加减凉血地黄汤联合揿针防治混合痔(湿热下注证)术后疼痛、创面水肿的临床疗效观察

Observation of the Clinical Efficacy of Modified Liangxue Dihuang Decoction Combined with Snap Needles on Preventing and Treating Postoperative Pain and Wound Edema in Mixed Hemorrhoids (Damp Heat Injection Syndrome)

摘要: 目的：观察加减凉血地黄汤联合揿针治疗湿热下注型混合痔术后的临床疗效。方法：将2022年10月至2023年10月云南省中医院肛肠科病区住院并符合纳入标准的混合痔患者72例随机分为治疗组及对照组各36例，对照组予凉血地黄汤口服治疗，治疗组予凉血地黄汤配合揿针治疗；比较两组术后疼痛、创面水肿程度。结果：治疗组总有效率相较于对照组更高，差异有统计学意义(P < 0.05)，治疗组的创面疼痛、水肿程度较轻。结论：凉血地黄汤联合揿针可有效改善患者术后疼痛、创面水肿程度，且具有一定的安全性。

Abstract: Objective: This paper aims to observe the clinical efficacy of Modified Liangxue Dihuang Decoction combined with snap needles in the treatment of mixed hemorrhoids (Damp Heat Injection Syndrome) after surgery. Method: 72 cases of mixed hemorrhoid patients who were hospitalized in the anorectal ward of Yunnan Provincial Hospital of Traditional Chinese Medicine from October 2022 to October 2023 and qualified for inclusion were randomly divided into treatment group and control group of 36 cases each. The control group was given Modified Liangxue Dihuang Decoction, and the treatment group was given Modified Liangxue Dihuang Decoction with snap needles; the two groups of postoperative pain and the degree of traumatic edema were compared. Results: The total effective rate of the treatment group was higher than that of the control group, and the difference was statistically significant (P < 0.05), and the degree of traumatic pain and edema of the treatment group was lighter. Conclusion: Modified Liangxue Dihuang Decoction combined with snap needles can effectively improve patients’ postoperative pain and traumatic edema.