中医联合改良RPH术治疗混合痔临床研究

观察中医联合改良RPH术治疗混合痔的临床疗效。方法:将本院2014年1月—2016年6月收治的60例混合痔患者,随机分为对照组和治疗组各30例,对照组采用改良RPH加浅剥低扎术,术后第一天起换药前及便后用痔疾洗液(Z20025696,贵州拜特制药有限公司)坐浴,然后采用生肌散外敷,治疗组在对照组治疗的基础上采用益气止血汤内服,日1次,水煎服。比较两组患者治疗后疼痛积分、术后并发症发生率及创面愈合时间。结果:两组患者术后疼痛积分比较无统计学意义(P0.05);治疗组术后出血、肛门狭窄、里急后重感与对照组比较均有统计学意义(P0.05);两组患者创面愈合时间比较有统计学意义(P0.05)。结论:中医联合改良RPH术治疗混合痔能够减少术后并发症,促进创面愈合。

Clinical Research on Mixed Hemorrhoids Treated with Chinese Medicine Combined with Improved RPH

Objective:To observe the clinical effects of Chinese medicine combined with improved RPH on mixed hemorrhoids.Methods:Totally 60 patients with mixed hemorrhoids treated between January 2014 and June 2016 were randomized into control group and treatment group,30 cases in each group.Control group were conducted improved PRH-RPH combined with shallowpeeling and low-dressing procedure.From the first day after surgery,Hemorrhoid Lotion weas used for hip bath before changing dress and after defecation,and after that Muscle-Generating Powder was used for external application.Treatment group were additionally given Qi-Benefiting and Bleeding-Stopping Decoction for oral administration,once every day.The pain scores,occurrence rates of complications and healing time of the wound in the two groups were compared.Results:There was no statistical significance of the pain scores between two groups (P ＞ 0.05);the symptoms of bleeding,anal stenosis and rectal tenemus in treatment group between the two groups had statistical difference (P ＜ 0.05);the healing time of wound between two groups had statistical difference (P ＜0.05) Conclusion:Chinese medicine combined with RPH can reduce the post-operative complications and improve the healing of the wound due to mixed hemorrhoids.