热敏灸治疗痔术后水肿50例临床观察

姚玉乔 徐龙剑

【摘要】目的：观察热敏灸治疗痔术后水肿的疗效。方法：选取痔术后出现肛门水肿的患者100例，根据随机数字表法，将患者分为对照组和观察组各50例。对照组予以肛门洗剂熏蒸坐浴;观察组予以热敏灸疗法，治疗7 d后，对比两组的水肿积分、水肿消退时间。结果：治疗7 d后，两组水肿积分均小于术后第1天（P<0.05），观察组水肿积分明显低于同时间对照组水肿积分（P<0.05）;观察组疗效明显优于对照组（P<0.05）。结论：热敏灸应用于痔术后肛缘水肿可明显减轻水肿的症状，加快水肿的恢复，促进伤口愈合。

【关键词】痔术后;水肿;热敏灸

【中图分类号】R657.1+8【文献标志码】 A【文章编号】1007-8517（2021）18-0079-04

Clinical Observation of 50 Cases of Hemorrhoid Edema Treated by Thermosensitive MoxibustionYAO Yuqiao1XU Longjian2

1.Proctology Department，the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine，Nanchang 330006，China;

2.Graduate School，Jiangxi University of Traditional Chinese Medicine，Nanchang 330004，ChinaAbstract：Objective To observe the effect of thermal moxibustion on postoperative edema of hemorrhoids. Methods A total of 100 patients with anal edema after hemorrhoids surgery admitted to the Department of Anorectal Medicine affiliated Hospital of Jiangxi University of Traditional Chinese Medicine were divided into control group and observation group with 50 patients each according to the random number table method.The control group was given anal lotion fumigation sitting bath，and the observation group was given thermosensitive moxibustion therapy. After 7 days of treatment，the edema scores and edema regression time of the two groups were compared.Results After 7 days of treatment，edema scores in both groups were lower than that on the 1st day after surgery（P<0.05）.Edema score of the observation group was significantly lower than that of the control group at the same time（P<0.05）.The effect of observation group was significantly greater than that of control group （P<0.05）.Conclusion Thermal moxibustion applied to hemorrhoid postoperative anal edema can significantly reduce the symptoms of edema，accelerate the recovery of edema，promote wound healing.

Keywords：Hemorrhoid Surgery; Edema; Thermal Moxibustion

痔是指直肠下端黏膜下与肛管皮肤下面的静脉丛出现瘀血、扩大、屈曲而导致的静脉团[1]。由于饮食生活习惯的改变，肛肠疾病发病率一直居高不下，有研究[2]表明，肛肠疾病的发病率高达68.2%，其中痔的发生率占肛门大肠疾病的72.6%。手术是根治痔的最佳方式，但是手术总是伴随着各种各样的并发症，其中术后肛缘水肿是较常见也是较难解决的并发症。当前处理痔术后肛缘水肿的办法很多，虽取得一定疗效，但疗效差异较大，所以，为解决痔术后肛缘水肿这一难题，研究组在临床进行了腧穴热敏化疗法治疗痔术后肛缘水肿的预试验，取得了较好的临床效果，体现了起效快、副作用少、安全可靠的优点，热敏灸治疗肛肠术后肛缘水肿安全、简廉，能取得较好的临床疗效，提高了痔术后肛缘水肿的治疗水平。为充分发挥中医的特色，运用热敏灸治疗痔术后水肿。通过该课题的研究，客观的验证热敏灸治疗痔术后肛缘水肿的疗效，为其临床应用提供科学依据，现报告如下。

1资料与方法