中药不同给药方式治疗肠息肉内镜治疗复发临床疗效研究  

Comparison of Clinical Efficacy of Different Treatment Methods of Chinese Medicine for Endoscopic Treatment of Intestinal Polyps

作　　者：强薇[1] 刘正新[2] QIANG Wei;LIU Zhengxin(Beijing Rehabilitation Hospital of Capital Medical University, Beijing 100144, China;Beijing Chaoyang Hospital of Capital Medical University, Beijing 100020, China)

机构地区：[1]首都医科大学附属北京康复医院,北京100144 [2]首都医科大学附属北京朝阳医院,北京100020

出　　处：《辽宁中医药大学学报》2018年第4期196-199,共4页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的：分析探讨中药保留灌肠、口服中药两种不同给药方式治疗肠息肉内镜治疗复发的临床疗效对比。方法：选取2011年4月10日—2013年4月10日收治的内镜治疗肠息肉复发患者78例,根据随机数表法分为观察组和对照组,每组39例,观察组采用中药保留灌肠的方法治疗,对照组采用口服的方法治疗,观察对比两组患者治疗后有效率、不良反应以及生活质量评分的差异。结果：观察组总有效率为94.87%,对照组总有效率为79.49%,观察组明显高于高于对照组,两组比较有统计学意义（P〈0.05）;观察组不良反应发生率为2.56%,对照组不良反应发生率为15.38%,观察组显著高于对照组,两组比较有统计学意义（P〈0.05）;观察组生活质量总评分（83.53±4.97）分显著高于对照组（79.25±4.03）分,观察组身体功能评分（68.54±4.29）分显著高于对照组（61.26±3.97）分,观察组情绪功能评分（75.74±7.95）分显著高于对照组（72.48±7.46）分,观察组社会功能评分（80.53±5.73）分显著高于对照组（74.95±4.63）分,观察组角色功能评分（87.43±5.44）分显著高于对照组（83.46±4.57）分,两组比较均有统计学意义（P〈0.05）;观察组患者治疗后的复发率第1年（0）、第2年（2.56%）、第3年（2.56%）均低于对照组第1年（2.56%）、第2年（5.13%）、第3年（10.26）,但两组比较差异较小,无统计学意义（P〉0.05）。结论：中药保留灌肠治疗肠息肉内镜治疗复发患者较疗效更为显著,不良反应发生率低,生活质量更好且复发率更低,值得临床推广应用。Objective：To analyze and compare the clinical efficacy of two methods of retention enema with Chinese herbal medicine and oral Chinese medicine in the treatment of recurrent intestinal polyps. Methods：In our hospital from April 10,2011—2013 year in April 10 th take 78 cases of endoscopic treatment in patients with intestinal polyp recurrence,according to randomly divided into observation group and control group,each group of 39 people,to observe the treatment group were treated with traditional Chinese medicine retention enema,the control group was treated by oral treatment,observe the differences of the two groups were compared after treatment effectiveness and adverse reactions and the quality of life score. Results：The total efficiency of the observation group was 94.87%,control group total effective rate was 79.49%,the observation group was significantly higher than that of control group,the two groups was statistically significant（P〈0.05）;the incidence of adverse reactions was 2.56%,the control group adverse reaction rate was 15.38%,the observation group was significantly higher than the control group,the two groups had statistically significant the significance of the observation group（P〈0.05）;observation group total quality of life score（83.53 ＋ 4.97）points was significantly higher than that of the control group（79.25 ＋ 4.03）points,the observation group physical function score（68.54. 4.29）points were significantly higher than control group（61.26 ＋ 3.97）points,the observation group emotional function score（75.74 ＋ 7.95）points was significantly higher than that of the control group（72.48 ＋ 7.46）points,the observation group social function The score（80.53 ＋ 5.73）points was significantly higher than that of the control group（74.95 ＋ 4.63）points,the observation group role function score（87.43 ＋ 5.44）points was significantly higher than that of the control group（83.46 ＋ 4.57）points,the two groups had statistical significance（P〈0.05

关 键 词：中药保留灌肠 肠息肉 口服中药 临床疗效 

分 类 号：R574[医药卫生—消化系统]