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Patients with severe mixed hemorrhoids diagnosed and treated in our hospital from Feb 2019 to Jan 2021 were taken as the research objects, and they were successively included in the control group (PPH) and the combined group (PPH + Buzhong Yiqi Decoction). Visual analog scale (VAS) was used to evaluate the pain degree of postoperative wound, record the short-term complications during hospitalization, record the long-term complications and recurrence of hemorrhoid prolapse during one-year follow-up after operation, and evaluate the anal function of patients' prognosis by anal distension score. The results found that postoperative VAS of the combined group was significantly lower than that of the control group (P<0.001). The one-year follow-up results showed that the anal distension score, long-term complication rate, and recurrence rate of hemorrhoid prolapse of the combined group were significantly lower than those of the control group (P=0.002) (P=0.014) (P=0.009). This study suggests that the curative effect and prognosis of PPH combined with Buzhong Yiqi Decoction in the treatment of severe mixed hemorrhoids are better than those of PPH alone. The combined treatment can effectively reduce the postoperative wound pain, improve the anal function of patients' prognosis, and reduce the incidence of long-term complications and the recurrence rate of hemorrhoid prolapse., authors=ZHANG Li, ZHANG Haiwang, SUN Linfeng, TIAN Zeyang, LI Jianping, authorsList=ZHANG Li, ZHANG Haiwang, SUN Linfeng, TIAN Zeyang, LI Jianping, authorCompany=Department of Surgery, Beijing Traditional Chinese Medicine Hospital Shunyi Hospital, Beijing 101399, China, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=oIoevHoyi0vmSu5l8AeyGQ==, pdfFileSize=573621, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1242140167209820307, articleId=1242140164944900632, tenantId=1146029695717560320, journalId=1146031591421210625, language=CN, title=外科手术联合补中益气汤的中西医方案治疗重度混合痔的临床应用, columnId=1242140150797513161, journalTitle=科技导报, columnName=专题:中医药传承与临床实践, runingTitle=null, highlight=null, articleAbstract=为明确痔上黏膜环切术(PPH)联合补中益气汤治疗重度混合痔的疗效及预后,通过前瞻性平行对照临床研究,将2019年2月至2021年1月于北京中医医院顺义医院诊断为重度混合痔的患者纳入对照组(PPH)和联合组(PPH+补中益气汤)。采用视觉模拟评分量表(VAS)评价伤口的疼痛程度,记录住院期间并发症、1年随访期间的远期并发症、复发情况,采用肛门坠胀评分评价肛门功能。结果显示,联合组术后VAS显著低于对照组(P<0.001),1年随访时肛门坠胀评分、远期并发症发生率、痔核脱出复发率均显著低于对照组(P=0.002)(P=0.014)(P=0.009);说明PPH联合补中益气汤治疗重度混合痔的疗效及预后均优于单纯PPH,可有效降低术后伤口疼痛、提高患者预后的肛门功能,减少远期并发症及痔核脱出复发率。, authors=张立, 张海旺, 孙琳丰, 田泽阳, 李建平, authorsList=张立, 张海旺, 孙琳丰, 田泽阳, 李建平, authorCompany=北京中医医院顺义医院外科, 北京 101399, correspAuthors=null, authorNote=张立,主治医师,研究方向为中医外科临床与肛肠疾病,电子信箱: zhangli20221007@126.com, correspAuthorsNote=李建平(通信作者),主任医师,研究方向为中医肛肠病综合诊疗,电子信箱:lijianping20142022@126.com, copyrightStatement=null, copyrightOwner=null, extLink=null, 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外科手术联合补中益气汤的中西医方案治疗重度混合痔的临床应用
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张立, 张海旺, 孙琳丰, 田泽阳, 李建平
作者信息
    北京中医医院顺义医院外科, 北京 101399
通讯作者:
李建平(通信作者),主任医师,研究方向为中医肛肠病综合诊疗,电子信箱:lijianping20142022@126.com
作者简介:
张立,主治医师,研究方向为中医外科临床与肛肠疾病,电子信箱: zhangli20221007@126.com
Clinical application of surgical operation combined with Buzhong Yiqi Decoction in the treatment of severe mixed hemorrhoids
  • ZHANG Li, ZHANG Haiwang, SUN Linfeng, TIAN Zeyang, LI Jianping
  • Affiliations
      Department of Surgery, Beijing Traditional Chinese Medicine Hospital Shunyi Hospital, Beijing 101399, China
    出版时间: 2022-12-13 doi: 10.3981/j.issn.1000-7857.2022.23.011
