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不同浓度中药熏洗对痔术后并发症疗效的影响
引用本文:唐伟峰,唐晓军,许继,刘小芳,张坚明,夏良辉,郑德.不同浓度中药熏洗对痔术后并发症疗效的影响[J].华西医学,2014(5):914-917.
作者姓名:唐伟峰  唐晓军  许继  刘小芳  张坚明  夏良辉  郑德
作者单位:[1]上海市松江区方塔中医医院肛肠科,上海201600 [2]上海中医药大学附属曙光医院肛肠科,上海201600
基金项目:上海市科委科研计划项目(13401902503);上海市松江区科学技术攻关项目(12SJGGYY05);上海市松江区卫生重点学科建设项目(2012XK01)
摘    要:目的观察复创熏洗方不同熏洗浓度对混合痔术后并发症治疗效果的影响。方法选取2013年10月-11月行混合痔外剥内扎术后住院患者210例,随机分为治疗组、对照组、空白对照组,治疗组和对照组分别根据不同浓度各再分为3个亚组,共7组,每组30例。其中A组:6%复创熏洗方;B组:6%痔疾洗液;C组:4%复创熏洗方;D组:4%痔疾洗液;E组:3%复创熏洗方;F组:3%痔疾洗液;G组:清水2000mL。各组先予45℃恒温熏蒸5rain,再予40℃恒温坐浴5min,疗程10d。观察治疗后各组创面疼痛、水肿、渗出、排尿障碍等并发症疗效。结果C组的综合疗效最好(P〈0.05),且其在缓解术后并发症(疼痛、水肿、渗出)方面优于其他各组(P〈0.05)。结论复创熏洗方中等浓度(4%)对痔术后并发痒的缓解效果最优.

关 键 词:混合痔  术后并发症  复创熏洗方  熏洗疗法  药物浓度

The Efficacy of Cicatrisation-fumigant Chinese Herbal at Different Concentrations on Patients after Hemorrhoidectomy
TANG Wei-feng,TANG Xiao-jun,XU Ji,LIU Xiao-fang,ZHANG Jian-ming,XIA Liang-hui,ZHENG De.The Efficacy of Cicatrisation-fumigant Chinese Herbal at Different Concentrations on Patients after Hemorrhoidectomy[J].West China Medical Journal,2014(5):914-917.
Authors:TANG Wei-feng  TANG Xiao-jun  XU Ji  LIU Xiao-fang  ZHANG Jian-ming  XIA Liang-hui  ZHENG De
Institution:1. Department of Anorectal Surgery, Fangta TCM Hospital of Song[iang District, Shanghai 201600, P. R. China; 2. Department of Anorectal Surgery, Shanghai Shuguang Hospital, Shanghai 200021, P R. China)
Abstract:Objective To observe the efficacy of"Fuchuang Xunxi Formula" at different concentrations on patients after mixed hemorrhoidectomy. Methods Two hundred and ten patients having undergone mixed hemorrhoidectomy between October and November 2013 were randomized into seven groups, with 30 patients in each group. Group A was treated with 6% "Fuchuang Xunxi Formula"; Group B was treated with 6% "Zhiji Fumigation Formula"; Group C was treated with 4% "Fuchuang Xunxi Formula"; Group D was treated with 4% "Zhiji Fumigation Formula"; Group E was treated with 3% "Fuchuang Xunxi Formula"; Group F was treated with 3% "Zhiji Fumigation Formula"; And Group G was treated with branch water. Each group was fumigated at 45~C for five minutes, then hip bath at 40~C for five minutes with a course of 10 days. The curative effect of pain of wound, edema, effusion, urinary disturbance were observed. Results The therapeutic effect in group C was the best (P 〈 0.05), and the relief of postoperative complications (pain, edema, effusion) was better than the other groups (P 〈 0.05). Conclusion Treatment with 4% "Fuchuang Xunxi Formula" for postoperative complications is the most effective.
Keywords:Mixed hemorrhoids  Postoperative complication  Fuchuang Xunxi Formular  Fumigation therapy  Concentration
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