肛隐窝炎的中医治疗

【摘要】目的：观察桃红四物汤加味保留灌肠配合微波治疗肛隐窝炎的临床疗效。方法：将2017年1月至2019年1月于我院就诊的82例肛隐窝炎患者纳入研究，并用随机数据表法分成两组，对照组41例予以常规微波治疗，实验组41例在此基础上予以桃红四物汤加味保留灌肠。观察两组患者的临床疗效、症状评分及治疗满意度。结果：实验组治疗总有效率为95.1%，远高于对照组，差异有统计学意义（P＜0.05）；治疗后两组患者症状评分均明显降低，且实验组症状评分低于对照组，差异有统计学意义（P＜0.05）；治疗后实验组治疗满意度高于对照组，差异有统计学意义（P＜0.05）。结论：桃红四物汤加味保留灌肠配合微波治疗肛隐窝炎患者的疗效突出，能明显缓解患者的疼痛及其他不适症状，加快患者的康复，适合临床推广与应用。

【Abstract】Objective: To observe the clinical efficacy of Taohong Siwu Decoction and retention enema combined with microwave in the treatment of anal cryptitis. Methods: 82 patients with anal cryptitis who were admitted to our hospital from January 2017 to January 2019 were enrolled in the study and divided into two groups by random data table. 41 patients in the control group received conventional microwave therapy, and 41 patients in the experimental group. On this basis, Taohong Siwutang is added to preserve the enema. The clinical efficacy, symptom score and treatment satisfaction of the two groups of patients were observed. Results: The total effective rate of the experimental group was 95.1%, which was much higher than that of the control group. The difference was statistically significant (P<0.05). After treatment, the symptom scores of the two groups were significantly lower, and the symptom score of the experimental group was lower than that of the control group. The difference was statistically significant (P<0.05). The therapeutic satisfaction of the experimental group was higher than that of the control group after treatment, and the difference was statistically significant (P<0.05). Conclusion: The efficacy of Taohong Siwu Decoction and retention enema combined with microwave in the treatment of patients with anal cryptitis is outstanding. It can relieve the pain and other discomfort symptoms and accelerate the recovery of patients. It is suitable for clinical promotion and application.

肛隐窝炎又称肛窦炎，是肛肠科常见的一种疾病，指由肛门腺及肛窦的潜在感染病灶导致的慢性炎性病变，其临床特点是发展缓慢、病程较长，不易治愈且病情反复［1］。该病临床症状主要为排便后肛门疼痛坠胀、伴局部瘙痒，肛门口异常分泌物增多，且目前已知肛窦感染与85%的肛门直肠病变有关，若不及时治疗，会严重影响患者的身心健康［2］。临床上虽存在多种治疗肛隐窝炎的方法，但大多治疗单一，导致疗效差、复发率高、治疗周期相对较长，患者的依从性不佳［3］。因此，临床急需探索出一种实用的联合治疗方法，以期获得更好的疗效。本研究应用桃红四物汤加味保留灌肠配合微波治疗肛隐窝炎作为实验组，通过比较与单纯微波治疗组观察指标的差异来评价疗效，具有较大的临床意义。

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   本文摘自（中国中医药现代远程教育  2020年18卷11期    袁伟超   余灵辉   朱立霞  江西省九江学院附属医院肛肠科 江西九江 332000）