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    为明确痔上黏膜环切术(PPH)联合补中益气汤治疗重度混合痔的疗效及预后,通过前瞻性平行对照临床研究,将2019年2月至2021年1月于北京中医医院顺义医院诊断为重度混合痔的患者纳入对照组(PPH)和联合组(PPH+补中益气汤)。采用视觉模拟评分量表(VAS)评价伤口的疼痛程度,记录住院期间并发症、1年随访期间的远期并发症、复发情况,采用肛门坠胀评分评价肛门功能。结果显示,联合组术后VAS显著低于对照组(P<0.001),1年随访时肛门坠胀评分、远期并发症发生率、痔核脱出复发率均显著低于对照组(P=0.002)(P=0.014)(P=0.009);说明PPH联合补中益气汤治疗重度混合痔的疗效及预后均优于单纯PPH,可有效降低术后伤口疼痛、提高患者预后的肛门功能,减少远期并发症及痔核脱出复发率。
    重度混合痔  /  补中益气汤  /  痔核脱出  /  痔上黏膜环切术  /  手术复发率  /  肛门功能
    In order to determine the efficacy and prognosis of procedure for prolapse and hemorrhoids (PPH) combined with Buzhong Yiqi Decoction in the treatment of severe mixed hemorrhoids, a prospective parallel controlled clinical study was conducted. Patients with severe mixed hemorrhoids diagnosed and treated in our hospital from Feb 2019 to Jan 2021 were taken as the research objects, and they were successively included in the control group (PPH) and the combined group (PPH + Buzhong Yiqi Decoction). Visual analog scale (VAS) was used to evaluate the pain degree of postoperative wound, record the short-term complications during hospitalization, record the long-term complications and recurrence of hemorrhoid prolapse during one-year follow-up after operation, and evaluate the anal function of patients' prognosis by anal distension score. The results found that postoperative VAS of the combined group was significantly lower than that of the control group (P<0.001). The one-year follow-up results showed that the anal distension score, long-term complication rate, and recurrence rate of hemorrhoid prolapse of the combined group were significantly lower than those of the control group (P=0.002) (P=0.014) (P=0.009). This study suggests that the curative effect and prognosis of PPH combined with Buzhong Yiqi Decoction in the treatment of severe mixed hemorrhoids are better than those of PPH alone. The combined treatment can effectively reduce the postoperative wound pain, improve the anal function of patients' prognosis, and reduce the incidence of long-term complications and the recurrence rate of hemorrhoid prolapse.
    severe mixed hemorrhoids  /  Buzhong Yiqi Decoction  /  prolapse of hemorrhoids  /  circumcision of hemorrhoids  /  postoperative recurrence rate  /  anal function
    张立, 张海旺, 孙琳丰, 田泽阳, 李建平. 外科手术联合补中益气汤的中西医方案治疗重度混合痔的临床应用. 科技导报, 2022 , 40 (23) : 85 -90 . DOI: 10.3981/j.issn.1000-7857.2022.23.011
    ZHANG Li, ZHANG Haiwang, SUN Linfeng, TIAN Zeyang, LI Jianping. Clinical application of surgical operation combined with Buzhong Yiqi Decoction in the treatment of severe mixed hemorrhoids[J]. Science & Technology Review, 2022 , 40 (23) : 85 -90 . DOI: 10.3981/j.issn.1000-7857.2022.23.011

      北京中医医院顺义医院科研项目(SYYJLC-202203)

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    doi: 10.3981/j.issn.1000-7857.2022.23.011
    • 接收时间:2022-09-01
    • 首发时间:2022-12-12
    • 出版时间:2022-12-13
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    • 收稿日期:2022-09-01
    • 修回日期:2022-10-30
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    李建平(通信作者),主任医师,研究方向为中医肛肠病综合诊疗,电子信箱:lijianping20142022@126.com
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    2种不同金属材料的力学参数

    Family
    属数
    Number of
    genus
    种数
    Number of
    species
    占总种数比例
    Percentage of
    total species (%)

    Genus
    种数
    Number of
    species
    占总种数比例
    Percentage of total
    species (%)
    鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
    小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
    多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
    红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
    小菇属 Mycena 11 5.26
    光柄菇属 Pluteus 5 2.39
    红菇属 Russula 17 8.13
    栓菌属 Trametes 5 2.39
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