自拟穴位贴敷配合中药热奄包对良性肛肠病术后便秘患者的治疗效果及安全性分析

Efficacy and safety of self-designed acupoint application combined with Chinese herbal medicine hot compress in the treatment of postoperative constipation patients with benign anorectal diseases

目的:分析自拟穴位贴敷配合中药热奄包对良性肛肠病术后便秘患者的治疗效果及安全性。方法:选取2023年1月~2023年10月上海市宝山区罗店医院收治的120例混合痔和肛瘘术后便秘患者作为研究对象,根据不同的治疗方案分为对照组(n=60)与观察组(n=60)。对照组给予常规西药口服治疗,观察组在对照组的基础上,给予自拟穴位贴敷配合中药热奄包进行辅助治疗,均治疗14d。比较两组的治疗效果;比较两组治疗前、治疗1d、治疗7d以及治疗14d的便秘评分量表(CCS)、便秘患者生存质量量表(PAC-QOL)评分;比较两组不良反应发生率。结果:观察组的治疗有效率优于对照组,差异有统计学意义(P<0.05);两组治疗1d的CCS、PAC-QOL评分比较差异无统计学意义(P>0.05);两组治疗7d以及治疗14d的CCS、PAC-QOL均优于治疗前,且观察组均优于对照组,差异均有统计学意义(P<0.05);两组治疗后的不良反应发生率比较差异无统计学意义(P>0.05)。结论:自拟穴位贴敷配合中药热奄包能够改善良性肛肠病术后便秘患者的临床症状,提高患者的生活质量,且安全性良好。

Objective To analyze the efficacy and safety of self-designed acupoint application combined with Chinese herbal medicine hot compress in the treatment of postoperative constipation patients with benign anorectal diseases.Methods:A total of 120patients with postoperative constipation after mixed hemorrhoids and anal fistula treated in Luodian Hospital,Baoshan District,Shanghai from January 2023to October 2023were selected as the study objects,and were divided into control group(n=60)and observation group(n=60)according to different treatment regimens.The control group was given conventional oral treatment of Western medicine,and the observation group was given self-designed acupoint application combined with Chinese herbal medicine hot compress on the basis of the control group,for 14days.The therapeutic effect of the two groups was compared.The scores of constipation score Scale(CCS)and constipation Patients Quality of Life Scale(PAC-QOL)were compared between the two groups before treatment,1d,7d and 14d.The incidence of adverse reactions was compared between the two groups.Results:The effective rate of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).There was no significant difference in CCS and PAC-QOL scores between the two groups for 1day after treatment(P>0.05).CCS and PAC-QOL in 2groups at 7and 14days of treatment were better than before treatment,and observation group was better than control group,the differences were statistically significanthe two groups after treatment(P>0.05).Conclusion:Selfdesigned acupoint application combined with Chinese herbal medicine hot compress can improve the clinical symptoms of postoperative constipation patients with benign anorectal diseases,improve the quality of life of patients,and have good safety.