补气摄血中药颗粒配合弹力线内套外剥术在脱垂型混合痔治疗中的应用研究

Study on Application of Buqi Blood-sucking Chinese Medicine Granules Combined with Elastic Thread Inner Sleeve Outer Stripping in the Treatment of Prolapsed Mixed Hemorrhoids

目的:探究补气摄血中药颗粒配合弹力线内套外剥术在脱垂型混合痔治疗中的应用效果。方法:选取2022年7月—2023年7月在韶关曲江区人民医院治疗的100例脱垂型混合痔患者作为临床研究对象,采用随机数表法将患者分为对照组和观察组,各50例。对照组实施弹力线内套外剥术治疗,观察组实施弹力线内套外剥术配合补气摄血中药颗粒治疗,比较两组症状评分(疼痛、出血、水肿)、创面愈合时间、排尿功能改善情况和临床疗效。结果:观察组治疗后疼痛评分、出血评分和水肿评分低于对照组,差异有统计学意义(P<0.05);观察组创面愈合时间短于对照组,差异有统计学意义(P<0.05);治疗后,两组排便频率、排便困难、排便完整、排便不尽、排便时间评分低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组总有效率高于对照组,差异有统计学意义(P<0.05)。结论:弹力线内套外剥术配合补气摄血中药颗粒治疗脱垂型混合痔有较好的临床效果,能减轻疼痛和水肿症状,减少出血,同时可改善排便功能,加快创面愈合速度,提高生活质量。

Objective:To explore the application effect of Buqi Blood-sucking Chinese Medicine Granules combined with elastic thread inner sleeve outer stripping in the treatment of prolapsed mixed hemorrhoids.Method:A total of 100 patients with prolapsed mixed hemorrhoids who treated in Shaoguan Qujiang District People's Hospital from July 2022 to July 2023 were selected as clinical research objects,the patients were divided into the control group and the observation group by random number table method,with 50 cases in each group.The control group was treated with elastic thread inner sleeve outer stripping,and the observation group was treated with elastic thread inner sleeve outer stripping combined with Buqi Blood-sucking Chinese Medicine Granules,the symptom scores(pain,bleeding,edema),wound healing time,improvement of urination function and clinical efficacy were compared between two groups.Result:The pain score,bleeding score and edema score of the observation group after treatment were lower than those of the control group,the differences were statistically significant(P<0.05);the wound healing time of the observation group was shorter than that of the control group,and the difference was statistically significant(P<0.05);after treatment,the scores of defecation frequency,difficulty in defecation,complete defecation,incomplete defecation and defecation time in two groups were lower than those before treatment,and which in the observation group were lower than the control group,the differences were statistically significant(P<0.05);the total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Buqi Blood-sucking Chinese Medicine Granules combined with elastic thread inner sleeve outer stripping has a good clinical effect in the treatment of prolapsed mixed hemorrhoids,it can reduce pain and edema symptoms,reduce bleeding,improve defecation function,accelerate wound healing,and improve quality of life.