【作者】 方红燕；

【导师】 蔡而玮；

【作者基本信息】 福建中医学院 ， 中西医结合临床， 2009， 硕士

【摘要】 目的:观察清润合剂在湿热下注型混合痔术后帮助排便,减少粪便对创口的刺激,进而缓解疼痛、减少便时出血及肛缘水肿,促进愈合,缩短疗程的临床疗效。方法:采用数字随机表分组的方法,将60例符合纳入标准的患者随机分为治疗组和对照组各30例。两组在术前术后常规治疗的基础上,治疗组自术后第1天开始口服清润合剂,每日1剂,日2服,连服9天,对照组术后不服用中药。观察指标包括术后第3、6、9天排便情况、创口疼痛、便时出血和创缘水肿等症状体征的变化,将各积分按标准填入“混合痔术后反应观察表”中,评定各症状体征总积分的变化情况,比较两组创面愈合时间。结果:两组术后3,6,9天各症状体征积分经秩和检验有显著差异,1个疗程后各症状体征总积分经t检验均有显著差异,治疗组愈合时间比对照组有明显缩短。两组均未发现明显不良反应,治疗前后血常规、肝肾功无明显变化。结论:清润合剂适用于湿热下注型混合痔术后,有效帮助排便、缓解疼痛、减少便时出血、减轻创缘水肿等症状,促进愈合,缩短疗程,无明显不良反应,是一种安全有效的中药制剂。更多还原

【Abstract】 Objective:To observe the effect of Qing-run mixture soup on discharging excrement, then reduction of pain,bleeding,edema secretion after operation of mixed hemorrhoids ofdamp-heat pouring downward syndromeMethods:It is a randoinized control study according to the diagnosis standard with 30 patients in treatment group and 30 patients in control group.The treatment group started the treatment with Qing-run mixture soup one day after operation and 1 agent one day,twice a day,do this for 9 day.While the control group,without the soup during the treatment. Evaluation criteria include score of symptoms and dosage of pain,bleeding,edema secretion in 3 day,6 day,9 day after operation then Appraise the total score of all symptoms.and the time of healing.Results:After treatment,all of the score of each symptom and total score of all symptoms are significantly lower than control group.The dosage of antalgica in treatment group also significantly lower than the control group.Qing-run mixture soup can significantly discharge excrement,alleviate postoperative pain and edema,and relieved wound blood exudation,in 3 day,6 day,9 day after operation.There is no obviously side effect and no marked change of blood routin and liver-kindey merit in treatment group and control group.Conclusion:Qing-run mixture soup can effectively alleviate the symptoms such as discharging excrement,pain,bleeding of excrement and edema.It can decrease the administrative rate and dosage of antalgic.It is safe and effective Chinese drugs pharmaceutics.更多还原