CAJ | 학술논문

目的：观察中医个体化治疗方案对嵌顿痔的临床疗效和可行性。方法将144例嵌顿痔患者采用SPSS13．0随机分为治疗组和对照组，治疗组采用中医个体化治疗方案，对照组采用急诊手术方案，对比观察两组各证型治疗效果、恢复时间、术后并发症发生情况，并予评分量化比较。结果两组中湿热下注证及气滞血瘀证的患者在平均手术时间、术后疼痛及肛门狭窄发生率比较差异均有显著差异（P＜0．05），脾虚气陷证患者各观察指标无显著差异（P＞0．05）。结论中医个体性优化方案对嵌顿痔湿热下注证及气滞血瘀证有显著疗效且更具优势。
목적：관찰중의개체화치료방안대감돈치적림상료효화가행성。방법장144례감돈치환자채용SPSS13．0수궤분위치료조화대조조，치료조채용중의개체화치료방안，대조조채용급진수술방안，대비관찰량조각증형치료효과、회복시간、술후병발증발생정황，병여평분양화비교。결과량조중습열하주증급기체혈어증적환자재평균수술시간、술후동통급항문협착발생솔비교차이균유현저차이（P＜0．05），비허기함증환자각관찰지표무현저차이（P＞0．05）。결론중의개체성우화방안대감돈치습열하주증급기체혈어증유현저료효차경구우세。
Objective To study the clinical effects and feasibility of individualized therapy with TCM on incarcerated hemorrhoids.Methods 144 cases of patients with incarcerated hemorrhoids were randomly assigned to treatment group and control group according to SPSS13.0. Patients in the treatment group adopted individualized therapy with TCM, while patients in the control group performed emergency surgeries. The curative effect, recovery time and postoperative complications of two groups were compared.Results There were significant differences ( P<0.05) between the two groups who were considered as syndrome of dampness-heat in lower jiao or syndrome of qi stagnation and blood stasis on the mean operation time, postoperative pain and incidence of anal stricture.There were no significant differences ( P <0.05 ) between the two groups who were considered as syndrome of sinking of qi due to spleen deficiency.Conclusion The individualized therapy with TCM was more effective in treating incarcerated hemorrhoids with syndrome of dampness-heat in lower jiao or syndrome of qi stagnation and blood stasis.