自拟白芷祛毒汤对湿热下注型混合痔术后疼痛的疗效研究

Study on the Efficacy of Self-Proposed Bai Zhi Detoxifying Decoction Postoperative Pain of Mixed Haemorrhoids of the Damp-Heat-Infiltration Type

摘要: 目的：观察拟白芷祛毒汤治疗湿热下注型混合痔术后疼痛的疗效。方法：选择2023年04月~2024年04月安宁市中医医院肛肠科收治的湿热下注型混合痔术后疼痛患者80例，以入院时间先后顺序为依据，随机分为研究组和对照组，每组40例。在常规疗法处理上，研究组实施自拟白芷祛毒汤熏洗，对照组实施高锰酸钾溶液熏洗，2组均治疗7天。比较2组临床疗效，治疗前及治疗1、3、5、7天后疼痛评分、水肿评分、肛管直肠测压评分，评估前后各项症状评分、肛门功能及并发症。结果：研究组总有效率高于对照组，治疗后1、3、5、7天，2组疼痛及水肿程度评分均低于治疗前，且研究组低于对照组；治疗7天后，2组在疼痛、水肿、肛管直肠测压等方面均低于治疗前；研究组并发症总发生率低于对照组。结论：自拟白芷祛毒汤治疗湿热下注型混合痔术后疼痛患者可提高临床疗效，减轻患者疼痛及水肿程度，改善临床症状，提高肛门功能，避免并发症发生。

Abstract: Objective: To observe the therapeutic efficacy of self-proposed Bai Zhi detoxifying decoction in treating postoperative pain in patients with mixed hemorrhoids of damp-heat type. Methods: A total of 80 patients with postoperative pain due to mixed hemorrhoids of damp-heat type, admitted to the Anal and Rectal Department of the Traditional Chinese Medicine Hospital in Anning City from April 2023 to April 2024, were randomly divided into a study group and a control group, with 40 patients in each group. The study group received self-prepared Bai Zhi detoxifying decoction fumigation, while the control group received potassium permanganate solution fumigation, both for 7 days in addition to routine treatment. The clinical efficacy, pain score, edema score, and anorectal pressure measurement score before and 1, 3, 5, and 7 days after treatment were compared between the two groups. The symptom scores, anorectal function, and complications were also evaluated before and after treatment. Results: The total effective rate in the study group was higher than that in the control group. The pain and edema scores in both groups were lower after 1, 3, 5, and 7 days of treatment compared to before treatment, with the study group showing lower scores than the control group. After 7 days of treatment, both groups showed improvements in pain, edema, and anorectal pressure compared to before treatment. The incidence of complications in the study group was lower than that in the control group. Conclusion: The self-prepared Bai Zhi detoxifying decoction can improve the clinical efficacy, reduce pain and edema, improve clinical symptoms, enhance anorectal function, and prevent complications in patients with postoperative pain due to mixed hemorrhoids of damp-heat type.