新疆医科大学学报

目的 探究自动套扎技术(Ruiyun procedure for hemorrhoids, RPH)联合中药熏洗及九华膏换药治疗出血性内痔的临床疗效。方法 以2018年6月-2020年6月新疆医科大学第一附属医院针灸推拿科收治的120例出血性内痔患者为研究对象，按随机数字表法分为两组，对照组60例采用中药熏洗及九华膏换药治疗，观察组60例采用RPH联合中药熏洗及九华膏换药治疗。治疗14 d后比较两组患者临床疗效、出血及便后肿物脱出情况、治疗结束后3个月复发率及复发时间，记录两组治疗前后肛门功能及生活质量。结果 与对照组比较，观察组总有效率、GQOL-74评分升高，治疗后出血率、便后肿物脱出率、Wexner评分、复发率及复发时间均降低，差异有统计学意义(P<0.05)。结论 RPH联合中药熏洗及九华膏换药能够明显提高出血性内痔的疗效，改善出血及便后肿物脱出的临床症状，保护肛门功能，提升生活质量，降低内痔复发率。

Objective To evaluate the clinical efficacy of Ruiyun Procedure for Hemorrhoids(RPH) combined with traditional Chinese medicine(TCM) fumigation and Jiuhua ointment dressing change in the treatment of hemorrhagic internal hemorrhoids. Methods From June 2018 to June 2020, 120 patients with hemorrhagic internal hemorrhoids were treated in the hospital as the research object, and the patients were randomly divided into two groups. 60 cases in control group were treated with TM fumigation and Jiuhua ointment dressing change, 60 cases in observation group were treated with RPH combined with TM fumigation and dressing change with Jiuhua ointment. The clinical efficacy, hemorrhage and mass prolapse after thedefecation, recurrence rate and recurrence time 3 months after the end of the treatment were compared between the two groups. Anal function and quality of life were recorded before and after the treatment. Results Compared with control group, the total effective rate and GQOL-74 score of observation group wasincreased, while the bleeding rate, postoperative mass prolapse rate, Wexner score, recurrence rate, and recurrence time after the treatment was decreased, with statistically significant differences(P<0.05). Conclusion RPH combined with TM fumigation and dressing change of Jiuhua ointment can significantly improve the curative effect of haemorrhagic internal hemorrhoids, improve the clinical symptoms of bleeding and prolapse of mass after defecation, protect anal function, improve quality of life, and reduce the recurrence rate of internal hemorrhoids.