Comprehensive Treatment Of Secondary Perianal Eczema

PURPOSE:The eczema ani is the crissum most common skin disease,the traditional Chinese medicine calls it "the anus wet sore"."medical ancestor Jin Jian Surgical department heart law secret" cloud: "at the beginning of this card like corn,but itches is well-versed in both,broken yellow water,gradually Large expanse,everywhere may walk." Its cause of disease for external disease factors wind, wet,evil painfully hot sun,imitates in the texture of muscle, gradually the flesh,hinders the vitality vein to send for measles. The pathogenesis often with hot and damp hinders,spleen weakness to stagnate,the blood deficiency and related debilities to create an incident wet concerns.The doctor practicing western medicine thought that this sickness is the allergic disease,isⅠ,Ⅳallergy. May divide into the primary eczema ani and the sequential eczema ani according to the cause of disease,the inflammatory secretion which the anus produces partially stimulates as well as the anal tube epidermis damage stimulation anus gland secretion repeatedly to the crissum normal skin is exuberant,the secretion overflows around the anus has the sequential crissum eczema's very main reason, but anus rectum diseases and so on hemorrhoids,anal fissure,anus fistula,anal sinusitis have these reason primary disease. Regarding following sends in anus rectum disease's crissum eczema, the very few scholars proposed that explicit,system,complete therapeutic schedule,for this reason we hoped that through this clinical trial,could following send for the treatment finds one kind conveniently in anus rectum disease's crissum eczema, reasonable,the effective therapeutic schedule.Method:1.observation crowd:Conforms to sequential eczema ani's patient the2.observation goal:Treatment group:The traditional Chinese medicine sitz bath + surgery treats group the control group: Traditional Chinese medicine sitz bath group3.case total:120 examples,use the stochastic grouping method.And treatment group 60 examples,control group 60 examples.4.therapeutic schedule,treatment course and making a house-call system treatment group:After the surgery treats the primary anus straight intestinal disease,after the technique the first day starts to give the liquid medicines to fry the sitz bath,1/day, treatment course 2 weeks,control group:The liquid medicines fry the sitz bath,1/day,treatment course 42weeks.after the treatment's 1st,2,weekends,the returns outpatient service carries on making a house-call,the appraisal observation medicine validity and the security.5.curative effect target major targets or quotas①Sequential crissum eczema's symptom index grading.②Chinese medicine sequential crissum eczema's symptom grading. 6.secure target①The routine blood test,the routine urine test,the bowel movement convention add the occult blood experiment. ②The electrocardiogram,the liver function(ALT),the kidney function(BUN,Cr) inspects.③The systemic reaction(momentarily records).7.curative effect evaluation standard:(1)Chinese medicine sequential crissum eczema curative effect standard:(2)The sequential crissum eczema's symptom index grades(3)Single item symptom curative effect the8.bad event observes9.the result:(1) treats the group the cure rate 25%,obviously efficiency 60%, effectiveness 11.67%,inefficiency 3.33%,total effectiveness 96.67%.control group's cure rate 15%,obviously efficiency 46.67%, effectiveness 30%,inefficiency 8.33%,total effectiveness 91.67%. around the treatment grades the value the change,the treatment group drops 5.3667±0.7752 the minute,the control group drops 3.1±0.1673 the minute.(2) single item symptom curative effect the treatment group and the control group treats grades the value to drop,but treatment group effect obvious10.examines safely the treatment group and the control group has not presented the obvious serious bad event,shows the Ming dynasty printed books medicine safely reliable.11.conclusion:the treatment group and the control group all have the effect,but the treatment group effect is obvious,the control group and between the treatment group has the significance difference.