Cases

为观察自拟方坐浴和药物内服外用保守治疗肛裂的疗效，采用自拟方坐浴、内服聚乙二醇4000、外用肛泰栓，对75例肛裂患者进行综合保守治疗。结果显示，75例中，治愈70例，治愈率为93．3％。治愈时间7～24d，平均（14．2±3．6）d。Ⅰ、Ⅱ期肛裂治愈率100％，Ⅲ期肛裂8例中有2例未坚持治疗，其他6例治疗的时间均在20d以上。结果表明，治疗肛裂的关键问题是防止便秘和解除括约肌痉挛．采用自拟方坐浴和药物内服外用治疗肛裂，可缩短疗程，减轻痛苦，且方法简便易行，未见明显不良反应及并发症。

Seventy five patients with anal fissure received the combined conservative therapy of sitz bath with self-made decoction and oral intake of polyethylene glycol 4000 ＆ external application of Gangtai suppository. Results showed that 70 cases were cured（70/75,93.3%o）,and the treatment course was 7-24 days （14.2±3.6 days）. The cure rate of Ⅰ and Ⅱ stage anal fissure is 100% ,while two cases among eight patients with Ⅲ stage anal fissure did not adhere to the treatment,the rest six cases treatment time more than 20d. It is concluded that prevention of constipation and relief of sphincter spasm are the key points in treating anal fissure, this combined therapy is of many strong points in terms of reduction of pain and treatment course,as well as simple manipulation and no obvious adverse reaction ＆ complications.