中药熏洗联合针灸治疗痔疮临床研究

Clinical Study on Chinese Materia Medica Fumigation and Washing Combined with Acupuncture and Moxibustion in Treatment of Hemorrhoids

目的:探讨中药熏洗法联合针灸治疗痔疮的临床疗效。方法:将符合纳入标准的78例痔疮患者采用随机数字表法分为对照组、干预组各39例。对照组仅给予中药熏洗法治疗,干预组给予中药熏洗法联合针灸治疗,对比两组的临床疗效及治疗前后症状评分。结果:干预组、对照组治疗总有效率分别为94.87%、76.92%,两组疗效比较差异有统计学意义(P<0.05);两组症状及体征各项评分经治疗后均明显改善,干预组疼痛、便血、痔核脱出、肛门不适、肛门水肿评分减少与对照组比较差异具有统计学意义(P<0.05);干预组6个月、9个月、12个月疾病复发率均比对照组显著降低(P<0.05)。结论:中药熏洗法联合针灸治疗痔疮效果显著,可提升临床疗效,有效改善患者症状。

Objective:To explore the clinical curative efficacy of Chinese materia medica fumigation and washing combined with acupuncture and moxibustion on hemorrhoids patients.Methods:A total of 78 patients with hemorrhoid were divided into contral group and intervention group by the random number table.The control group was treated with Chinese materia medica fumigation and washing,and the intervention group was treated with Chinese materia medica fumigation and washing combined with acupuncture and moxibustion.The clinical curative efficacy and symptom scores before and after the treatment were compared between the two groups.Results:The total effective rate of the intervention group and the control group was 94.87%and 76.92%,respectively(P<0.05).After treatment,the scores of symptom and sign of the two groups were significantly improved,and the scores of pain,hematochezia,hemorrhoid prolapse,anal discomfort and anal edema in the intervention group were better than those in the control group,the difference between the two groups was statistically significant(P<0.05).In terms of relapse,the relapse rate of the intervention group was lower than that of the control group at 6,9 and 12 months after treatment(P<0.05).Conclusion:Chinese materia medica fumigation and washing combined with acupuncture and moxibustion have significant effect in treating hemorrhoids patients,it can improve clinical curative efficacy and effectively relieve the symptoms of patients.