ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-04-002 中医学研究 2025, (04)

自动痔疮套扎器联合中药熏洗坐浴治疗直肠脱垂的临床疗效

贵州省凤冈县人民医院

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摘要

目的 探讨自动痔疮套扎器联合中药熏洗坐浴治疗直肠脱垂及痔疮合并直肠脱垂的临床疗效。方法 选取 2024 年 1 月至 2024 年 12 月在贵州省凤冈县人民医院肛肠外科就诊的直肠脱垂及痔疮合并直肠脱垂患者 96 例,采用随机数表法分为对照组和观察组各 48 例。对照组采用单纯自动痔疮套扎术治疗,观察组在自动痔疮套扎术基础上联合中药熏洗坐浴治疗。比较两组患者的临床疗效、症状评分变化及不良反应发生情况。结果 观察组总有效率(91.67%)显著高于对照组(79.17%);治疗后观察组症状评分显著低于对照组(P<0.05);观察组不良反应发生率显著低于对照组(P<0.05)。结论 自动痔疮套扎器联合中药熏洗坐浴治疗直肠脱垂及痔疮合并直肠脱垂具有显著的临床疗效,能够有效改善患者症状,降低不良反应发生率,安全性好,值得在临床推广应用。

Abstract

Objective To evaluate the clinical efficacy of automatic hemorrhoid ligator combined with Chinese herbal fumigation sitz bath in treating rectal prolapse and hemorrhoids with concurrent rectal prolapse. Methods 96 patients with rectal prolapse or hemorrhoids with rectal prolapse were treated at Fenggang County People’s Hospital (Guizhou) from January 2024 to December 2024 were randomized into control and observation groups (n=48). The control group received automatic hemorrhoid ligation alone, while the observation group received combined therapy with ligation and herbal fumigation sitz bath. Clinical efficacy, symptom scores, and adverse events were compared. Results The observation group showed significantly higher total effective rate (91.67% vs. 79.17%), Signficanth lower post-treatment symptom scores, and fewer adverse events than the control group (P<0.05). Conclusion Automatic hemorrhoid ligator combined with Chinese herbal fumigation sitz bath demonstrates significant efficacy in treating rectal prolapse and hemorrhoids with rectal prolapse, effectively improving symptoms with fewer adverse events and good safety profile, warranting clinical promotion.

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[1]简玉文.自动痔疮套扎器联合中药熏洗坐浴治疗直肠脱垂的临床疗效[J],2025,01(04):.