当归四仁通便饮治疗肛裂术后便秘及疼痛的效果

Effect of Danggui Siren Tongbian Decoction in the treatment of constipation and pain after anal fissure operation

目的 探讨当归四仁通便饮治疗肛裂术后便秘及疼痛的效果。方法 选取2018年1月至2021年7月廊坊市中医医院收治的110例肛裂术后患者,采用随机数字表法将其分为观察组(当归四仁通便饮治疗)与对照组(西药治疗),每组55例。观察2组患者治疗后12 d的临床疗效,对2组治疗后3、12 d的排便情况、疼痛与焦虑评分进行对比分析,采用胃肠生活质量评分(GIQLI)比较2组患者胃肠道生活质量,并对比2组患者腹泻、轻度腹痛等不良反应发生情况。结果 治疗后12 d,观察组总有效率(98.18%)高于对照组(80.00%),差异有统计学意义(P<0.05);观察组与对照组的排便情况(粪便性质、排便费力、间隔时间)、疼痛评分、焦虑评分比较,差异无统计学意义(P>0.05);治疗后12 d,观察组上述指标改善情况更为显著(P<0.05);观察组患者治疗12 d后GIQLI评分明显高于对照组(P<0.05);观察组不良反应发生率(0)低于对照组(9.09%),差异有统计学意义(P<0.05)。结论 肛裂术后患者应用当归四仁通便饮治疗的效果显著,能有效缓解患者的便秘与疼痛,消除其焦虑情绪,提高患者胃肠道生活质量且不良反应少。

Objective To observe the relieving effect of Danggui Siren Tongbian Decoction on patients after anal fissure surgery on their constipation and pain.Methods The subjects of the study were 110 postoperative patients with anal fissures in our hospital.The study period was from January 2018 to July 2021.They were randomly divided into an observation group(treated with Danggui siren Tongbian Decoction) and a control group(treated with Western Medicine),with 55 cases in each group.The clinical efficacy of the two groups of patients was observed 12 days after treatment, and the defecation, pain and anxiety scores of the two groups were compared and analysed 3 days and 12 days after treatment.The gastrointestinal quality of life score(GIQLI) was used to compare the gastrointestinal quality of life of the two groups, and the incidence of adverse reactions such as diarrhea and mild abdominal pain were compared between the two groups.Results Twelve days after treatment, compared with the control group(80.00%),the total effective rate of the observation group(98.18%) was significantly higher(P<0.05);three days after treatment, there were no significant difference between the observation group and the control group in defecation(fecal nature, defecation effort, interval time),pain score and anxiety score(P>0.05).The GIQLI score of the observation group was significantly higher than that of the control group after 12 days of treatment(P<0.05);The incidence of adverse reactions in the observation group was 0,lower than 9.09% in the control group(P<0.05).Conclusions The effect of Danggui siren Tongbian Decoction in the treatment of patients with anal fissures after surgery is remarkable.It can effectively alleviate the constipation and pain of patients, eliminate their anxiety, improve the quality of life of patients with gastrointestinal tract diseases with fewer adverse reactions.