CAJ | 학술논문

目的：观察高频电容场治疗术(HCPT微创术)联合中药方苦参敛疮汤超声雾化熏洗综合治疗混合痔的临床效果。方法选择于2012年9月~2015年6月来寻乌县中医院进行住院治疗的混合痔患者300例,随机将其分为治疗组和对照组,每组150例。治疗组给予HCPT微创术+术后进行中药方苦参敛疮汤超声雾化熏洗,对照组给予HCPT微创术+术后高锰酸钾坐浴。比较两组的疗效,术后肛门局部水肿发生率、VAS评分及创面愈合时间。结果治疗组的总有效率为96.67%,对照组为80.67%,两组比较,差异有统计学意义(P<0.05)。治疗组术后水肿患者的人数为9例,水肿发生率为6.00%,对照组术后发生水肿的患者人数为26例,水肿发生率为17.33%；治疗组的VAS评分为(2.34依0.28)分,对照组为(4.56依0.45)分；治疗组患者的创面愈合时间为(12.05依1.18)d,对照组为(23.05依2.11)d,两组的上述指标差异有统计学意义(P<0.05)。结论 HCPT微创术联合中药方苦参敛疮汤超声雾化熏洗综合治疗混合痔,具有效果好、创面愈合时间短、水肿发生率低、疼痛轻等优点,是一项值得深入开展及在基层大力推广的治疗方法。
목적：관찰고빈전용장치료술(HCPT미창술)연합중약방고삼렴창탕초성무화훈세종합치료혼합치적림상효과。방법선택우2012년9월~2015년6월래심오현중의원진행주원치료적혼합치환자300례,수궤장기분위치료조화대조조,매조150례。치료조급여HCPT미창술+술후진행중약방고삼렴창탕초성무화훈세,대조조급여HCPT미창술+술후고맹산갑좌욕。비교량조적료효,술후항문국부수종발생솔、VAS평분급창면유합시간。결과치료조적총유효솔위96.67%,대조조위80.67%,량조비교,차이유통계학의의(P<0.05)。치료조술후수종환자적인수위9례,수종발생솔위6.00%,대조조술후발생수종적환자인수위26례,수종발생솔위17.33%；치료조적VAS평분위(2.34의0.28)분,대조조위(4.56의0.45)분；치료조환자적창면유합시간위(12.05의1.18)d,대조조위(23.05의2.11)d,량조적상술지표차이유통계학의의(P<0.05)。결론 HCPT미창술연합중약방고삼렴창탕초성무화훈세종합치료혼합치,구유효과호、창면유합시간단、수종발생솔저、동통경등우점,시일항치득심입개전급재기층대력추엄적치료방법。
Objective To observe the clinical effect of high frequency capacitance field hemorrhoid treatment technique (HCPT) minimally invasive surgery combined with ultrasonic atomization fumigation of Kushen Lianchuang decoction of traditional Chinese prescription as a comprehensive therapy treating mixed hemorrhoids. Methods 300 hospitalized pa-tients with mixed hemorrhoids treated in Traditional Chinese Medicine Hospital of Xunwu County from September 2012 to June 2015 were selected.They were evenly divided into treatment group and control group in random.Treatment group was treated with HCPT minimally invasive surgery combined with ultrasonic atomization fumigation of Kushen Lianchuang decoction of traditional Chinese prescription after surgery,while control group was treated with HCPT mini-mally invasive surgery combined with potassium permanganate for hip bath after surgery.The therapeutic effect,inci-dence rate of anal local edema and VAS score after surgery and wound healing time between two groups was compared respectively. Results The total effective rate of treatment group was 96.67%,while the rate of control group was 80.67%, and there was a statistical difference between two groups (P<0.05).The number of patients occurred with postoperative edema was 9 cases and the incidence rate of edema was 6.00%,while in control group,the number was 26 cases and the incidence rate was 17.33%;VAS score in treatment group was (2.34±0.28) points while in control group,VAS score was (4.56±0.45) points;the wound healing time in treatment group was (12.05±1.18) days,while in control group,the time was (23.05±2.11) days,and there was a statistical difference of above-mentioned indexes (P<0.05). Conclusion HCPT mini-mally invasive surgery combined with ultrasonic atomization fumigation Kushen Lianchuang decoction of traditional Chinese prescription as a comprehensive therapy treating mixed hemorrhoids has advantages of good effect,short wound healing time,low incidence rate of edema,and light pain.It is a therapeutic method worthy of deeply developed and ex-tensively promoted in grass roots.