AIM:To demonstrate the value of Diosmin(flavonidic fraction)in the management of post-haemorhoidectomic symptoms.METHODS:Eighty-six consecutive patients with grades ⅢandⅣacute mixed hemorrhoids admitted to the Anore...AIM:To demonstrate the value of Diosmin(flavonidic fraction)in the management of post-haemorhoidectomic symptoms.METHODS:Eighty-six consecutive patients with grades ⅢandⅣacute mixed hemorrhoids admitted to the Anorectal Surgical Department of First Affiliated Hospital,Xinjiang Medical University from April 2009 to April 2010,were enrolled in this study.An observerblinded,randomized trial was conducted to compare post-haemorhoidectomic symptoms with use of Diosmin flavonidic fraction vs placebo.Eighty-six patients were randomly allocated to receive Diosmin flavonidic fraction 500 mg for 1 wk(n=43)or placebo(n=43).The Milligan-Morgan open haemorrhoidectomy was performed by a standardized diathermy excision method.Pain,bleeding,heaviness,pruritus,wound edema and mucosal discharge were observed after surgery.The postoperative symptoms and hospitalization time were recorded.RESULTS:The mean age of the Diosmin group and controls was 53.2 and 51.3 years,respectively.In Diosmin group,haemorrhoid piles were of the third degree in 33 patients and the fourth degree in 10;and in the control group,29 were of the third degree and 14 were of the fourth degree.There was no statistically significance in age,gender distribution,degree and number of excised haemorrhoid piles,and the mean duration of haemorrhoidal disease between the two groups.There was a statistically significant improvement in pain,heaviness,bleeding,pruritus from baseline to the 8th week after operation(P<0.05).Patients taking Diosmin had a shorter hospitalization stay after surgery(P< 0.05).There was also a significant improvement on the proctoscopic appearance(P<0.001).However,there was no statistical difference between the two groups in terms of wound mucosal discharge.Two patients experienced minor bleeding at the 8th week in Diosmin group,and underwent surgery.CONCLUSION:Diosmin is effective in alleviating postoperational symptoms of haemorrhoids.Therefore,it should be considered for the initial treatment after haemorrhoid surgery.However,further prospective randomized trials are needed to confirm the findings of this study.展开更多
Intractable cutaneous pruritus is a commonlyencountered symptom in clinical practice.Theauthors have treated 25 cases of intractable cutaneouspruritus mainly by auricular acupuncture in recentyears,with satisfactory r...Intractable cutaneous pruritus is a commonlyencountered symptom in clinical practice.Theauthors have treated 25 cases of intractable cutaneouspruritus mainly by auricular acupuncture in recentyears,with satisfactory results as reported in thefollowing.Clinical DataAll the 50 cases in this series were outpatientsfrom the Outpatient Department of展开更多
This article introduced that during the author’s overseas period, acupuncture was applied at Tàixī （太溪 KI 3）, Sānyīnjiāo （三阴交 SP 6）, Yīnlíngquán （阴陵泉 SP 9）, Zúsānlǐ （足三里 S...This article introduced that during the author’s overseas period, acupuncture was applied at Tàixī （太溪 KI 3）, Sānyīnjiāo （三阴交 SP 6）, Yīnlíngquán （阴陵泉 SP 9）, Zúsānlǐ （足三里 ST 36）, Fēnglóng （丰隆 ST 40） and Xùehǎi （血海 SP 10） to treat massive cutaneous pruritus and satisfactory clinical efficacy was achieved, which indicated acupuncture had positive effect on cutaneous pruritus.展开更多
基金Supported by The Biological Medical Engineering Foundation of First Affiliated Hospital of Xinjiang Medical University
文摘AIM:To demonstrate the value of Diosmin(flavonidic fraction)in the management of post-haemorhoidectomic symptoms.METHODS:Eighty-six consecutive patients with grades ⅢandⅣacute mixed hemorrhoids admitted to the Anorectal Surgical Department of First Affiliated Hospital,Xinjiang Medical University from April 2009 to April 2010,were enrolled in this study.An observerblinded,randomized trial was conducted to compare post-haemorhoidectomic symptoms with use of Diosmin flavonidic fraction vs placebo.Eighty-six patients were randomly allocated to receive Diosmin flavonidic fraction 500 mg for 1 wk(n=43)or placebo(n=43).The Milligan-Morgan open haemorrhoidectomy was performed by a standardized diathermy excision method.Pain,bleeding,heaviness,pruritus,wound edema and mucosal discharge were observed after surgery.The postoperative symptoms and hospitalization time were recorded.RESULTS:The mean age of the Diosmin group and controls was 53.2 and 51.3 years,respectively.In Diosmin group,haemorrhoid piles were of the third degree in 33 patients and the fourth degree in 10;and in the control group,29 were of the third degree and 14 were of the fourth degree.There was no statistically significance in age,gender distribution,degree and number of excised haemorrhoid piles,and the mean duration of haemorrhoidal disease between the two groups.There was a statistically significant improvement in pain,heaviness,bleeding,pruritus from baseline to the 8th week after operation(P<0.05).Patients taking Diosmin had a shorter hospitalization stay after surgery(P< 0.05).There was also a significant improvement on the proctoscopic appearance(P<0.001).However,there was no statistical difference between the two groups in terms of wound mucosal discharge.Two patients experienced minor bleeding at the 8th week in Diosmin group,and underwent surgery.CONCLUSION:Diosmin is effective in alleviating postoperational symptoms of haemorrhoids.Therefore,it should be considered for the initial treatment after haemorrhoid surgery.However,further prospective randomized trials are needed to confirm the findings of this study.
文摘Intractable cutaneous pruritus is a commonlyencountered symptom in clinical practice.Theauthors have treated 25 cases of intractable cutaneouspruritus mainly by auricular acupuncture in recentyears,with satisfactory results as reported in thefollowing.Clinical DataAll the 50 cases in this series were outpatientsfrom the Outpatient Department of
文摘This article introduced that during the author’s overseas period, acupuncture was applied at Tàixī （太溪 KI 3）, Sānyīnjiāo （三阴交 SP 6）, Yīnlíngquán （阴陵泉 SP 9）, Zúsānlǐ （足三里 ST 36）, Fēnglóng （丰隆 ST 40） and Xùehǎi （血海 SP 10） to treat massive cutaneous pruritus and satisfactory clinical efficacy was achieved, which indicated acupuncture had positive effect on cutaneous pruritus.
