维吾尔医自拟方洗剂熏蒸坐浴治疗外痔的临床疗效评价

Evaluation of the Clinical Efficacy of Uyghur Medicine Formulated Wash and Steaming Sitz Bath for the Treatment of External Hemorrhoids

摘要: 目的：探讨维吾尔医自拟方洗剂熏蒸坐浴治疗外痔的临床疗效评价。方法：回顾性选取2024年1月至2025年1月在新疆和田地区维吾尔医医院诊断为“外痔”的100例住院患者作为研究对象，按照治疗方法不同将患者分为对照组及观察组，各组50例。对照组采用常规痔疮治疗措施，观察组采用维吾尔医自拟方联合熏蒸坐浴疗法，两组患者均接受两周治疗。比较两组患者一般临床资料、治疗前及治疗后第1、7、14天的疼痛视觉模拟评分(visual analogue scale, VAS)、临床疗效、临床症状消退时间(水肿消退时间、疼痛消失时间、肛门坠胀感消失时间)、复发情况。结果：通过比较发现观察组与对照组VAS评分差异性无统计学意义(P > 0.05)。治疗后第1天、7天及14天对照组及观察组组内比较VAS评分均有所下降，但观察组VAS评分显著低于对照组(P < 0.05)。治疗总有效率观察组(96%)显著高于对照组(80%)，两组间的总有效率差异性存在显著统计学意义(χ² = 6.207, P < 0.05)。观察组肛周水肿消退时间、疼痛消失时间及肛门坠胀感消失时间三项观察指标均短于对照组且差异性存在统计学意义(P < 0.05)。结论：维吾尔医自拟方洗剂熏蒸坐浴疗法在治疗外痔中具有显著的临床疗效，在减轻疼痛及水肿消退、改善肛门坠胀感、降低复发率方面表现出独特优势。因此，可以作为一种新的治疗方案，值得推广。

Abstract: Objective: To evaluate the clinical efficacy of Uighur medical self-prescribed formula fumigation and sitz bath in the treatment of external hemorrhoids. Methods: A retrospective study was conducted on 100 inpatients diagnosed with “external hemorrhoids” at the Uyghur Medical Hospital in Hetian, Xinjiang, from January 2024 to January 2025. These patients were divided into a control group and an observation group according to the different treatment methods, with 50 cases in each group. The control group received conventional hemorrhoid treatment measures, while the observation group was treated with a Uyghur medical self-composed prescription combined with fumigation and sitz bath therapy. Both groups underwent a two-week treatment. The study compared the general clinical data of the two groups of patients, as well as their visual analogue scale (VAS) scores for pain before treatment and on days 1, 7, and 14 after treatment. It also evaluated clinical efficacy, the time for clinical symptom resolution (including the time for edema to subside, pain to disappear, and the sensation of anal fullness to vanish), and the recurrence rate. Results: There was no significant difference in VAS scores between the observation group and the control group (P > 0.05). On the 1st, 7th and 14th days after treatment, the VAS score of the control group and the observation group decreased, but the VAS score of the observation group was significantly lower than that of the control group (P < 0.05). The total effective rate of treatment in the observation group (96%) was significantly higher than that in the control group (80%), and there was a significant difference in the total effective rate between the two groups (χ² = 6.207, P < 0.05). The observation time of perianal edema in the observation group, the time of pain disappearance and the time of disappearance of anal swelling were shorter than those in the control group, and the differences were statistically significant (P < 0.05). Conclusion: The Uyghur medicine self-prepared formula wash with fumigation and sitz bath therapy has significant clinical efficacy in the treatment of external hemorrhoids, showing unique advantages in reducing pain, resolving edema, improving anal fullness, and lowering recurrence rates. Therefore, it can be considered as a new therapeutic option and is worthy of promotion.