摘要
目的:观察增液通便方对肛肠病术后便秘津亏肠燥证患者排便功能及生活质量的影响。方法:将88例肛肠病术后便秘津亏肠燥证患者随机数字表法分为对照组和治疗组,每组各44例。对照组给予乳果糖口服溶液治疗,治疗组在对照组治疗的基础上联合增液通便方治疗。比较两组患者的临床疗效及治疗前后临床症状积分、肛门直肠内括约肌功能及生活质量评分变化情况。结果:对照组有效率为75.0%,治疗组有效率为93.2%,两组患者有效率比较,差异有统计学意义(P<0.05)。两组患者治疗后排便困难程度、排便时间、排便间隔时间、排便出血情况及排便疼痛程度积分低于本组治疗前,且治疗后治疗组低于对照组,差异有统计学意义(P<0.05)。两组患者治疗后PAC-QOL量表各项评分低于本组治疗前,且治疗后治疗组低于对照组,差异有统计学意义(P<0.05)。两组患者治疗后MSP、MRASP水平高于本组治疗前,且治疗后治疗组高于对照组,差异有统计学意义(P<0.05)。结论:增液通便方治疗肛肠病术后便秘疗效确切,可改善患者的临床症状,调节肛门直肠内括约肌功能,提高患者生活质量。
Objective:To observe the influence of Fluid-Increasing and Constipation-Relieving Decoction on defecation function and quality of life of postoperative-constipation patients with syndrome of fluid deficiency and intestinal dryness.Methods:A total of 88 postoperative-constipation patients with syndrome of fluid deficiency and intestinal dryness were randomly divided into the control group and the treatment group,with 44 cases in each group.The control group was treated with Lactulose Oral Solution,an while the treatment group was treated with Fluid-Increasing and Constipation-Relieving Decoction on the basis of the treatment in the control group.The clinical efficacy,the changes of clinical symptom score,anorectal internal sphincter function and quality of life score of the two groups before and after treatment were compared,and the adverse drug reactions were counted.Results:The effective rate was 75.0% in the control group and 93.2% in the treatment group.The difference between the two groups was statistically significant(P<0.05).After treatment,the degree of defecation difficulty,defecation time,defecation interval,defecation bleeding and defecation pain score of the two groups were lower than those of the same group before treatment,and the treatment group′s above indexes were lower than those of the control group,and all the differences were statistically significant(P<0.05);The scores of PAC-QOL scale in the two groups were lower than those of the same group before treatment,and the treatment group′s were lower than those of the control group,and all the differences were statistically significant(P<0.05);The levels of MSP and MRASP in the two groups were higher than those of the same group before treatment,and the treatment group′s were lower than those of the control group,and all the differences were statistically significant(P<0.05).Conclusion:has a definite effect on postoperative constipation of anorectal diseases,which can improve the clinical symptoms of patients,regulate the function of anal sphincter,and improve the quality of life of patients.
作者
熊国华
钱娟
XIONG Guo-hua;QIAN Juan(Jiading Hospital of Traditional Chinese Medicine of Shanghai,Shanghai,China,201800)
出处
《河南中医》
2023年第3期441-445,共5页
Henan Traditional Chinese Medicine
基金
上海市卫生和计划生育委员会中医特色诊疗技术提升项目(No.15)。
关键词
肛肠病
术后便秘
津亏肠燥证
增液通便方
乳果糖口服溶液
anorectal disease
postoperative constipation
syndrome of fluid deficiency and intestinal dryness
Fluid-Increasing and Constipation-Relieving Decoction
Lactulose Oral Liquid
