Ⅱ期肛裂患者采用手术联合中药治疗临床效果

Clinical efficacy of surgery plus TCM medicine on anal fissure during Ⅱ period

目的:分析手术与中药联合治疗Ⅱ期肛裂患者的临床效果。方法:选取我院2013年10月-2015年10月收治的52例Ⅱ期肛裂患者,根据患者入院就诊顺序随机分为研究组(采用中药与内括约肌侧切除术联合治疗)和对照组(采用肛泰膏外敷治疗,早晚都进行高锰酸钾坐浴,配合扩肛法)。将两组患者治疗效果,治疗前后便血评分、疼痛评分、裂伤愈合时间以及便秘消失时间等进行对比分析。结果:研究组患者治愈18例,显效4例,有效2例,无效2例;对照组治愈14例,显效4例,有效2例,无效6例,对照组治疗总有效率(76.9%)明显低于研究组(92.3%),两组差异存在统计学意义(P<0.05)。两组患者治疗后疼痛评分、便血评分等均低于治疗前(P<0.05),而且研究组患者治疗后以上两项评分均低于对照组(P<0.05);研究组患者便秘消失时间(7.55±1.19)d、裂伤愈合时间(16.49±2.29)d均明显低于对照组的(10.19±2.29)d、(21.83±3.11)d,两组差异存在统计学意义(P<0.05)。结论:Ⅱ期肛裂患者联合采用手术与中药治疗的临床效果较为理想,可有效改善患者裂伤以及便秘症状,减轻患者便血以及疼痛程度,有利于患者尽早康复。

Objective: To analyze clinical efficacy of surgery plus TCM medicine on anal fissure during Ⅱ period. Methods: 52 caseswere divided into the study group and control group. The observed group took surgery plus TCM medicine. The control group receivedthe Gangtai cream, potassium permanganate sit bath plus operation of expanding anus. Results: In the study group, 18 cases were cured; 4cases were effective; 2 cases were little effective; 2 cases were ineffective. In the control group, 14 cases were cured; 4 cases were effective;2 cases were little effective; 6 cases were ineffective. The total efficiency was 92.3% in the study group, better than 76.9% in the controlgroup (P<0.05). Scores of pain and hematochezia were lower than before treatment (P<0.05); and those in the study group were better(P<0.05). In the study group, disappearing time of constipation was (7.55±1.19)d; laceration healing time was (16.49±2.29)d, shorterthan (10.19±2.29)d, (21.83±3.11)d in the control group (P<0.05). Conclusion: Surgery plus TCM medicine was effective on anal fissureduring Ⅱ period, by improving symptoms.