【作者】 郑顺永；

【导师】 王立柱；

【作者基本信息】 山东中医药大学 ， 中医外科学， 2010， 硕士

【摘要】 目的：探讨肛疾宁外洗颗粒防治混合痔术后主要并发症的临床疗效。方法：在符合纳入标准的病例中选择60例病人,随机分为观察组、对照一组、对照二组。三组病例在术后常规治疗的基础上,自术后第一天起观察组20人给予肛疾宁外洗颗粒熏洗;对照一组20人给予花子叶汤熏洗；对照二组20人仅给予温开水熏洗治疗。七天为一疗程,详细观察患者并发症情况,对其治疗第2d、5d、7d时的主要症状体征进行评价。结果：临床研究表明,在用药的第5d、7d观察组和两对照组在改善肛门疼痛、水肿、坠胀,便血方面有显著性差异(p<0.05)；在用药的2d观察组和两对照组在改善疼痛,坠胀,便血方面没有显著差异(p>0.05)；用药的第2d、5d、7d观察组和两对照组之间在改善肛门水肿方面分别存在差异(p<0.05)；用药的第2d、5d、7d观察组与二对照组在改善肉芽生长及创面愈合状况时无显著差异(p>0.05)结论：以清热解毒,消肿止痛,凉血止血,收敛止痒立法组成的肛疾宁外洗颗粒,可通过改善末梢循环,缓解括约肌痉挛,抗炎,镇痛,止血,消肿等作用减轻混合痔术后的肛门疼痛、坠胀、便血等症状,有效防治术后创面愈合缓慢的症状,说明对混合痔术后的病机认识是合理的,清热解毒、凉血止血、消肿止痛是治疗混合痔术后主要并发症的有效方法,本方是防治混合痔术后主要并发症的有效方剂。更多还原

【Abstract】 Objective:to observe the therapeutic effect of Gang Jining granule on preventing and Treating postoperational complications of mixed Hemorrhoids.Methods:We choose 60 patients who are accord with the diagnosis standard and assigned them into three groups at random.20 patients who are the treatment groups are treated by taking Gang Jining granule from the first day after operation,20 patients who are the first control groups are treated by fumigating with Hua Ziye soup piles from the first day after operation too,20 patients who are the second control groups are treated only by fumigating with warm water.To compare the treatment between the three groups after the 2nd,5nd,7nd by computation the data of postoperative.Results:The result is different between the treatment groups and the next two groups at anus dropsy and straining of anorectum at the 2nd,5 nd,7nd. The result is different between the treatment groups and the next two groups at urinary disturbance at the 2nd,5nd,7nd. The result is different between the treatment groups and the next two groups at anus pain at the 5nd,7nd.There is no obvious difference between the treatment groups and the first control groups at promote faecal function and bleeding with faecal at the 2nd,4nd,7nd.Conclusion:Gang Jining granule can effectively improve and prevent the anus dropsy and straining of anorectum, urinary disturbance, anus pain, faecal function and bleeding with faecal by improving blood capillary, alleviating the convolution of sphincter,pain-relieving,reducing inflammation etc.So it is said that we are correct at the pathogenesis of post-operational complications of the mixed Hemorrhoids with damp and heat poured and the Gang Jining granule is effective.更多还原