针药并用治疗炎性外痔临床观察

Clinical Observations on Combined Use of Acupuncture and Medicine for External Hemorrhoids

目的观察针药并用治疗炎性外痔的临床疗效。方法纳入68例炎性外痔患者,根据就诊序号随机分为针刺组、外敷组、针药组,针刺组给予承山、大肠俞针刺治疗,外敷组给予止痛如神汤药物外敷,针药组给予综合干预。结果与外敷组相比,针刺组能显著改善患者疼痛症状(P<0.01),但改善肿胀程度及缩小痔核不如外敷组(P<0.01,P<0.05);针药组疗效优于针刺组及外敷组,表现在缩小痔核(P<0.01,P<0.05)和减少VAS评分(P<0.05,P<0.01)、肿胀程度评分(P<0.01,P<0.05)方面。结论针刺治疗偏向于止痛,而药物外敷偏向于改善肿胀程度及缩小痔核,针药并用可协同增强临床疗效。

Objective To investigate the clinical efficacy of combined acupuncture and medicine for external hemorrhoids.Method Included 68 patients with external hemorrhoids were allocated,in order of visits,to acupuncture,external application and acupuncture-medicine groups.The acupuncture group received acupuncture at points Chengshan(BL57)and Dachangshu(BL25);the external application group,external application of Divine Pain-Relief Decoction;the acupuncture-medicine group,comprehensive intervention.Result The pain was markedly relieved(P<0.01)but the severity of swelling and the size of hemorrhoids were less reduced(P<0.01,P<0.05)in the acupuncture group compared with the external application group.The therapeutic effect was better in acupuncturemedicine group than in the acupuncture and external application groups with more reduced size of hemorrhoids(P<0.01,P<0.05),lower VAS score(P<0.05,P<0.01)and lower swelling severity score(P<0.01,P<0.05).Conclusion Acupuncture is more effective in relieving the pain,while external application of herbal medicine is more effective in reducing the severity of swelling and the size of hemorrhoids.The combined use of acupuncture and medicine can synergically enhance the clinical therapeutic effect.