止痛润肠汤治疗肛裂疼痛临床观察

Clinical Observation on Zhitong Runchang Decoction in the Treatment of Anal Fissure Pain

目的观察止痛润肠汤治疗肛裂疼痛的临床疗效。方法选取的观察对象为2016年8月—2018年4月收治的82例肛裂患者,依据随机数字表法进行分组,每组41例,对照组选择痔瘘熏洗剂坐浴联合肛泰软膏外用的方法治疗,治疗组在此基础上联用中药止痛润肠汤治疗,对2组临床效果及治疗前后出血量、疼痛情况变化进行比较。结果治疗组的总有效率高于对照组,组间有显著性统计学差异(P <0. 05);治疗前2组患者的VAS评分、出血量相比,组间不具有明显差异(P> 0. 05);治疗后2组比较,治疗组的VAS评分、出血量均少于对照组(P <0. 05)。结论中药止痛润肠汤治疗肛裂效果良好,可有效缓解疼痛,减少出血量,值得在临床中广泛应用。

Objective To observe the clinical efficacy of Chinese medicine Zhitong Runchang decoction in the treatment of anal fissure pain.Methods The selected subjects were 82 patients with anal fissure who were admitted to our hospital from August 2016 to April 2018.They were grouped according to the random number table method,with 41 cases in each group.The control group selected hemorrhoids and fistula fumigation bath combined with Gangtai ointment for external use,and the treatment group was treated with Chinese medicine Zhitong.Runchang decoction on the basis of the control group.The clinical effects and changes of bleeding volume and pain before and after treatment were compared.Results The total effective rate of the treatment group was higher than that of the control group.There was significant difference between the two groups (P <0.05).There was no significant difference on VAS score and the amount of bleeding between the two groups (P >0.05).0.05).After treatment,the VAS score and the amount of bleeding in the treatment group were lower than those in the control group (P <0.05).Conclusion Chinese medicine Zhitong Runchang decoction has a good effect on anal fissure,which can effectively relieve pain and reduce the amount of bleeding.It is worthy of wide application in clinical practice.