解毒散瘀汤治疗肛窦炎43例疗效观察

Jiedu Sanyu Tang in the Treatment of Anal Cryptitis:Effect Observation on 43 Cases

目的:观察解毒散瘀汤治疗肛窦炎的临床疗效。方法:将98例肛窦炎患者根据治疗方案的不同分为中医组43例和西医组55例,中医组患者采用口服解毒散瘀汤治疗,西医组患者采用左氧氟沙星+美沙拉嗪栓治疗,比较2组患者的疗效、治疗前后炎症因子水平及复发情况。结果:中医组患者总有效率明显高于西医组(P<0.05);2组患者治疗前降钙素原(PCT)、白细胞介素-6(IL-6)、C反应蛋白(CRP)水平比较差异无统计学意义(P>0.05),治疗后中医组患者PCT、IL-6、CRP水平均低于西医组(P<0.05);中医组患者复发率明显低于西医组(P<0.05)。结论:口服解毒散瘀汤治疗肛窦炎效果良好,可明显降低炎症因子水平,且复发率低,值得临床推广应用。

Objective To observe the clinical effect of Jiedu Sanyu Tang(Tang,a TCM formula)in the treatment of anal cryptitis(AC).Methods According to each treatment schema divided 98 AC patients treated in author’s hospital in to TCM group(43 cases,orally administered Tang)and Western medicine group(55 cases,levofloxacin+mesalazine);then,compared both groups’effect,the levels of inflammatory factors before and after treatment,as well as recurrence status.Results The total effective rate of TCM group was significantly higher than that of Western medicine group(P<0.05);before treatment in the levels of PCT,IL-6,and CRP there was no statistical difference between the two groups(P>0.05),but,after treatment,above levels of TCM group were lower than that of Western medicine group(P<0.05);the recurrence rate of TCM group was significantly lower than that of Western medicine group(P<0.05).Conclusion Orally administering Tang for treating AC has good effect,can significantly reduce the levels of inflammatory factors,and its recurrence rate is low,thus worth it to be popularized to use clinically.