济川煎加减治疗直肠内脱垂（肾阳虚型）的临床研究

发布时间：2018-04-28 05:45

本文选题：济川煎加减 + 直肠内脱垂　；参考：《长春中医药大学》2016年硕士论文

【摘要】：目的:应用济川煎加减治疗直肠内脱垂(肾阳虚型),与金匮肾气丸相对比,观察济川煎治疗直肠内脱垂(肾阳虚型)的疗效性及安全性。方法:选择符合直肠内脱垂中医辨证为肾阳虚型的患者60例,随机分为治疗组、对照组,各30例,治疗组采用中药济川煎加减治疗,对照组采用金匮肾气丸口服治疗,每个疗程7天,共4个疗程,随访3个月。观察患者治疗后的每次大便时间、每日大便次数、便后不尽感、大便性状、肛门坠胀堵塞感、腰膝酸软、畏寒肢冷、小便清长症状。结果:治疗组总体疗效经统计分析明显优于对照组,主要症状改善方面明显优于对照组,次要症状中的便后不尽感、大便性状及肛门坠胀、堵塞感症状改善方面明显优于对照组,而在次要症状中的腰膝酸软、畏寒肢冷及小便清长症状改善方面二者无明显差异。且治疗组患者在治疗过程中均未出现不良反应,说明济川煎加减方药物安全可靠,适合临床应用。结论:济川煎加减方对于直肠内脱垂(肾阳虚型)有较好的治疗效果,且安全可靠。本研究不仅体现了中医药治疗疾病的优势,更为患者减少了手术带来的痛苦,具有广泛的治疗前景。
[Abstract]:Objective: to observe the efficacy and safety of Jichuan decoction (Jichuan decoction) in the treatment of intrarectal prolapse (kidney-yang deficiency type) compared with Jingui Shenqi Pill. Methods: sixty patients with deficiency of kidney-yang syndrome were randomly divided into treatment group and control group. The treatment group was treated with Jichuan decoction plus or minus Chinese medicine, and the control group was treated with Jingui Shenqi pills orally. Each course of 7 days, a total of 4 courses, followed up for 3 months. Observe the time of every defecation after treatment, the times of defecation every day, the restless feeling, the defecation character, the feeling of anal distention and clogging, the weakness of waist and knee, the cold of cold limbs, the long symptoms of urination. Results: the overall curative effect of the treatment group was obviously better than that of the control group, and the main symptoms were obviously better than the control group. The improvement of clogging sensation was better than that of the control group, but there was no significant difference between the two groups in the improvement of the minor symptoms in the waist and knee, chills in cold limbs and urination. There were no adverse reactions in the treatment group, which indicated that Jichuan decoction was safe and reliable and suitable for clinical application. Conclusion: Jichuan decoction has good therapeutic effect on rectum prolapse (kidney-yang deficiency type), and it is safe and reliable. This study not only reflects the advantages of traditional Chinese medicine in the treatment of diseases, but also reduces the pain caused by surgery, and has a wide range of therapeutic prospects.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R266

【相似文献】