目的 评价剥离切除加痔动脉结扎柱状缝合术治疗混合痔术后应用麻仁软胶囊防治便秘的临床疗效。方法 设立对照A组60例，行常规外剥内扎术，术后进行饮食、心理等方面的引导；对照B组60例，行剥离切除加痔动脉结扎缝合术，术后进行饮食、心理等方面的引导；观察组60例，手术方法同对照B组，但术后加服麻仁软胶囊，每次2粒，2次/d。比较3组疗效、术后排便情况等。结果 3组治愈率和术后并发症比较，观察组与对照B组无明显差异，与对照A组有显著性差异（P<0.05）；术后排便情况观察组优于两个对照组（P<0.05）。结论 剥离切除加痔动脉结扎柱状缝合术治疗混合痔疗效确切，术后并发症少，是一种治疗混合痔较好的手术方式。麻仁软胶囊能有效防治术后便秘，减少术后排便引起的疼痛等症状。

Objective To evaluate the clinical effects of stripping resection plus hemorrhoidal artery ligation columnar suture in treatment of mixed hemorrhoids and Maren Soft Capsule in prevention and treatment of constipation after operation. Methods Sixty patients were selected as control group A, treated with external dissection and internal ligation, and guided in diet and psychology after operation; sixty patients were selected as control group B, treated with peel resection hemorrhoid artery ligation suture, and guided in diet and psychology after operation; sixty patients were selected as observation group, and the operation method was the same as that of the control group B, but taking Maren Soft Capsule after operation, 2 capsules each time, twice daily. The effects and defecation after operation of patients in the three groups were compared. Results The recovery rates and postoperative complications of patients in the three groups were compared, and there was no obvious difference between the observation group and the control group B, but there was significant difference in the observation group compared to the control group A (P < 0.05); The defecation after operation in the observation group was better than those in the control groups A and B (P < 0.05). Conclusion Using stripping resection plus hemorrhoidal artery ligation columnar suture in the treatment of mixed hemorrhoids could achieve good results, with fewer complications after surgery, and it is a good way to treat the mixed hemorrhoids. Maren Soft Capsule could effectively prevent constipation after operation and reduce pain and other symptoms caused by defecation