秦艽苍术汤加减治疗肛门坠胀的临床探究.pdfVIP

提 要 目的：探讨秦艽苍术汤加减治疗肛门坠胀的临床疗效。方法：将符合纳入标准的 90 例肛门坠胀患者依据主诉的不同而分为“肛门下坠”“肛门坠胀”“肛门坠痛”3 种类型,每种类型均按随机数字表法分为 2 组，治疗组予秦艽苍术汤加减内服，对照 组予秦艽片（我院自制药）口服。10d为一疗程，治疗2-4疗程后观察评定治疗效果。 结果：在治疗肛门坠痛类型上，治疗组总有效率为93.33%，对照组总有效率为73.33%， 两者相比有显著性差异，秦艽苍术汤加减内服效果优于秦艽片口服，而在治疗肛门下 坠与肛门坠胀类型上二者作用相当。结论：秦艽苍术汤加减治疗肛门坠胀临床效果明 显，总体上中药汤剂治疗的临床效果优于中成药。中药汤剂与中成药相比，具有组方 灵活，可随症加减的优势，治疗效果较佳，在临床中值得推广应用。 关键词：肛门坠胀 秦艽苍术汤 临床研究 Clinical study of treating Anus Gate Fell Bilges with added and subtracted Large-leaved Gentian Root and Atractylodes Rhizome Decoction Speciality：Surgery of TCM Student：Yan Dan Tutor: Professor Guan Zhongan Abstract Objective: To study the therapeutic effect of added and subtracted Large-leaved Gentian Root and Atractylodes Rhizome Decoction applied to Anus Gate Fell Bilges. Methods: Choose 90 patients who are accorded with the diagnosis standard and separate them into Anus Fall group or Anus Gate Fell Bilges group or Anal drop pain group according to different action in chief. They are divided into the treatment group which are cured by taking added and subtracted Large-leaved Gentian Root and Atractylodes Rhizome Decoction orally or the matched group which are cured by the tablet including Large-leaved Gentian Root producted in our hospital at random for either type. We take 10 days for a period of treatment and observe and assess the therapy result after 2-4 courses of treatment. Results:This study indicates that for Anal drop pain group the treatment , , group total validity rate is 93.33 % and the matched group total validity rate is