CAJ | 학술논문

目的：观察广痛消挥发油治疗肛裂疼痛的临床疗效。方法将112例肛裂疼痛患者随机分为 A 组（硝酸甘油软膏治疗组）26例、B 组（广痛消挥发油治疗组）28例、C 组（广痛消去挥发油治疗组）28例、D 组（广痛消全方治疗组）30例。广痛消各治疗组应用相应药物外用并注入直肠腔内距肛缘5~8 cm 处，10 Ml/次。硝酸甘油治疗组应用0,2%硝酸甘油软膏均匀涂抹于创面。以上药物每日给药1次，均于便后温盐水坐浴5 min 后给药。观察各组治疗1周前后 VAS 评分、疼痛减轻程度及疼痛持续时间等情况。结果治疗1周后广痛消挥发油治疗组的 VAS 评分及疼痛持续时间同其他组比较，差异有统计学意义（P <0,05）。结论广痛消挥发油对肛裂疼痛有着重要而独特的作用，是广痛消的重要组分，不可或缺。
목적：관찰엄통소휘발유치료항렬동통적림상료효。방법장112례항렬동통환자수궤분위 A 조（초산감유연고치료조）26례、B 조（엄통소휘발유치료조）28례、C 조（엄통소거휘발유치료조）28례、D 조（엄통소전방치료조）30례。엄통소각치료조응용상응약물외용병주입직장강내거항연5~8 cm 처，10 Ml/차。초산감유치료조응용0,2%초산감유연고균균도말우창면。이상약물매일급약1차，균우편후온염수좌욕5 min 후급약。관찰각조치료1주전후 VAS 평분、동통감경정도급동통지속시간등정황。결과치료1주후엄통소휘발유치료조적 VAS 평분급동통지속시간동기타조비교，차이유통계학의의（P <0,05）。결론엄통소휘발유대항렬동통유착중요이독특적작용，시엄통소적중요조분，불가혹결。
Objective To observe the clinical efficacy of guangtongxiao volatile oil in the treatment of anal fissure pain, Methods One hundred and twelve cases of anal fissure pain were randomized into A group(nitroglycerin ointment group,26 cases),B group(guangtongxiao volatile oil group,28 cases),C group (guangtongxiao devolatization oil group,28 cases)and D group(guangtongxiao decoction group,30 cases), In each guangtongxiao group,corresponding guangtongxiao agents were used and also infused in rectal cavity,5 to 8 cm distant to the anal edge,10 ml/ time, In the D group,0, 2% nitroglycerin ointment was used topically on the affected area, All the medicines were applied once a day,in 5 min of a hip bathing with warm saline after defecation, VAS score,alleviation of pain and pain duration were observed before and 1 week after treat-ment in each group, Results One week after treatment,VAS score and pain duration in guangtongxiao vola-tile oil group were different significantly as compared with the other groups(P < 0, 05), Conclusion Guang-tongxiao volatile oil has the essential and unique effect on anal fissure pain and it is the important and indis-pensible component of guangtongxi.