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清热燥湿方熏洗联合手术治疗陈旧性肛裂临床观察 被引量:1

Clinical Observation on Clearing Heat and Drying Dampness Prescription Fumigation and Washing Combined with Surgery in the Treatment of Old Anal Fissure
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摘要 目的观察手术联合自拟清热燥湿方熏洗治疗陈旧性肛裂的临床效果。方法选择黎川县中医院收治的60例陈旧性肛裂患者,选取时间为2016年6月—2018年6月,根据入院先后顺序平等分为观察组和对照组。观察组使用部分内括约肌切除手术+自拟清热燥湿方熏洗坐浴治疗;对照组使用部分内括约肌切除手术+高锰酸钾熏洗坐浴治疗,比较2组患者治疗效果。结果观察组并发症发生率为10.00%,对照组为33.33%,2组差异具有统计学意义(P<0.05)。对照组总有效率为96.67%,观察组为73.33%,2组差异具有统计学意义(P<0.05)。观察组肛管最大收缩压、肛管静息压较对照组差异无统计学意义(P>0.05)。观察组Wexner评分明显低于对照组(P<0.05)。结论在陈旧性肛裂疾病治疗中实施部分内括约肌切除手术联合自拟清热燥湿方熏洗坐浴治疗,治疗效果显著,能够降低患者并发症发生率,临床应用及推广价值极高。 Objective To observe the clinical effect of clearing heat and drying dampness prescription fumigation and washing combined with surgery in the treatment of old anal fissure.Methods 60 patients with old anal fissure were selected from June 2016 to June 2018.They were divided into observation group and control group according to the order of admission.The observation group was treated with partial internal sphincter resection,self-made clearing heat and drying dampness prescription fumigation and washing and hip bath,while the control group was treated with partial internal sphincter resection,potassium permanganate fumigation and hip bath.The therapeutic effects of the two groups were compared.Results The incidence of complications was 10.00%in the observation group and 33.33%in the control group,and the difference was statistically significant(P<0.05).The total effective rate was 96.66%in the control group and 73.33%in the observation group,and the difference was statistically significant(P<0.05).There was no significant difference in the maximum systolic pressure and resting pressure of anal canal between the observation group and the control group(P>0.05).Wexner score in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion In the treatment of old anal fissure disease,partial internal sphincterectomy combined with self-made clearing heat and drying dampness prescription fumigation and washing and hip bath can reduce the incidence of complications.The treatment effect is remarkable,and the clinical application and promotion value is very high.
作者 刘剑刚 LIU Jiangang(Proctology Department,Lichuan Hospital of Traditional Chinese Medicine,Jiangxi Province,Lichuan 344600,China)
出处 《中国中医药现代远程教育》 2019年第22期119-121,共3页 Chinese Medicine Modern Distance Education of China
关键词 清热燥湿方 裂口痔 陈旧性肛裂 部分内括约肌切除手术 clearing heat and drying dampness prescription cracked hemorrhoids old anal fissure partial internal sphincterectomy
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