PPH加穴位埋线治疗出口梗阻型便秘的临床研究
发布时间：2019-04-29 11:53
【摘要】：目的:探讨PPH术配合穴位埋线法治疗出口梗阻型便秘的临床疗效及安全性评价。方法:将符合出口梗阻型便秘诊断标准的60例患者随机分为试验组和对照组,对照组患者行PPH手术治疗,试验组患者在PPH术基础上加用双侧天枢穴埋线治疗,观察术后7天及术后3个月两组的治疗效果及术后两周的生活质量改善水平,同时观察两组治疗方案对实秘与虚秘治疗效果的差异,并记录可能出现的术后不良反应及并发症,以评价其安全性。结果:经统计分析,术后7天及术后3个月试验组的治疗效果均明显优于对照组(P0.05);实秘与虚秘患者疗效对比方面,针对虚秘患者,试验组优于对照组(P0.05),针对实秘患者,两者无明显差异(P0.05);部分症状积分改善方面,试验组较对照组有更加显著的疗效(P0.05);术后2周生活质量积分改善方面,试验组优于对照组(P0.05)。结论:对于出口梗阻型便秘患者,应用PPH术联合天枢穴穴位埋线治疗术后一周及术后3个月总体效果和部分症状改善均优于单纯PPH术,生活质量提高优势明显,虚秘患者较实秘患者在PPH术基础上更适合联合天枢穴穴位埋线治疗,本法简便易行、安全可靠,值得临床医师参考。
[Abstract]:Objective: to evaluate the clinical efficacy and safety of PPH combined with catgut embedding in the treatment of outlet obstructive constipation. Methods: 60 patients with outlet obstructive constipation were randomly divided into test group and control group. The patients in the control group were treated with PPH operation, and the patients in the test group were treated with bilateral Tianyu acupoint embedding wire on the basis of PPH. After 7 days and 3 months after operation, the therapeutic effect and the improvement level of quality of life in the two groups were observed. At the same time, the difference of the therapeutic effect between the two groups was observed, and the possible postoperative adverse reactions and complications were recorded. To evaluate its safety. Results: statistical analysis showed that the therapeutic effect of the experimental group was significantly better than that of the control group at 7 days and 3 months after operation (P0.05). The treatment group was better than the control group (P0.05), and there was no significant difference between the two groups (P0.05). The improvement of some symptom scores in the experimental group was more significant than that in the control group (P0.05), and the improvement of the quality of life score in the two weeks after operation was better in the experimental group than in the control group (P0.05). Conclusion: for the patients with outlet obstructive constipation, the overall effect and partial symptom improvement after one week and three months after operation with PPH combined with Tianqiu acupoint catgut embedding are better than those of PPH alone, and the improvement of quality of life is obvious. On the basis of PPH, the patients with false secret are more suitable for the treatment of acupoint catgut embedding at Tianxiong point. This method is simple, safe and reliable, and is worthy of reference by clinicians.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R256.35
本文编号：2468222
[Abstract]:Objective: to evaluate the clinical efficacy and safety of PPH combined with catgut embedding in the treatment of outlet obstructive constipation. Methods: 60 patients with outlet obstructive constipation were randomly divided into test group and control group. The patients in the control group were treated with PPH operation, and the patients in the test group were treated with bilateral Tianyu acupoint embedding wire on the basis of PPH. After 7 days and 3 months after operation, the therapeutic effect and the improvement level of quality of life in the two groups were observed. At the same time, the difference of the therapeutic effect between the two groups was observed, and the possible postoperative adverse reactions and complications were recorded. To evaluate its safety. Results: statistical analysis showed that the therapeutic effect of the experimental group was significantly better than that of the control group at 7 days and 3 months after operation (P0.05). The treatment group was better than the control group (P0.05), and there was no significant difference between the two groups (P0.05). The improvement of some symptom scores in the experimental group was more significant than that in the control group (P0.05), and the improvement of the quality of life score in the two weeks after operation was better in the experimental group than in the control group (P0.05). Conclusion: for the patients with outlet obstructive constipation, the overall effect and partial symptom improvement after one week and three months after operation with PPH combined with Tianqiu acupoint catgut embedding are better than those of PPH alone, and the improvement of quality of life is obvious. On the basis of PPH, the patients with false secret are more suitable for the treatment of acupoint catgut embedding at Tianxiong point. This method is simple, safe and reliable, and is worthy of reference by clinicians.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R256.35
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