加减麻子仁汤治疗混合痔术后便秘30例临床疗效观察
发布时间：2018-08-28 17:21
【摘要】：目的:通过对比研究,观察加减麻子仁汤治疗混合痔术后便秘的临床疗效。方法:将所观察的60例患者随机分成治疗组30例与对照组30例,治疗组服用加减麻子仁汤,对照组服用乳果糖口服溶液,观察两组患者混合痔外剥内扎术后便秘情况。观察两组病例治疗前后便秘各项症状的变化情况,包括排便时间、粪便性状、排便费力、便不尽感、肛门堵塞感、排便时肛门疼痛、腹胀等情况。通过统计症状评分情况运用统计学软件SPSS17.0进行统计分析。结果:1.治疗前治疗组及对照组在例数、年龄、性别、病情等方面均无显著性差异(P0.05),两组资料具有可比性。2.治疗7天后两组在排便时间、粪便性状、排便费力、排便不尽感方面差异无统计学意义(P0.05),两组疗效无差异;但两组在肛门堵塞感、排便时肛门疼痛、腹胀方面差异有统计学意义(P0.05),治疗组优于对照组。3.两组对术后便秘均有有效的治疗作用,但治疗组愈显率明显高于对照组,二者差异有统计学意义(P0.05),治疗组疗效优于对照组,两组总住院时间无统计学差异(P0.05)。结论:1.加减麻子仁汤对混合痔术后便秘的总治疗效果优于乳果糖口服溶液组。2.加减麻子仁汤可有效防治混合痔术后便秘所致肛门堵塞感、排便时肛门疼痛、腹胀,减轻患者不适,适合临床推广。3.加减麻子仁汤、乳果糖口服溶液均能有效治疗混合痔术后便秘。
[Abstract]:Objective: to observe the clinical effect of Jiajianmazhiren decoction on postoperative constipation of mixed hemorrhoids. Methods: 60 patients were randomly divided into treatment group (n = 30) and control group (n = 30). The patients in the treatment group were treated with Jiangmaiziren decoction and the control group was treated with lactulose oral solution. The constipation after external exfoliation and internal ligation of mixed hemorrhoids between the two groups was observed. The changes of constipation symptoms before and after treatment were observed, including defecation time, fecal traits, defecation effort, defecation, anal clogging, anal pain, abdominal distension and so on. The statistical symptom score was analyzed by statistical software SPSS17.0. The result is 1: 1. Before treatment group and control group in the number of cases, age, sex, disease and other aspects of no significant difference (P0.05), the two groups of comparable data. 2. After 7 days of treatment, there was no significant difference in defecation time, fecal traits, defecation effort, defecation and defecation between the two groups (P0.05), but there was no difference in the curative effect between the two groups, but there was no significant difference between the two groups in anal clogging and anal pain during defecation. The difference in abdominal distension was statistically significant (P0.05), the treatment group was better than the control group. 3. The two groups have effective treatment for postoperative constipation, but the curative effect of the treatment group is significantly higher than that of the control group, the difference is statistically significant (P0.05), the curative effect of the treatment group is better than that of the control group, there is no significant difference in total hospital stay between the two groups (P0.05). Conclusion 1. The total therapeutic effect of Jiajianmazhiren decoction on postoperative constipation of mixed hemorrhoids was better than that of lactulose oral solution group. 2. Aiziren decoction can effectively prevent and treat anal clogging caused by constipation of mixed hemorrhoids, anal pain and abdominal distension during defecation, relieve the discomfort of patients, and be suitable for clinical application. 3. Add and reduce mazhiren decoction, lactulose oral solution can effectively treat postoperative constipation of mixed hemorrhoids.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R266
本文编号：2210060
[Abstract]:Objective: to observe the clinical effect of Jiajianmazhiren decoction on postoperative constipation of mixed hemorrhoids. Methods: 60 patients were randomly divided into treatment group (n = 30) and control group (n = 30). The patients in the treatment group were treated with Jiangmaiziren decoction and the control group was treated with lactulose oral solution. The constipation after external exfoliation and internal ligation of mixed hemorrhoids between the two groups was observed. The changes of constipation symptoms before and after treatment were observed, including defecation time, fecal traits, defecation effort, defecation, anal clogging, anal pain, abdominal distension and so on. The statistical symptom score was analyzed by statistical software SPSS17.0. The result is 1: 1. Before treatment group and control group in the number of cases, age, sex, disease and other aspects of no significant difference (P0.05), the two groups of comparable data. 2. After 7 days of treatment, there was no significant difference in defecation time, fecal traits, defecation effort, defecation and defecation between the two groups (P0.05), but there was no difference in the curative effect between the two groups, but there was no significant difference between the two groups in anal clogging and anal pain during defecation. The difference in abdominal distension was statistically significant (P0.05), the treatment group was better than the control group. 3. The two groups have effective treatment for postoperative constipation, but the curative effect of the treatment group is significantly higher than that of the control group, the difference is statistically significant (P0.05), the curative effect of the treatment group is better than that of the control group, there is no significant difference in total hospital stay between the two groups (P0.05). Conclusion 1. The total therapeutic effect of Jiajianmazhiren decoction on postoperative constipation of mixed hemorrhoids was better than that of lactulose oral solution group. 2. Aiziren decoction can effectively prevent and treat anal clogging caused by constipation of mixed hemorrhoids, anal pain and abdominal distension during defecation, relieve the discomfort of patients, and be suitable for clinical application. 3. Add and reduce mazhiren decoction, lactulose oral solution can effectively treat postoperative constipation of mixed hemorrhoids.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R266
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