西医手术联合中辨证治疗功能性出口梗阻性便秘的疗效评价.doc

西医手术联合中医辨证治疗功能性出口梗阻性便秘的疗效评价 【摘要】目的：探讨西医手术联合中医辨证治疗功能性出口梗阻性便秘的临床疗效。方法：将100例功能性出口梗阻性便秘患者随机分为两组（每组50例），对照组患者单纯行手术治疗，联合组在手术治疗基础上增加中医辨证治疗，对比两组患者的治疗效果。结果：联合组术后3个月的各项便秘症状评分、肛管静息压、最大排便阈值、初始排便阈值、MRV值显著低于对照组，最大收缩压、治疗总有效率均明显高于对照组，P0.05。联合组术后的创面渗血时间、疼痛时间、愈合时间及住院时间均明显短于对照组，P0.05。结论：西医手术联合中医辨证治疗功能性出口梗阻性便秘，能从根本上改变便秘的病理状态，提高便秘治疗效果。 【关键词】功能性出口梗阻性便秘；中医辨证；手术 Assess the effect of Western medicine surgery combined TCM Syndrome Differentiation treat with functional outlet obstruction constipation [Abstract] Objective: To evaluate the clinical efficacy of Western medicine surgery combined with TCM treat with functional outlet obstruction constipation. Methods: 100 cases of functional outlet obstruction constipation were randomly divided into two groups (n=50), the control group patients treated with surgery, the combined group increased syndrome differentiation treatment, compared the therapeutic effect of two groups. Results: After operation 3 months, the constipation symptom score, anal resting pressure, the maximum threshold defecation, defecation initial threshold and MRV of combined group were significantly lower than the control group, P0.05. Maximum systolic blood pressure, total effective rate was significantly higher, P 0.05. Joint postoperative wound bleeding time, pain time, healing time and hospital stay were significantly shorter than the control group, the Maximum systolic blood pressure, total effective rate was significantly higher, P 0.05. Postoperative wound bleeding time, pain time, healing time and hospital stay time of combined group were significantly shorter, P 0.05. Conclusion: Western medicine surgery combined TCM Syndrome Differentiation treat with functional outlet obstruction constipation can change the pathological state of constipation fundamentally, and improve constipation treatment. [Key words] functional outlet obstruction constipation; TCM Syndrome Differentiation; surgery 出口梗阻性便秘（OOC），指的是由直肠、肛门结构解剖异常病变，肛管内外括约肌失调和排便动力障碍引起的功能性便秘，患者多存在直肠前突、耻骨直肠肌肥厚等病变，患