加味黄术汤在湿热蕴结型肛裂术后的应用效果

Efficacy of Huangzhu Decoction plus Other Ingredients Used at Postoperation of Anal Fissure Predominanted by Damp-heat Accumulation

为探讨加味黄术汤应用于湿热蕴结型肛裂术后的效果，将60例符合入组标准的患者随机分为治疗组和对照组，各30例，两组围手术期均给予常规治疗，除此之外，治疗组术后第2天开始给予中药加味黄术汤口服，每天2次，每次100ml，连服15d，对照组不予中药口服。观察两组患者术后第2、9、16天创口疼痛、排便、便时出血和创面分泌物等情况，以及术后创面愈合情况。结果显示，治疗组术后第9天和第16天创口疼痛、排便、便时出血、创面分泌物情况及创面愈合时间方面均明显优于对照组，P〈0．05。结果表明，湿热蕴结型肛裂患者术后口服加味黄术汤，能有效缓解创口疼痛，帮助排便，减少便时出血及创面分泌物，促进创面愈合，且无明显不良反应，值得临床推广应用。

This study was to investigate the efficacy of Huangzhu decoction plus other ingredients used at postoperation of anal fissure predominanted by damp-heat accumulation, enrolled the 60 patients accorded with extra standard and randomly divided them into treatment group and control group, n = 30 for eachat perioperation both groups all received routine treatment,besides,after operation only treatment group was added oral Huangzhu decoction plus other ingredients,2 times/d, 100 ml/time, for 15 days, control group isn＇t oral Chinese herb then, the status on wound pain,bowel movement,defecation with blood and wound- surface secretion,etc on the 2nd, 9th and 16th day after operation,as well as wound-surface healing were observed and compared between both groups.As results,on the 9th and 16th day after operation all above- mentioned items of treatment group were all significantly superior to control group （P 〈0.05）.Results show that for the patients with anal fissure predominanted by accumulated damp-heat after operation oral administration of Huangzhu decoction can effectively relieve wound pain,promote bowel movement,reduce bleeding due to defecation and wound-surface secretion, so that accelerate wound healing, and without any showed adverse reaction, thus it is worthy to be popularized to use clinically.