兴安升麻地上部分治疗子宫脱垂的临床研究
发布时间：2018-12-18 15:38
【摘要】：目的兴安升麻的传统药用部位为其根茎部分,其根茎部分采集后常应用在传统中药方剂“补中益气汤”中治疗子宫脱垂患者,而其地上部分则被废弃。因为兴安升麻多分布于我国东北部山坡林地,可利用植物资源有限,所以为了更好地利用兴安升麻地上部分,防止资源的浪费,本文拟通过对比兴安升麻地上部分与地下部分在中药配方中疗效对比,进一步研究兴安升麻地上部分在治疗子宫脱垂中的临床应用。方法临床应用中选取在承德市妇幼保健院、承德市第三医院及丰宁县妇幼保健院三个医院就诊的Ⅰ度轻型子宫脱垂患者210例(经中医辨证为气虚型),将患者随机分为三组,三组患者治疗前一般情况及合并症经统计学比较均无差异(P0.05)。三组的治疗方案如下:单纯缩肛治疗组(组1),兴安升麻地上部分与中药配伍治疗+缩肛治疗组(组2)和兴安升麻地下部分与中药配伍治疗+缩肛治疗组(组3)。三组的治疗疗程均为4个月,三组患者治疗前后均进行盆底肌力测定及临床疗效比较。治疗后对三组患者合并症缓解情况、治疗的满意度及两组中药治疗的患者胃肠道反应均进行对比。结果三组患者治疗后子宫脱垂程度均较前有所好转,盆底肌力测试显示各组盆底肌力均有所提高(P0.05),组2和组3患者的盆底肌力提高较组1患者更明显,经数据对比均具有统计学差异(P0.05)。三组患者治疗后较治疗前均较满意,但组2及组3的满意度较组1相比有统计学差异(P0.05)。组2和组3痊愈率、总有效率、满意度及胃肠道反应经统计学处理,差异均无统计学意义(P0.05)。结论兴安升麻地上部分加入补中益气汤方剂中对于治疗Ⅰ度轻型子宫脱垂的作用效果与兴安升麻地下部分大致相同。
[Abstract]:Objective the traditional medicinal part of Xingan Shengma is its rhizome, which is often used in the treatment of uterine prolapse in the traditional Chinese medicine prescription "Buzhong Yiqi decoction", but its aboveground part is abandoned. In order to make better use of the aboveground part of Xinan Shengma and prevent the waste of resources, because it is mainly distributed in the forest land of the northeast of our country, and the available plant resources are limited, in order to make better use of the aboveground part of Xinan Shengma, The purpose of this paper is to study the clinical application of Xingan ascending anesthesia in treating uterine prolapse by comparing the curative effect of the above ground part and the underground part in the prescription of traditional Chinese medicine. Methods 210 patients with mild uterine prolapse were selected from three hospitals of Chengde City Maternal and Child Health Hospital, Chengde third Hospital and Fengning County Maternal and Child Health Hospital. The patients were randomly divided into three groups. There was no statistical difference between the three groups in general and complications before treatment (P0.05). The treatment schemes of the three groups were as follows: simple anal contraction treatment group (group 1), Xingan Shengma aboveground part combined with traditional Chinese medicine treatment group (group 2) and Xingan Shengma underground part with traditional Chinese medicine treatment group (group 3). The three groups were treated for 4 months. The pelvic floor muscle strength was measured before and after treatment and the clinical efficacy was compared. After treatment, three groups of patients with complications remission, treatment satisfaction and two groups of Chinese medicine treatment of patients with gastrointestinal reaction were compared. Results after treatment, the degree of uterine prolapse in the three groups was improved, the pelvic floor muscle strength was increased in each group (P0.05), and the pelvic floor muscle strength in group 2 and group 3 was significantly higher than that in group 1. The data were compared with each other (P0.05). Three groups of patients were satisfied after treatment, but the satisfaction of group 2 and group 3 was significantly higher than that of group 1 (P0.05). The recovery rate, total effective rate, satisfaction and gastrointestinal reaction of group 2 and group 3 were not statistically significant (P0.05). Conclusion the effect of Xingan Shengma aboveground part with Buzhong Yiqi decoction on the treatment of 鈪，
本文编号：2386060
[Abstract]:Objective the traditional medicinal part of Xingan Shengma is its rhizome, which is often used in the treatment of uterine prolapse in the traditional Chinese medicine prescription "Buzhong Yiqi decoction", but its aboveground part is abandoned. In order to make better use of the aboveground part of Xinan Shengma and prevent the waste of resources, because it is mainly distributed in the forest land of the northeast of our country, and the available plant resources are limited, in order to make better use of the aboveground part of Xinan Shengma, The purpose of this paper is to study the clinical application of Xingan ascending anesthesia in treating uterine prolapse by comparing the curative effect of the above ground part and the underground part in the prescription of traditional Chinese medicine. Methods 210 patients with mild uterine prolapse were selected from three hospitals of Chengde City Maternal and Child Health Hospital, Chengde third Hospital and Fengning County Maternal and Child Health Hospital. The patients were randomly divided into three groups. There was no statistical difference between the three groups in general and complications before treatment (P0.05). The treatment schemes of the three groups were as follows: simple anal contraction treatment group (group 1), Xingan Shengma aboveground part combined with traditional Chinese medicine treatment group (group 2) and Xingan Shengma underground part with traditional Chinese medicine treatment group (group 3). The three groups were treated for 4 months. The pelvic floor muscle strength was measured before and after treatment and the clinical efficacy was compared. After treatment, three groups of patients with complications remission, treatment satisfaction and two groups of Chinese medicine treatment of patients with gastrointestinal reaction were compared. Results after treatment, the degree of uterine prolapse in the three groups was improved, the pelvic floor muscle strength was increased in each group (P0.05), and the pelvic floor muscle strength in group 2 and group 3 was significantly higher than that in group 1. The data were compared with each other (P0.05). Three groups of patients were satisfied after treatment, but the satisfaction of group 2 and group 3 was significantly higher than that of group 1 (P0.05). The recovery rate, total effective rate, satisfaction and gastrointestinal reaction of group 2 and group 3 were not statistically significant (P0.05). Conclusion the effect of Xingan Shengma aboveground part with Buzhong Yiqi decoction on the treatment of 鈪，
本文编号：2386060
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