丹卿方熏洗联合增液承气汤加减治疗混合痔术后疼痛、排便困难的效果OA
Efficacy of Danqing Fangxunxiang combined with modified Zengye Chengqi decoction in treating postoperative pain and defecation difficulty in mixed hemorrhoids
目的 探讨丹卿方熏洗联合增液承气汤加减治疗混合痔术后疼痛、排便困难的效果.方法 选取2024年1月至12月浙江中医药大学附属温州市中医院收治的120例混合痔患者作为研究对象,采用随机数字表法分为对照组(n=60)和治疗组(n=60).对照组术后常规治疗+高锰酸钾熏洗+乳果糖口服液,治疗组术后常规治疗基础上加丹卿方熏洗+增液承气汤加减.治疗持续2周后,比较两组临床疗效.结果 治疗后,两组患者的排便困难情况均较治疗前改善.与对照组比较,治疗组患者的便秘临床症状改善更明显(P<0.05),治疗组患者的创面疼痛、渗液、水肿、肉芽生长评分均明显低于对照组(P<0.05).结论 丹卿方熏洗联合增液承气汤加减可有效缓解患者混合痔术后疼痛及排便困难,丹卿方熏洗从瘀论治,祛瘀生新,可缓解疼痛,促进伤口愈合.
Objective To investigate the effects of Danqing Fangxunxiang combined with modified Zengye Chengqi decoction in treating postoperative pain and defecation difficulty in mixed hemorrhoids.Methods A total of 120 patients with mixed hemorrhoids admitted to Wenzhou TCM Hospital of Zhejiang Chinese Medical University from January to December 2024 were selected as subjects.They were randomly divided into control group(n=60)and treatment group(n=60)using a random number table.The control group received conventional postoperative treatment plus potassium permanganate fumigation and washing plus lactulose oral solution,while the treatment group received conventional postoperative treatment supplemented with Danqing Fangxunxiang fumigation and washing plus modified Zengye Chengqi decoction.After a two-week treatment period,the clinical efficacy of two groups was compared.Results After treatment,defecation difficulties were improved in both groups compared to pre-treatment.Compared with control group,clinical improvement in constipation symptoms were pronounced in treatment group(P<0.05),scores for wound pain,exudation,edema,and granulation tissue formation were lower in treatment group(P<0.05).Conclusion Danqing Fangxunxiang for fumigation and washing combined with Zengye Chengqi decoction can effectively alleviate postoperative pain and defecation difficulties in patients with mixed hemorrhoids.The Danqing Fangxunxiang for fumigation and washing addresses the condition by targeting blood stasis,promoting blood circulation to facilitate tissue regeneration,thereby relieving pain and accelerating wound healing.
叶孙送;周慧慧;傅林平;王辰
浙江中医药大学附属温州市中医院肛肠科,浙江 温州 325000浙江中医药大学附属温州市中医院康复治疗部,浙江 温州 325000浙江中医药大学附属温州市中医院肛肠科,浙江 温州 325000浙江中医药大学附属温州市中医院肛肠科,浙江 温州 325000
医药卫生
熏洗疗法增液承气汤混合痔术后排便困难
Fumigation and washing therapyZengye Chengqi decoctionPostoperative mixed hemorrhoidsDifficulty in defecation
《中国现代医生》 2026 (14)
47-50,4
国家自然科学基金项目(82305249)温州市基础性公益科研项目(Y20240318)
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