清热生肌散坐浴联合揿针治疗混合痔术后水肿的临床观察

Clinical Observation of Sitz Bath with Qingre Shengji Powder Combined with Press-Needle Therapy for Postoperative Edema after Mixed Hemorrhoids Surgery

摘要: 目的：评估清热生肌散坐浴联合揿针治疗混合痔(湿热下注型)术后水肿的临床疗效，并研究其机制。方法：将62名患者随机分为两组，每组各31人，其中对照组给予清热生肌散坐浴治疗，研究组在对照组的基础上联合揿针治疗。治疗周期为八周。通过比较两组治疗前后的临床效果、中医证候积分和血浆中MTL的含量变化来评价治疗成效。结果：治疗组总有效率为86.67%，明显优于对照组的73.33% (p < 0.05)。两组症状积分均有所下降，但治疗组下降更为明显。同时，两组血浆中MTL的含量变化均降低，治疗组降低程度较大，具有统计学意义(p < 0.05)。结论：清热生肌散坐浴联合揿针治疗混合痔(湿热下注型)术后水肿方面具有显著的临床疗效，并能有效改善证候积分和血浆中MTL水平。

Abstract: Objective: In order to evaluate the clinical effect and explore the mechanism of sitz baths with Qingre Shengji Powder combined with press-needle therapy for postoperative edema after mixed hemorrhoid surgery in patients with damp-heat downward pattern. Methods: 62 patients were randomly divided into two groups, 31 people in each group, and the control group was given sitz baths with Qingre Shengji Powder alone, and the study group was combined with press needle treatment based on the control group. The treatment cycle was performed for eight weeks. The treatment effect was evaluated by comparing the clinical effects before and after treatment, TCM syndrome points, and changes in plasma MTL content in the two groups. Results: The overall response rate of the treatment group was 86.67%, which was significantly better than the 73.33% in the control group (p < 0.05). The symptom score was decreased in both groups, but the decrease was more pronounced in the treatment group. Meanwhile, the change of MTL decreased in both groups, and the decrease in the treatment group was statistically significant (p < 0.05). Conclusion: Qingre Shengji Powder sitz baths combined with press-needle therapy markedly improve postoperative edema in mixed hemorrhoid patients with damp-heat downward pattern, and can effectively improve the syndrome score and MTL level in plasma.