止痛如神汤加味熏洗坐浴治疗炎性外痔临床疗效观察

Clinical Observation on Treating Inflammatory External Hemorrhoids with ZhiTongRuShen Decoction Combined with Fumigating-washing Therapy

目的:观察止痛如神汤加味熏洗坐浴治疗炎性外痔的临床疗效。方法:将144例炎性外痔患者分为两组,各72例,治疗组予止痛如神汤加味熏洗坐浴治疗,对照组予0.02%高锰酸钾溶液熏洗坐浴治疗,疗程均为2周。统计并比较两组的治疗总有效率以及治疗前后的肛门疼痛VAS评分、异物感和坠胀感评分、痔核大小变化。结果:治疗组2周后总有效率明显高于对照组(100%vs.90%,P<0.05);治疗组治疗前肛门疼痛VAS评分、异物感和坠胀感评分、痔核大小分别为(8.21±0.97)分、(3.10±0.58)分、(3.51±0.62)cm,治疗后为(1.26±0.58)分、(1.22±0.53)分、(1.74±0.65)cm;对照组肛门疼痛VAS评分、异物感和坠胀感评分、痔核变化大小分别治疗前为(8.22±1.05)分、(3.14±0.61)分、(3.58±0.68)cm,治疗后为(2.97±0.64)分、(1.58±0.55)分、(2.40±0.66)cm;两组治疗后的以上3个记录指标均比治疗前明显降低,且治疗组低于对照组,差异有统计学意义(P<0.05)。结论:止痛如神汤具有消肿、止痛作用,熏洗坐浴治疗炎性外痔疗效较好。

Objective To observe the clinical effect of Zhitongrushen decoction fumigated hip bath on inflammatory external hemorrhoids.Methods 144 patients with inflammatory external hemorrhoids were randomly divided into two groups and 72 cases in each group.The treatment group was treated by fumigating and washing sitz bath with Zhitongrushen decoction,while the control group was treated by fumigating and washing sitz bath with 0.02%potassium permanganate solution for 2 weeks.The total effective rates of the two groups were counted respectively.VAS scores of anal pain,foreign body sensation scores,falling swelling sensation scores and changes in hemorrhoid nucleus size before and after treatment were collected.Results The total effective rate of the treatment group was significantly higher than that of the control group after 2 weeks(100%vs.90%,P<0.05).The VAS score of anal pain,foreign body sensation and falling swelling sensation scores,and hemorrhoid nucleus size in the treatment group were(8.21±0.97)cm,(3.10±0.58)cm,(3.51±0.62)cm before treatment,and(1.26±0.58)cm,(1.22±0.53)cm,(1.74±0.65)cm after treatment respectively.In the control group,the VAS score of anal pain,foreign body sensation score,heaviness sensation score and the change size of hemorrhoid nucleus were(8.22±1.05)cm,(3.14±0.61)cm,(3.58±0.68)cm before treatment,and(2.97±0.64)cm,(1.58±0.55)cm,(2.40±0.66)cm after treatment respectively.The three recorded indexes were significantly lower after treatment than those before treatment,which was statistical significance.The scores in treatment group were lower than those of the control group(P<0.05).Conclusion Zhitongrushen decoction has the effect of detumescence and analgesia.The fumigating and washing hip bath has a better effect in treating inflammatory external hemorrhoids.