ABSTRACT
Objective To observe the clinical efficacy of acupuncture plus oral administration ofLuohua Zizhu tablets in treating hemafecia in stageⅠ internal hemorrhoid.Method A total of 116 patients with hemafecia in stageⅠ internal hemorrhoid were randomized into a treatment group and a control group, 58 cases each. The treatment group was intervened by acupuncture plus oral administration ofLuohua Zizhu tablets, while the control group was treated with oral administration ofLuohua Zizhu tablets alone. The hemafecia score, hemorrhoid congestion score, and laboratory indexes (platelet and thrombin time) were observed before and after the treatment. The clinical efficacies of the two groups were also compared.Result The total effective rate was 93.1％ in the treatment group versus 84.5％ in the control group, and the between-group difference was statistically significant (P<0.05). Respectively after 3 d, 5 d and 7 d treatment, the hemafecia and hemorrhoid congestion scores were significantly different from the scores before the treatment in both groups (P<0.05). There were significant differences in comparing the hemafecia and hemorrhoid congestion scores between the two groups respectively after 3 d, 5 d and 7 d treatment (P<0.05). The laboratory indexes showed significant changes after the treatment in both groups (P<0.05). After the intervention, the laboratory indexes of the treatment group were significantly different from those of the control group (P<0.05).Conclusion Acupuncture plus oral administration ofLuohua Zizhu tablets is an effective method in treating hemafecia in stageⅠ internal hemorrhoid.
ABSTRACT
Objective To increase the awareness of the incidence trend of ischemic colitis and improve the level of diagnosis and treatment.Methods From January 2004 to December 2013,the clinical data of 89 in patients with ischemic colitis were retrospectively analyzed.At the same period,100 patients diagnosed as chronic colitis were enrolled as control group.The laboratory findings of patients with ischemic colitis were compared with those of control group.Non normal distribution data were analysed by non parametric test.Results The annual person-times of patients with ischemic colitis and the percentages accounted in the whole hospital annual person-times increased year by year in recent 10 years,which was one person time and 0.01％ in 2004 increased to 41 person-times and 0.11％ in 2013.The average age of the 89 patients was (63.5±12.7) years,and the male to female ratio was 1∶2.18.The most common underlying disease in the 89 patients was hypertension,accounted for 43.8％.Thirty-eight patients had a history of abdominal surgery,and eighteen patients with appendectomy,accounted for 20.2％.Seventy-eight patients had abdominal pain and defecation desire.Seventy-four patients complained of hematochezia.Compared with control group,there was no statistically significant difference in fasting blood glucose,triglyceride,total cholesterol,blood platelet levels and prothrombin time (all P＞0.05).While the levels of C reactive protein and Ddimer were higher than those of control group (89.21 mg/L vs 61.29 mg/L,90.13 μg/L vs 59.39 μg/L; Z=-3.959,-4.377; both P＜0.05).The images of computed tomography (CT) indicated thickened bowel wall in lesion segment.The results of colonoscopy showed that in the left colon and rectum were the predilection sites,accounted for 93.88％ (138/147).The average hospital stay was (10.59 ± 5.97) days and t he recurrence rate was 3.37 ％ (3 / 89).The percentage of chronic cases was 2.25 ％ (2/89),and no death was reported.Conclusions The incidence of ischemic colitis significantly increased in recent years.Patients with abdominal pain and/or hematochezia should be considered,especially those over 60 years old.Receiving colonoscopy as earlier as possible was helpful for the diagnosis.