CAJ | 학술논문

目的观察马应龙麝香痔疮膏、金玄痔科熏洗散、地奥司明片和聚乙二醇4000散联合应用治疗环形混合痔手术后并发症的临床疗效.方法对解放军第260医院外一科2008年1月-2009年6月收治的90例环形混合痔术后患者采用随机对照的方法均分2组.实验组:术后第1天开始,应用金玄痔科熏洗散55 g加1000 mL沸水冲化先熏后洗,马应龙麝香痔疮膏2.5 g纳肛,每日 2次;聚乙二醇4000散10 g加水200 mL冲服,地奥司明片1.0 g口服,每日2次,2种服用药间隔2 h服用.对照组:应用1:100无菌温盐水坐浴,马应龙麝香痔疮膏2.5 g纳肛,每日2次;酚酞片100 mg口服,每日2次.结果两组患者肛门疼痛、出血、水肿方面,实验组优于对照组,有显著性差异(P<0.05).愈合时间与对照组相比明显缩短(P<0.01).结论马应龙麝香痔疮膏、金玄痔科熏洗散、地奥司明片、聚乙二醇4000散联合应用对环形混合痔手术后肛门疼痛、出血、水肿方面有明显改善,明显缩短创面愈合时间.
목적 관찰마응룡사향치창고、금현치과훈세산、지오사명편화취을이순4000산연합응용치료배형혼합치수술후병발증적림상료효.방법 대해방군제260의원외일과2008년1월-2009년6월수치적90례배형혼합치술후환자채용수궤대조적방법균분2조.실험조:술후제1천개시,응용금현치과훈세산55 g가1000 mL비수충화선훈후세,마응룡사향치창고2.5 g납항,매일 2차;취을이순4000산10 g가수200 mL충복,지오사명편1.0 g구복,매일2차,2충복용약간격2 h복용.대조조:응용1:100무균온염수좌욕,마응룡사향치창고2.5 g납항,매일2차;분태편100 mg구복,매일2차.결과 량조환자항문동통、출혈、수종방면,실험조우우대조조,유현저성차이(P<0.05).유합시간여대조조상비명현축단(P<0.01).결론 마응룡사향치창고、금현치과훈세산、지오사명편、취을이순4000산연합응용대배형혼합치수술후항문동통、출혈、수종방면유명현개선,명현축단창면유합시간.
Objective To eveluate the clinical curative effects of combination of Ma Yinglong She Xiang Zhi Chuang Gao,Jin Xuan Zhi Ke Xun Xi Xan,Diosmin,Macrogol 4000 powder in treating postoperative complications of ring mixed hemorrhoids.Methods Ninty cases of postoperative ring mixed hemorrhoids patients were divided into two groups randomly from January 2008 to June 2009.Experimental group:From the first day on Jin Xuan Zhi Ke Xun Xi San 55 g and the 1000 mL boiling water were added flushing,and Maying Long She Xiang Zhi Chuang Gao 2.5 g,2 times daily.The Macrogol 4000 powder 10 g and water 200 mL were admistrated orally,Diosmin 1.0 g orally,2 times daily.Oral administration of two kinds of medications was done each two hours.Control group:Using 1:100 Sterile warm salt water hip bath,and Ma Yinglong she xiang zhi chuang gao 2.5 g,2 times daily;Phenolphthalein tablets 100 mg orally,2 times daily.Results The experimental group surpassed the control group in the anus ache,the hemorrhage,edema (P<0.05).The heal time reduced obviously(P<0.01).Conclusion To combination of Ma Yinglong She Xiang Zhi Chuang Gao,Jin Xuan Zhi Ke Xun Xi San,Diosmin,Macrogol 4000 powder has the distinct improvement in the anus ache,the hemorrhage,dropsy of ring mixed hemorrhoids and reduces the injured area heal time obviously.