针刺联合地奥司明治疗内痔湿热下注证的效果研究

Efficacy observation of acupuncture combined with diosmin in internal hemorrhoids patients with dampness-heat diffusing downward syndrome

目的探讨针刺联合地奥司明治疗内痔湿热下注证患者的疗效。方法选择该院2017年2月至2019年1月收治的84例内痔湿热下注证患者作为研究对象,按照随机数字表法将患者分为两组,每组42例。A组采用针刺联合地奥司明进行治疗,B组采取常规治疗,观察两组疗效、临床症状积分、生活质量(QOL)评分及不良反应发生情况,对比两组治疗结果。结果A组总有效率为92.86%,显著高于B组的80.95%,差异有统计学意义(P<0.05)。治疗前两组便血、肛门坠痛、脱垂及大小便异常等临床症状积分差异无统计学意义(P>0.05),治疗后A组各项评分均低于B组(P<0.05)。治疗前两组的各项QOL评分差异无统计学意义(P>0.05),治疗后A组各项评分均高于B组(P<0.05)。A组不良反应发生率为7.14%,与B组的11.90%比较,差异无统计学意义(P>0.05)。结论针刺联合地奥司明治疗内痔湿热下注证效果显著,可快速缓解相关症状,提高生活质量,不良反应较少,安全性高,值得临床推广使用。

Objective To study the value of acupuncture plus diosmin in internal hemorrhoids patients with dampness-heat diffusing downward syndrome.Methods A total of 84 internal hemorrhoids patients with dampness-heat diffusing downward syndrome treated from February 2017 to January 2019 in our hospital were selected and randomly assigned to two groups,42 cases in each group.Group A took acupuncture and diosmin;group B took the conventional therapy.The curative effect,clinical symptom scores,quality of life scores(QOL)and adverse reactions were compared.Results The total effective rate in group A(92.86%)was significantly higher than that of group B(80.95%),difference was statistically significant(P<0.05).Before treatment,the assessment scores of hematochezia,anal bearing-down pain,prolapse and abnormal defecation between groups were not significantly different(P>0.05).After treatment,related scores in the group A were lower than those of group B(P<0.05).After treatment,scores of QOL in the group A were significantly higher than those of group B(P<0.05).The adverse event rate in the group A(7.14%)and group B(11.90%)was not significantly different(P>0.05).Conclusion The combination of acupuncture and diosmin could quickly relieve the clinical symptoms,reduce the adverse reactions,and improve the quality of life and drug safety.It is worthy of clinical promotion.