|
|
Effect of "Cuyu Xunxi Formula" on postoperative wound healing of mixed hemorrhoids and simple low anal fistula |
QIU Fei1 ZHENG De2 QU Yin2 YANG Wei2 WANG Qingming2 LU Hong2 LU Yafeng2 |
1.Teaching Office, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China;
2.Department of Proctology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China |
|
|
Abstract Objective To investigate the effect of "Cuyu Xunxi Formula" on postoperative wound healing of mixed hemorrhoids and simple low anal fistula. Methods One hundred and twenty cases of postoperative patients with mixed hemorrhoids and 144 cases of postoperative patients with simple low anal fistula treated in Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from December 2013 to December 2015 were collected. By using high and low concentration, long and short time of fumigation, the changes of wound pain, edema, exudation and hemorrhage were observed after operation for 3, 7, 14 days, and the comprehensive effects of the four factors for postoperative symptom scores were analyzed by multi-factor analysis of variance. Results The effects of drugs on postoperative pain between the two diseases had no significant differences. The improvement degree of edema and exudation of anal fistula was most obvious on the 14th day after surgery. There was significant difference in terms of hemorrhage between the two diseases on the 7th and 14th day after surgery. Meanwhile, the dilution ratio had different effects on the improvement of edema between the two diseases on the 7th day after surgery, while the time of fumigation had different effects on the improvement of exudation of the two diseases. Conclusion "Cuyu Xunxi Formula" has great effects on postoperative symptoms of simple low anal fistula during the course of 14-day treatment, while dilution ratio and fumigation time have greater influences on the postoperative symptoms during the course of 7-day treatment.
|
|
|
|
|
[1] 韩少良,倪士昌.大肠肛门疾病外科治疗[M].北京:人民军医出版社,2006:4.
[2] 中华医学会外科学分会肛肠外科学组.痔临床诊治指南(草案)[J].中华胃肠外科杂志,2004,7(5):415-416.
[3] 中华医学会外科学分会,中华中医药学会,中国中西医结合学会.肛瘘临床诊治指南(2006版)[J].中华胃肠外科杂志,2006,9(5):461-462.
[4] 国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994.
[5] 国家中医药管理局.中华人民共和国中医药行业标准·中医肛肠科病证诊断疗效标准[S].南京:南京大学出版社,1995:128.
[6] 郑德,沈德海,应光耀,等.促愈熏洗方不同浓度和熏洗时间对痔术后并发症疗效的影响[J].上海中医药大学学报,2012,26(3):54-57.
[7] 谢沈阳,杨晓源,丁章贵,等.蒲公英的化学成份及其药理作用[J].天然产物研究与开发,2012,24(S1):141-151.
[8] 雷载权.中药学[M].上海:上海科学技术出版社,1995.
[9] 国家药典委员会.中国药典[S].一部.北京:中国医药科技出版社,2010:187.
[10] 黄兆胜.中药学[M].北京:人民出版社,2002:481-482.
[11] 李曦,张丽宏,王晓晓,等.当归化学成分及药理作用研究进展[J].中药材,2013,36(6):1023-1028.
[12] 俞德洪.现代肛肠外科学第一版[M].北京:人民军医出版社,1997:199.
[13] 张东铭.痔病的病因与流行病学[J].大肠肛门病外科杂志,2002,8(5):25-29.
[14] 徐红,黄卫国,郭淳.1795例常规体检者中痔病患病情况分析[J].中国普外基础与临床杂志,2011,8(8):884-886.
[15] 石焕芝,任宝印,王丽璞,等.肛门直肠疾病流行病学分析[J].中国肛肠杂志,2000,20(3):10-12.
[16] 顾强.肛门直肠疾病3002例分析[J].甘肃中医,2000,13(5):41-42.
[17] 张东铭.盆底肛直肠外科理论与临床[M].北京:人民军医出版社,2011:110.
[18] 贝绍生,黄乃健.诊治肛瘘经验[J].山东中医药大学学报,2006,30(4):314.
[19] 鲁维山,王国喜,查兴盛,等.瘘管切除加消痔灵封闭内口治疗低位肛瘘疗效观察[J].人民军医,2004,47(8):444-445.
[20] 王伟锋,相程江,梁锦豪,等.痔上黏膜环形切除术与外痔切除术联合治疗混合痔的临床疗效分析[J].中国现代医生,2015,53(11):45-47,51.
[21] 陈钢.角菜酸酯肛门栓剂用于肛瘘术后疗效观察[J].人民军医,2006,49(3):138-139.
[22] 余克强,伍静,何洪波,等.分段切除伴肛门整形术治疗环状外痔为主混合痔的远期疗效观察[J].成都医学院学报,2015,10(4):435-437,441.
[23] 瞿胤,杨巍,郑德,等.促愈熏洗方在肛瘘术后应用[J].中成药,2012,34(12):2298-2301.
[24] 杨钦清,董芳,梁顺华,等.吻合器痔上黏膜环切术(PPH)与传统外剥内扎术治疗环状混合痔的疗效比较[J].中国现代医生,2015,53(10):24-26. |
|
|
|