止痛如神汤联合肛泰软膏在肛门病术后的应用效果观察

Efficacy Observation on Zhitong Rushen Tang Combined with Gangtai Ruangao Applied after Surgery for Anal Diseases

为探讨止痛如神汤联合肛泰软膏在肛门病术后治疗中的效果,将60例中医辨证为湿热下注证的肛门病术后患者,随机分为治疗组和对照组,每组30例。对照组应用止痛如神汤口服治疗,治疗组采用止痛如神汤口服联合肛泰软膏局部涂敷治疗。观察比较2组术后疼痛、水肿评分,创面愈合时间及患者满意度。结果显示,治疗组术后6h、术后第1、3天肛门疼痛评分明显低于对照组(P<0.05),治疗组术后第3、6天创面水肿评分明显低于对照组(P<0.05),2组治愈时间比较,差异无统计学意义(P>0.05),治疗组患者满意度评分明显高于对照组(P<0.05)。结果表明,肛门病术后应用止痛如神汤联合肛泰软膏,能明显降低创面疼痛,减轻水肿,提高患者满意度,值得临床推广应用。

This study was to investigate the efficacy of Zhitong Rushen Tang(a TCM decoction,shortly named as Tang)plus salve applied after surgery for anal diseases,randomly divided 60cases with coloproctological diseases of dampness heat in lower jiao into control group(30cases,oral administered Tang)and treatment group(30cases,Tang plus salve for locally painting);then,observed and compared both groups'score rating on postoperative pain and edema,wound-surface healing time,and patients'satisfactory degree.As results,in the score rating on pain at 6h,and on the 1st,3rd day after surgery,in the score ratings on edema on the 3rd,6th day after surgery,and patients'satisfactory degree,treatment group was respectively and significantly lower,lower,and higher than control group(all,P<0.05);but,in curative time there was no statistical difference between the two groups(P>0.05).Results show that after surgery for anal diseases Tang plus salve can significantly alleviate wound-surface pain,lighten edema,and uplift patients'satisfactory degree,thus is worthy to be popularized to use clinically.