The Clinical Research On Treatment Of Rectal Protrusion Postoperative Anal Bulge Based On The Theory Of Turbidity Toxin

Objective:Under the guidance of turbidity toxin theory,this article is used to discuss and evaluate the therapeutic effect of resolving turbidity and dredging collaterals decoction on anal bulge after rectocele surgery,in order to find a new method for the treatment of such multiple and refractory diseases.Method:From January 2017 to September 2018,92 patients with rectal prolapse who were treated in Anorectal Department of Hebei Hospital of Traditional Chinese Medicine were selected.All these patients underwent modified STARR surgery and were complicated with anal bulge within one week after operation.Syndrome belongs to the intrinsic type of turbid toxin.The subjects were randomly divided into two groups,46 cases in the control group,routine treatment after operation,combined with the treatment of Ziyu ointment in anal,sitz bath with the lotion of painful itching after defecation.The experimental group of 46 cases,on the basis of such treatment,resolving turbidity and dredging collaterals decoction was given orally under the guidance of the theory of turbidity toxin.At the time of enrollment and the7th,14th and 21th day after treatment,the anal bulge integral were compared.Follow-up was conducted at 3months after the end of the experiment.The bleeding,the degree of anal distension,the duration and disappearance time of the distension and the recurrence of the two groups before and after treatment were compared by statistical techniques.Results:1.There was no difference in bleeding between the two groups during the experiment,Z=-0.23,P>0.05.2.There was no difference in anal swelling scores between the two groups at the time of admission and the 7th day after treatment.At the time of admission,Z=-0.16,P>0.05.The 7th day after treatment,Z=-0.91,P>0.05.After 14 and 21 days of treatment,the scores of anal swelling were different,and the experimental group was superior to the control group.For 14 days,Z=-2.61,P<0.05;for 21 days,Z=-2.38,P<0.05.3.Before treatment and 21 days after treatment,the falling and swelling integral between the two groups of subjects was different.The total score of the control group before and after treatment was Z=-5.78,P<0.05.Before and after treatment,Z=-5.96,P<0.05.4.There was a difference in the disappearance time of anal bulge between the two groups.The experimental group was shorter than the control group,Z=-2.55,P<0.05.5.After 21 days of treatment,the recovery rate of anal bulge in the experimental group was better than that in the control group,?~2=-4.62,P<0.05.6.After treatment and 3 months follow-up,there was no difference in recurrence rate of anal bulge between the two groups.?~2=0.05,P>0.05.Conclusion:1.Under the guidance of turbidity toxicity theory,the treatment of turbidity toxicity intrinsic anal bulging after modified STARR was carried out.The painful itching lotion sitz bath and Ziyu ointment plus resolving turbidity and dredging collaterals decoction can obviously improve the cure rate.2.The comprehensive therapy of traditional Chinese medicine combined with resolving turbidity and dredging collaterals decoction can effectively alleviate the degree of postoperative anal flatulence and reduce the time of anal flatulence after operation for patients with turbidity toxicity intrinsic type,based on the guidance of turbidity toxicity theory.3.Oral resolving turbidity and dredging collaterals decoction did not increase the risk of bleeding.4.There was no difference in recurrence rate 3 months after operation.