中药熏洗联合内镜下套扎治疗Ⅱ～Ⅲ度内痔有效性及安全性的中长期临床研究
Efficacy and Safety of Traditional Chinese Medicine Fumigation Combined with Endoscopic Ligation in the Treatment of Grade Ⅱ to Ⅲ Internal Hemorrhoids:A Medium-and Long-Term Clinical Study
彭志华 1凌宏 1曾利娟 1陈展浩 1程瑞辉1
作者信息
- 1. 东源县中医院脾胃病科(广东 东源 517000)
- 折叠
摘要
目的 分析中药熏洗联合内镜下套扎治疗Ⅱ～Ⅲ度内痔有效性及安全性的中长期临床效果.方法 选取我院 2022 年 1 月—2022 年 9 月收治的 120 例Ⅱ～Ⅲ度内痔患者,随机分为A组(40 例,单纯采用中药熏洗治疗)与B组(40 例,采用温水熏洗联合内镜下套扎治疗)、C组(40 例,采用中药熏洗联合内镜下套扎治疗).对比三组治疗后肛门疼痛、坠胀、脱垂程度、出血量、感染情况,同时在治疗 1 年后加予复查肠镜,及统计复发率及再住院次数,并进行组间对比.结果 三组感染率比较差异不具统计学意义(P＞0.05);三组肛门疼痛、坠胀、脱垂程度评分显示,各症状评分C组＜B组＜A组,组间比较差异具有统计学意义(P＜0.05);出血量、复发率及再住院次数比较结果显示,C组＜B组＜A组,组间比较差异具有统计学意义(P＜0.05).结论 中药熏洗联合内镜下套扎治疗Ⅱ～Ⅲ度内痔具有良好的临床效果和较高的安全性,是一种值得推广的治疗方式.
Abstract
Objective To analyze the efficacy and safety of traditional Chinese medicine fumigation combined with endoscopic ligation in the treatment of grade Ⅱ to Ⅲ internal hemorrhoids in the medium and long term.Methods A total of 120 patients with grade Ⅱ to Ⅲ internal hemorrhoids treated in Dongyuan Hospital of Traditional Chinese Medicine from January to September in 2022 were selected and randomized into groups A(40 patients,treated with traditional Chinese medicine fumigation),B(40 patients,treated with warm water fumigation combined with endoscopic ligation),and C(40 patients,treated with traditional Chinese medicine fumigation combined with endoscopic ligation).The anal pain,distension,prolapse,blood loss,and infection were compared among the three groups after treatment.The patients were re-examined by colonoscopy 1 year after treatment,and the recurrence rate and the times of re-hospitalization were counted and compared among groups.Results There was no significant difference in the infection rate among the three groups(P>0.05).The scores of anal pain,distension,and prolapse,blood loss,recurrence rate,and re-hospitalization times followed the trend of group C<group B<group A(P<0.05).Conclusion Traditional Chinese medicine fumigation combined with endoscopic ligation is effective and safe in the treatment of grade Ⅱ to Ⅲ internal hemorrhoids,being worth promoting.
关键词
中药熏洗/内镜下套扎/Ⅱ～Ⅲ度内痔/临床效果Key words
traditional Chinese medicine fumigation/endoscopic ligation/grade Ⅱ to Ⅲ internal hemorrhoids/clinical effect引用本文复制引用
出版年
2024
NETL
NSTL
万方数据