使用顺势疗法软膏治疗肛门瘙痒患者的经验

L. A. Lichman, S. Katorkin, P. S. Andreev, O. E. Davydova
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摘要

简介肛门接触或肛管和直肠传导是结肠直肠科领域的常见病,我国有 5%的人患有这种疾病。治疗方法包括保持卫生,局部使用类固醇、抗菌剂和抗真菌剂。目前还没有形成普遍接受的个人态度。研究使用顺势疗法软膏治疗肛门瘙痒患者的效果。萨马拉国立医科大学诊所专业咨询中心进行了一项前瞻性随机比较研究。研究对象包括 96 名肛门瘙痒患者,这些患者的肛周皮肤没有真菌感染,也没有并发化脓性病变。主治组(46 人)在肛周使用顺势疗法软膏进行治疗,每天 2-3 次,持续 14 天。对照组(n = 50)则使用外用类固醇软膏进行治疗,每天 2-3 次,连续 14 天。从使用顺势疗法软膏获得的数据来看,在减轻疾病症状(学生 t 检验 = 0.35;P > 0.05 和学生 t 检验 = 0.28;P > 0.05)和复发次数(χ2 = 0.535;P > 0.05)方面,顺势疗法软膏的效果并不逊色于外用类固醇软膏。使用顺势疗法软膏局部涂抹似乎是治疗肛门瘙痒症患者的一种很有前景的新方法,其疗效不亚于外用类固醇软膏。
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Experience of using homeopathic ointment in the treatment of patients with anal itching
Introduction. Anal contact or conduction in the anal canal and rectum is a common condition in the coloproctological field, occurring in 5% of the population that affects this country. Treatment consists of hygiene and the use of topical steroids, antibacterial and antifungal agents. No generally accepted attitude towards a private person has been developed.Aim. To study the effectiveness of using homeopathic ointment in the treatment of patients with anal itching.Material and methods. A prospective comparative randomized study was conducted in a specialized advisory center of the Clinics of Samara State Medical University. The study included 96 patients with anal itching without fungal infection of the perianal skin and concomitant purulent pathology. In the main group (n = 46), treatment was carried out using homeopathic ointment in the perianal area 2–3 times a day for 14 days. In the control group (n = 50), treatment was carried out with topical steroid ointments 2–3 times a day for 14 days.Results and discussion. From the data obtained on the use of homeopathic ointment, it follows that it is not inferior in effectiveness to topical steroid ointments in reducing symptoms of the disease (Student’s t-test = 0.35; p > 0.05 and Student’s t-test = 0.28; p > 0.05), and by the number of relapses (χ2 = 0.535; p > 0.05).Conclusion. The use of homeopathic ointment for topical application appears to be a promising new treatment for patients with anal itching and is as effective as topical steroid ointments.
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