加味乙字汤治疗湿热下注型慢性肛窦炎的临床疗效及对疼痛、复发率的影响

Clinical effect of Jiawei Yizi decoction on chronic anal sinusitis with dampness and heat and its effect on pain and recurrence rate

目的探讨加味乙字汤治疗湿热下注型慢性肛窦炎的临床疗效及对疼痛、复发率的影响。方法选取我院收治的湿热下注型慢性肛窦炎患者112例,随机分为对照组和观察组,各56例,对照组给予左氧氟沙星+坐浴治疗,观察组给予加味乙字汤加减联合坐浴治疗。比较两组患者的临床疗效、疼痛情况及复发率。结果治疗后,两组患者的SATS、VAS评分均较治疗前显著降低,且观察组明显低于对照组(P<0.05);观察组的给药时间、治疗总有效率及总复发率明显优于对照组(P<0.05)。结论服用中药加味乙字汤可显著改善湿热下注型慢性肛窦炎患者的临床症状、肛门及肛窦疼痛程度,降低复发率,值得临床推广应用。

Objective To investigate the clinical effect of Jiawei Yizi decoction on chronic anal sinusitis with dampness and heat and its effect on pain and recurrence rate.Methods One hundred and twelve chronic anal sinusitis patients with dampness and heat admitted in our hospital were selected and randomly divided into control group and observation group,with 56 cases in each group.The control group was given levofloxacin+sitting bath treatment,and the observation group was given Jiawei Yizi decoction+sitting bath treatment.The clinical effects,pain and recurrence rate of the two groups were compared.Results After treatment,the SATS and VAS scores of the two groups were lower than those before treatment,and those of the observation group were lower than the control group(P<0.05).The medication time,total effective rate and total recurrence rate of the observation group were better than those of the control group(P<0.05).Conclusion Jiawei Yizi decoction on chronic anal sinusitis patients with dampness and heat can improve the clinical symptoms and the anal and anal sinus pain,and reduce the recurrence rate,which is worthy of application and promotion in clinic