止痛润肠浓煎饮治疗混合痔术后便秘

目的:观察止痛润肠浓煎饮治疗混合痔术后便秘的疗效及不良反应。方法:将混合痔住院手术患者随机分为两组,治疗组(n=41)术后口服止痛润肠浓煎饮,对照组(n=37)术后口服麻仁软胶囊,分别观察术后首次排便时间,术后首次、3～4,6～7,9～10 d时间段大便性状评分及排便时疼痛评分。结果:术后首次排便时间,治疗组较对照组缩短,但无统计学差异;术后首次、3～4 d大便性状及疼痛评分明显优于对照组(P<0.01),6～7 d时亦有差异(P<0.05),至9～10 d两者差异不显著。结论:止痛润肠浓煎饮具有促进排便、软化大便、减轻疼痛的作用,且不易引起腹泻;应用止痛润肠浓煎饮是防治混合痔患者术后便秘的有效方法。

Acesodyne and Lubricating Gut Condensed Decoction in Treatment of Constipation after Operation of Mixed Hemorrhoids

Objective:In order to observe the therapeutic efficacy and side effect of acesodyne and lubricating gut condensed decoction(ALGCD) in treatment of constipation after operation of mixed hemorrhoids. Method: Patients with hemorrhoids received operation in hospital were randomized into two groups, treatment group (n=41) take ALGCD orally after operation, control group (n=37) take Maren soft gelatin capsule after operation. The time of first defecation after operation was observed. The stool form scale and pain scale of defecation at first time, 3-4th day, 6-7th day and 9-10th day after operation were also observed. Result: The time of first defecation after operation in treatment group was shorter than that in control group, but there were no significance difference in statistics. The stool form scale and pain scale of defecation at first time, 3-4th day in the treatment group were better than those in the control group (P<0.01), and also better at 6-7th day (P<0.05), until 9-10th day there were no significance difference in the two groups. Conclusion: ALGCD can stimulate bowel movement, intenerate the stool and alleviate the pain, can't cause diarrhea easily. Application of ALGCD is an effective method in prevention and treatment of constipation after operation of mixed hemorrhoids.