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消炎止痛膏治疗炎性外痔的临床研究
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摘要
目的:探讨消炎止痛膏治疗炎性外痔的临床疗效。
     方法:本临床研究观察的50例炎性外痔患者,均为黑龙江中医药大学附属第一医院肛肠科2008年9月至2009年6月门诊病人,其中男性28例,女性22例,年龄17岁~56岁。按随机数字表将所有患者随机分成治疗组25例,对照组25例。两组患者性别、年龄、病程均无显著性差异,具有可比性。治疗组给予消炎止痛膏外敷,对照组给予马应龙麝香痔疮膏外敷,均予温水坐浴10~15分钟后外敷痔核表面8-10小时,每日两次,连续用药7天,分别于治疗的第3天、第5天、第7天选择炎性外痔常见临床症状和体征如肛门疼痛、肛门坠胀、痔核大小变化、痔核表面黏膜改变等指标进行比较研究。
     结果:治疗组总有效率为96%,观察组总有效率为80%,用统计学方法处理,两组间疗效比较有显著性差异。
     结论:1、消炎止痛膏在治疗炎性外痔总体疗效优于马应龙麝香痔疮膏组。
     2、消炎止痛膏治疗炎性外痔,直接作用于病灶,在肛门疼痛、肛门坠胀、痔核水肿和保护痔核黏膜方面疗效优于马应龙麝香痔疮膏组。
     3、消炎止痛膏治疗炎性外痔,治疗过程中未见明显的毒副作用和局部皮肤过敏反应。
Objective:To investigate the clinical efficacy of the anti-inflammatory pain relief cream to the treatment of inflammatory external hemorrhoids.
     Methods:In this Clinical observation of 50 cases of patients with inflammatory external hemorrhoids are the Heilongjiang University of Chinese Medicine First Affiliated Hospital of Anorectal from September 2008 to June 2009 patients,including 28 males and 22 females,aged 17 to 56 years. Random number table,Patients were randomly divided into two groups:25 cases in the treatment group and 25 cases in the control group.there were no significant difference in gender, age and course of disease between the two groups which are comparable. The treatment group was given anti-inflammatory pain Ointment, the control group were given Musk Hemorrhoids Ointment,correspondingly 1:5000 potassium permanganate,10 to 15 minutes after the hip bath hemorrhoids external application of the surface of 8 to 10 hours,twice a day, for continuous 7 days,respectively, in the treatment of the first 3 days,5 days,7 days,Select inflammatory external hemorrhoids common clinical symptoms and signs such as rectal pain,rectal bulge,hemorrhoids the size of change,hemorrhoids and other indicators to change the surface mucosa were compared.
     Results:The total effective rate of the treatment group and the clinical group were 96% and 80%,With statistical approach, there were significant difference between the two groups.
     Conclusion:The anti-inflammatory pain relief cream has the effect of clearing and detoxifying,promoting blood circulation and pain relief, dampness swelling,bleeding sores convergence effect,it can obviously reduce anal pain and heavy feeling, can improve local blood circulation and lymphatic circulation, and promote the dispersion and absorption of inflammatory, during the treatment no obviously side effects and local skin allergies,it is safe and feasible for the treatment of inflammatory external hemorrhoids.The method is simple,portable,inexpensive,effective,using safety and accepted by extensive patient very easily, it is an ideal preparation to the treatment of inflammatory external hemorrhoids.
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