“肛舒”肛肠按摩器联合坐浴治疗肛隐窝炎的临床观察
Clinical Observation of “Gangshu” Anal Massager Combined with Sitz Bath in the Treatment of Anal Cryptitis

目的：观察“肛舒”扩肛器联合坐浴治疗肛隐窝炎的疗效。方法：将80例肛隐窝炎患者随机分为观察组与对照组，各40例。两组均予苦参汤坐浴，早、晚各1次。观察组在此基础上加用“肛舒”扩肛器治疗。对比2组患者临床疗效、中医症状积分、三维直肠超声、复发率及不良反应。结果：两组病程相似，不具有统计学差异(p < 0.05)；经过一个疗程的治疗后，观察组的临床疗效总有效率相较于对照组有显著提升，差异具有统计学意义(p < 0.05)。治疗前，两组在中医症状体征和三维超声评分上未表现出统计学差异(p > 0.05)。然而，治疗后，两组患者的疼痛、坠胀、潮湿症状评分以及三维直肠超声评分均较治疗前有所下降，且观察组的下降幅度更为显著，低于对照组(p < 0.05)。此外，对照组的复发率高于观察组，这一差异同样具有统计学意义(p < 0.05)。在不良反应发生率方面，两组之间未观察到统计学上的显著差异(p > 0.05)。综上所述，“肛舒”扩肛器结合坐浴疗法在治疗肛隐窝炎方面效果显著，能有效减轻患者症状，降低复发率，值得在临床中推广。
Objective: To observe the efficacy of “Gangshu” anal dilator combined with sitz bath in the treatment of anal cryptitis. Methods: 80 patients with anal cryptitis were randomly divided into an observation group and a control group, with 40 patients in each. Both groups received sitz baths with Kushen Decoction twice daily, once in the morning and once in the evening. The observation group additionally underwent treatment with the “Gangshu” anal dilator. Clinical efficacy, traditional Chinese medicine (TCM) symptom scores, three-dimensional rectal ultrasound findings, recurrence rates, and adverse reactions were compared between the two groups. Results: The disease durations of the two groups were similar, with no statistical difference (p < 0.05). After one course of treatment, the total clinical efficacy rate was significantly higher in the observation group compared with the control group, with a statistically significant difference (p < 0.05). Before treatment, there were no statistically significant differences between the two groups in TCM symptom and sign scores or three-dimensional rectal ultrasound scores (p > 0.05). However, after treatment, the pain, fullness, dampness symptom scores, and three-dimensional rectal ultrasound scores decreased in both groups compared with before treatment, with the observation group showing a more significant decrease and lower scores than the control group (p < 0.05). Furthermore, the recurrence rate was higher in the control group than in the observation group, with this difference also being statistically significant (p < 0.05). In terms of adverse reaction rates, no statistically significant difference was observed between the two groups (p > 0.05). In conclusion, the combination of “Gangshu” anal dilator and sitz bath