Nema Aditya, Gupta Sanjay Kumar, Dudhamal Tukaram, Mahanta Vyasdeva
Department of Shalya Tantra, Pt. Khushilal Sharma Government (Autonomous) Ayurveda College and Institute, Bhopal, Madhya Pradesh, India.
Department of Shalya Tantra, All India Institute of Ayurveda, Delhi, India.
Ayu. 2020 Oct-Dec;41(4):211-217. doi: 10.4103/ayu.AYU_156_16. Epub 2022 Jun 3.
is a disease of ano-rectal region and can be correlated with fistula-in-ano. (application of medicated thread) is being practiced for ano-rectal disorders, particularly in . -based has shown good results in previous studies. Literatures and experiments of showed anti-inflammatory, antifungal, analgesic, wound healing properties and (resin of Roxb.) is also having binding effect. Here, -based is used in comparison of -based with orally for better outcome in the management of .
The aim of this study was to evaluate and compare the efficacy of and based with orally in the management of .
Total 46 patients were registered and randomly allocated by computer generated chart by into three groups. In group A ( = 15), -based was applied in fistula-in-ano without any oral medication; in group B ( = 16), -based was applied with orally; and in group C ( = 15), -based was applied with orally. Patients were assessed for pain, discharge, itching and swelling in the affected region and unit cutting time (UCT) of fistulous tract. was changed by railroad technique on weekly based follow-up till complete healing of the tract occurred.
In group A, relief in pain, discharge, and swelling was found and was statistically highly significant while insignificant result was found in itching after cut through of the fistulous tract and the same results were found in group B ( = 14) and group C ( = 15). The mean UCT was higher in group A (8.94 days/cm) than in group C (8.43 days/cm) and in group B (8.59 days/cm).
based is more effective in cutting of fistula track while based is more effective in pain relief in the treatment of , along with oral as compared to based with and without orally.
是一种肛门直肠区域的疾病，与肛瘘相关。（药线疗法）一直用于治疗肛门直肠疾病，尤其是在……。基于……的……在先前研究中已显示出良好效果。……的文献和实验表明其具有抗炎、抗真菌、止痛、促进伤口愈合的特性，并且……（……的树脂）也有黏附作用。在此，基于……的……与基于……的……联合口服用于……的治疗以比较疗效。
本研究旨在评估并比较基于……的……和基于……的……联合口服与单纯口服……在……治疗中的疗效。
共登记46例患者，通过计算机生成图表随机分为三组。A组（n = 15），应用基于……的……治疗肛瘘，不口服任何药物；B组（n = 16），应用基于……的……并口服……；C组（n = 15），应用基于……的……并口服……。评估患者患区的疼痛、分泌物、瘙痒和肿胀情况以及瘘管的单位切割时间（UCT）。在每周的随访中通过铁路技术更换……直至瘘管完全愈合。
A组在疼痛、分泌物和肿胀方面有所缓解，具有统计学高度显著性，而在瘘管切开后瘙痒方面结果不显著，B组（n = 14）和C组（n = 15）也有相同结果。A组的平均UCT（8.94天/厘米）高于C组（8.43天/厘米）和B组（8.59天/厘米）。
在……的治疗中，基于……的……在切割瘘管方面更有效，而基于……的……在缓解疼痛方面更有效，与基于……的……联合或不联合口服……相比，联合口服……效果更佳。
