自拟益气升提方治疗气虚下陷型内痔的临床疗效观察.docVIP

精品论文 参考文献 自拟益气升提方治疗气虚下陷型内痔的临床疗效观察 （上海中医药大学附属曙光医院柏氏肛肠科 上海 200021） 【摘 要】目的：观察自拟益气升提方治疗气虚下陷型内痔（II,III期内痔）升提固脱的临床疗效。方法：将88例气虚下陷型内痔（II,III期）随机分为治疗组(n=44)和对照组(n=44)，分别采用自拟益气升提方和补中益气丸。观察两组用药后0d、7d、14d肛门出血、疼痛、渗出、充血情况。结果：①治疗组与对照组患者的总有效率分别是93%、89%，两组患者治疗效果差异性不明显，Pgt;0.05。②治疗组第7天与第0天比较，疼痛分级计分差异有统计学意义（Plt;0.05）；第14天与第7天比较，疼痛、渗液分级计分差异有统计学意义（Plt;0.05）。对照组第7天与第0天比较，疼痛分级计分差异有统计学意义（Plt;0.05）；第14天与第7天比较，疼痛、渗液分级计分差异有统计学意义（Plt;0.05）。③两组间比较，治疗组在用药第7、14天时，疼痛、渗液，与对照组相比，虽无统计学意义，但有提前趋势。结论：说明益气升提方对痔核脱出引起的疼痛、肛门渗液有明显改善。治疗组在用药第7、14天时，疼痛、渗液，与对照组相比，虽无统计学意义，但有提前趋势，自拟益气升提方能够有效治疗气虚下陷型内痔，疗效优于补中益气丸。 【关键词】自拟益气升提方；气虚下陷型内痔；临床疗效；补中益气丸 【中图分类号】R528.1 【文献标识码】A 【文章编号】1004-6194（2015）02-0110-02 Clinical efficacy Self Qi Qi subsidence lifting the Treatment of Type internal hemorrhoids Xiaze Hua, Zhang Yaming, Dongmei, Shen Feifei Shuguang Hospital, Shanghai University of Traditional Pap anorectal (Shanghai 200021) 【Abstract】Objective: To observe Yiqi lifting the Treatment of Qi subsidence type hemorrhoids (II, III hemorrhoids) rose solid off of the clinical efficacy of mention. Methods: 88 cases of Qi subsidence type hemorrhoids (II, III period) were randomly divided into treatment group (n = 44) and control group (n = 44), respectively from Yiqi lifting the side and Buzhongyiqi pills. Were observed after treatment 0d, 7d, 14d anal bleeding, pain, exudation, congestion situation. Results: ① of the treatment group and the control group were respectively 93% efficiency, 89%, the two groups were no significant differences in treatment effect, Pgt; 0.05. ② treatment groups on day 7 and day 0, pain rating score difference was statistically significant (P lt;0.05); compare the first 14 days of the first seven days, pain, exudate grade scoring difference was statistically significant (P lt;0.05). The control group at day 7 and day 0, pain rating score difference was statistically significant (P lt;0.05); Comparison of 14 days with the first seven days, pain, exudate grade scoring difference was st