林昆明

【摘要】 目的：探讨苦参汤加减熏洗在陈旧性肛裂术后患者中的应用效果。方法：选择笔者所在医院2017年1月-2018年12月收治的86例陈旧性肛裂手术患者，采用随机数字表法将其分为观察组及对照组，各43例。对照组给予患者1∶5 000高锰酸钾熏洗，观察组给予苦参汤加减熏洗。比较两组疼痛缓解时间、创面愈合时间、临床疗效、生活质量、水肿率、出血率。结果：两组临床疗效比较差异无统计学意义（P>0.05）。观察组疼痛缓解时间、创面愈合时间均早于对照组，水肿率、出血率均低于对照组，生活质量评分高于对照组，差异均有统计学意义（P<0.05）。结论：陈旧性肛裂术后患者采用苦参汤加减熏洗有助于缓解疼痛，促进创面愈合，减少术后水肿及出血，值得推广应用。

【关键词】 陈旧性肛裂 手术 苦参汤 效果

doi：10.14033/j.cnki.cfmr.2020.17.063 文献标识码 B 文章编号 1674-6805（2020）17-0-03

Effect of Traditional Chinese Medicine Fumigation and Washing in Patients with Old Anal Fissure after Operation/LIN Kunming. //Chinese and Foreign Medical Research， 2020， 18（17）： -150

[Abstract] Objective： To explore the effect of Kushen Decoction plus reduced fumigation and washing in patients with old anal fissure after operation. Method： A total of 86 patients with old anal fissure operation who were admitted in our hospital from January 2017 to December 2018 were selected. They were randomly divided into the observation group and the control group， with 43 cases in each group. The control group was treated with 1∶5 000 Permanganate fumigation and washing. The observation group was treated with Kushen Decoction plus reduced fumigation and washing. The pain relief time， wound healing time， clinical efficacy， quality of life， edema rate and bleeding rate of the two groups were compared. Result： There was no significant difference in clinical efficacy between the two groups （P>0.05）. The pain relief time and wound healing time of the observation group were earlier than those of the control group， the edema rate and bleeding rate were lower than those of the control group， the quality of life score of the observation group was higher than that of the control group， the differences were statistically significant （P<0.05）. Conclusion： For patients with old anal fissure after operation， the use of Kushen Decoction plus reduced fumigation and washing can help relieve pain， promote wound healing， and reduce postoperative edema and bleeding， which is worthy of promotion and application.

[Key words] Old anal fissure Operation Kushen Decoction Effect

First-authors address： Sanming First Hospital， Sanming 365000， China

肛裂是一種常见的肛门直肠疾病，是齿状线以下的肛管皮肤全层纵行破裂形成的伤口或裂隙，通常伴随剧烈的疼痛。肛裂多表现为排便时及排便后剧烈疼痛、便秘、出血等，因排便时大便刺激裂口，造成便时疼痛，而便后内括约肌痉挛，疼痛更加剧烈，故给患者带来巨大痛苦，严重影响患者生活质量[1]。早期肛裂一般能通过药物治愈，如使用大便软化剂，辅以温水坐浴。但对于经久不愈、非手术治疗无效且症状较重者的陈旧性肛裂多采取手术治疗[2]。然而术后疼痛、水肿、创面愈合缓慢等是影响患者恢复的主要问题，严重影响患者术后生活质量，有研究表明术后配合中药熏洗可缓解疼痛，减轻水肿，松弛肛门括约肌，促进恢复[3]。本研究选取86例陈旧性肛裂手术患者，术后给予苦参汤加减治疗，取得了一定的效果，现具体报道如下。