活血化瘀法治疗吻合器术后肛门坠胀的临床疗效观察-中医外科学(肛肠)专业论文.docxVIP

成都中医药大学硕士学位论文 成都中医药大学硕士学位论文 万方数据 万方数据 中文摘要 目的：观察和评价活血化瘀法治疗吻合器术后肛门坠胀的临床疗效。 方法：将60例吻合器术后并发肛门坠胀患者，随机分成试验组和对照组。其 中对照组30例患者采用中医辨证论治治疗，具体为：气虚下陷证给予补中益气汤； 脾肾阳虚证给予金匮肾气丸；湿热下注证给予三仁汤。试验组30例患者在中医辨 证论治的基础上，加用活血化瘀药物，方选桃红四物汤加减，具体为：气虚下陷 证给予补中益气汤加川芎、当归、桃仁、红花、川牛膝；脾肾阳虚证给予金匮肾 气丸加川芎、当归、桃仁、红花、川牛膝；湿热下注证给予三仁汤加川芎、当归、 桃仁、红花、川牛膝。观察患者术后2周内患者出血情况，并分别在治疗后1周、 2周、3周、4周观察患者肛门坠胀症状改善状况及症状积分，对二者的临床疗效 进行评估。 结果：两组患者肛门坠胀程度均较术后有所缓解；术后加用活血化瘀药物， 并未增加患者出血风险。试验组总有效率96.7%，对照组总有效率56.7%。经统计 学分析，两组在症状积分及临床总疗效上进行比较，差异有统计学意义（P0.05）， 试验组临床疗效优于对照组。 结论：在中医辨证论治的基础上，加用活血化瘀药物治疗吻合器术后肛门坠 胀具有更好的临床疗效，且未增加患者出血风险。 关键词：活血化瘀法 吻合器 TST术 PPH术 肛门坠胀 1 Abstract Objective: To observe and evaluate the clinical curative effect observation of promoting blood circulation and removing blood stasis therapy stapler postoperative anal bulge. Methods: 60 cases of stapler postoperative concurrent anal bulge patients, randomly divided into experimental group and control group. The control group of 30 patients with treatment based on syndrome differentiation of TCM. Specific as follows: the qi deficiency syndrome give Buzhongyiqi Decoction; the spleen kidney Yang deficiency syndrome give Jinkui Shenqi Pill; damp heat syndrome give Sanren decoction. The experimental group 30 patients with treatment based on syndrome differentiation of TCM and promoting blood circulation and removing blood stasis. In 2 weeks observe patients postoperative hemorrhage condition.After treatment 1 week, 2 weeks , 3 weeks, 4 weeks to observe patients anal bulge symptoms improve conditions and symptoms integral, to evaluate the clinical efficacy of the two. Results: Two groups of patients with anal bulge degree compared with postoperative were eased. Postoperative use of promoting blood circulation to remove blood stasis drugs don’t increase the risk of bleeding of patients. The total effective rate of experiment group is 96.7%,which the control group is 56.7%.By statistical analysis, two groups in symptom score and total clinical curative effect on the experimental group