目的 探討復(fù)方荊芥熏洗劑聯(lián)合肛泰軟膏治療痔瘡的臨床療效。方法 選取2015年9月—2016年12月上海市第一人民醫(yī)院寶山分院肛腸科收治并接受混合痔外剝內(nèi)扎術(shù)的患者84例作為研究對(duì)象，將所有患者隨機(jī)分為對(duì)照組和治療組，每組各42例。對(duì)照組使用0.02%高錳酸鉀溶液坐浴15 min，然后外涂肛泰軟膏，2次/d。治療組給予復(fù)方荊芥熏洗劑，10 g加入到沸水1 500 mL中，趁熱熏蒸肛門5 min，待溫度降至37～40℃時(shí)坐浴10 min，然后外涂肛泰軟膏，2次/d。兩組患者均連續(xù)治療2周。觀察兩組的臨床療效，比較兩組的肛周水腫評(píng)分、疼痛指數(shù)、創(chuàng)面滲液評(píng)分以及疼痛消退時(shí)間和創(chuàng)面愈合平均時(shí)間。結(jié)果 治療后，對(duì)照組和治療組的總有效率分別為97.62%、100.00%，兩組比較差異無(wú)統(tǒng)計(jì)學(xué)意義。治療7、14 d后，兩組肛周水腫評(píng)分均顯著下降，同組與治療3 d后比較差異有統(tǒng)計(jì)學(xué)意義（P<0.05）；且治療組肛周水腫評(píng)分明顯低于同期對(duì)照組，兩組比較差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。治療3、7 d后，兩組疼痛指數(shù)評(píng)分、創(chuàng)面滲液評(píng)分均顯著下降，同組治療前后比較差異有統(tǒng)計(jì)學(xué)意義（P<0.05）；且治療組這些觀察指標(biāo)明顯低于同期對(duì)照組，兩組比較差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。治療后，治療組疼痛消退、創(chuàng)面愈合平均時(shí)間均顯著短于對(duì)照組，兩組比較差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 復(fù)方荊芥熏洗劑聯(lián)合肛泰軟膏治療痔瘡具有較好的療效，可明顯減輕術(shù)后肛門疼痛、水腫的程度，減少創(chuàng)面分泌物，縮短術(shù)后疼痛時(shí)間，加速傷口愈合，具有一定的臨床推廣應(yīng)用價(jià)值。

objective To investigate the clinical efficacy of Compound Jingjie Smoked Lotion combined with Gangtai Ointment in treatment of postoperative mixed hemorrhoids. Methods Patients (84 cases) with mixed hemorrhoids milligan in Department of Proctology of Baoshan Branch of Shanghai First People's Hospital from September 2015 to December 2016 were randomly divided into control and treatment groups, and each group had 42 cases. Patients in the control group were given hip bath for 15 min by 0.02% potassium permanganate solution, and then coated with Gangtai Ointment, twice daily. Patients in the treatment group were given Compound Jingjie Smoked Lotion, 10 g added into boiling water 1 500 mL, steaming anus for 5 min, hip bath for 10 min when the temperature dropped to 37 to 40℃, and then coated with Gangtai Ointment, twice daily. Patients in two groups were treated for 2 weeks. After treatment, the clinical efficacies were evaluated, and perianal edema score, pain index, wound exudate score, the average times of pain subsides and wound healing in two groups were compared. Results After treatment, the clinical efficacies in the control and treatment groups were 97.62% and 100.00%, respectively, and there was no difference between two groups. After treatment for 7 and 14 d, the perianal edema scores in two groups were significantly decreased, and the difference was statistically significant in the same group (P < 0.05). And the perianal edema score in the treatment group was significantly lower than that in the control group, with significant difference between two groups (P < 0.05). After treatment for 3 and 7 d, pain index scores and wound exudate scores in two groups were significantly decreased, and the difference was statistically significant in the same group (P < 0.05). And the observational indexes in the treatment group were significantly lower than those in the control group, with significant difference between two groups (P < 0.05). After treatment, the average times of pain subsides and wound healing in the treatment group were significantly shorter than those in the control group, and there was difference between two groups (P < 0.05). Conclusion Compound Jingjie Smoked Lotion combined with Gangtai Ointment has clinical curative effect in treatment of hemorrhoids, can obviously reduce the degree of postoperative anal pain and edema, reduce wound secretion, shorten the postoperative pain time, accelerate wound healing, which has a certain clinical application value.