痔瘀散汤口服治疗不同类型血栓性外痔的疗效

Therapeutic Effect of Oral Zhiyusan Tang in the Treatment of Various Thrombosed External Hemorrhoids

为探讨痔瘀散汤口服治疗不同类型血栓性外痔的临床疗效，回顾我院采用此法治疗的92例血栓性外痔的患者资料。其中血肿型血栓性外痔38例（A组），血栓型血栓性外痔54例（B组），对两组患者临床疗效及症状评分进行对比分析。结果显示，治疗后，92例患者总有效率为92．39％（S5／92），其中A组总有效率为89．47％（34／38）。B组总有效率为94．44％（51／54）。治疗后A、B组患者疼痛、痔核大小、痔核表面情况均明显改善，其中B组各症状体征改善更明显，P〈0．05。结果表明，痔瘀散汤口服治疗血栓性外痔有较好的临床疗效，治疗血栓型血栓性外痔疗效优于血肿型血栓性外痔。

In order to explore the clinical effect of oral Zhiyusan Tang（a Chinese formula） in the treatment of various thrombosed external hemorrhoids,authors retrospectively reviewed the data of 92 cases treated with this therapy, among them 38 cases belong to hematoma-type thromhosed external hemorrhoids, as group A,rest 54 cases belong to thrombus-type thrombosed external hemorrhoids,as group B; and compared ＆ analyzed their clinical effects and the socre about symptoms between both groups.As results,after treatment,the total effective rate of the 92 cases was 92.39%（85/92）,among them group A was 89.47%（34/38） ,group B was 94.44%（51/54）;the score about patient＇s pain,hemorrhoids mass size and mass surface of both groups were all significantly declined, but group B was more significant（ P 〈0.05）.Results show that oral Zhiyusan Tang for thrombosed external hemorrhoids has better clinical effect,and the effect for thrombus-type one is superior to that for hematoma-type one.