黄芪汤联合痔上直肠黏膜套扎术治疗直肠黏膜内脱垂的临床疗效观察  

Clinical Observation of Huangqi Decoction combined with ruiyun procedure for hemorrhoid,in the treatment of rectal intramucosal prolapse

作　　者：郭美玲 李帅军[2] GUO Meiling;LI Shuaijun(Graduate School of Hunan University of Traditional Chinese Medicine,Hunan,Changsha 410208,China;the Second Department of Anorectal,the Second Affiliated Hospital of Hunan University of Chinese Medicine,Hunan,Changsha 410005,China)

机构地区：[1]湖南中医药大学研究生院,湖南长沙410208 [2]湖南中医药大学第二附属医院肛肠二科,湖南长沙410005

出　　处：《中国现代医生》2022年第32期43-45,50,共4页China Modern Doctor

基　　金：湖南省卫生计生委科研基金(20201829)。

摘　　要：目的观察黄芪汤联合痔上直肠黏膜套扎术(ruiyun procedure for hemorrhoid,RPH)治疗直肠黏膜内脱垂的临床疗效。方法回顾性分析2020年12月至2021年12月由湖南中医药大学第二附属医院肛肠二科收治住院的直肠黏膜内脱垂患者60例,采用随机数字表法分为对照组和观察组,每组各30例,其中对照组单独应用RPH手术治疗,观察组给予黄芪汤联合RPH手术治疗,比较两组患者术后1、2、3个月的治疗总有效率。结果术后1个月,观察组的治疗总有效率为96.67%,优于对照组的86.67%,差异有统计学意义(P<0.05);术后2个月,观察组的治疗总有效率为93.33%,优于对照组的80.00%,差异有统计学意义(P<0.05);术后3个月,观察组治疗总有效率为90.00%,优于对照组的76.67%,差异有统计学意义(P<0.05)。结论采用黄芪汤联合RPH治疗直肠黏膜内脱垂临床疗效显著且稳定。Objective To observe the clinical effect of Huangqi Decoction combined with ruiyun procedure for hemorrhoid(RPH)on rectal intramucosal prolapse.Methods A retrospective analysis was performed on 60 patients with rectal intramucosal prolapse admitted to the Second Department of Anorectal Bowel,the Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine from December 2020 to December 2021,and they were randomly divided into the control group and the observation group,with 30 cases in each group.The control group was treated with RPH surgery alone,and the observation group was treated with Huangqi Decoction combined with RPH surgery.The total effective rate of 1,2 and 3 months after operation was compared between the two groups.Results One month after operation,the total effective rate of observation group was 96.67%,better than 86.67%of the control group,the difference was statistically significant(P<0.05).Two months after operation,the total effective rate of the observation group was 93.33%,better than 80.00%of the control group,with statistical significance(P<0.05).Three months after operation,the total effective rate of observation group was 90.00%,better than 76.67%of the control group,the difference was statistically significant(P<0.05).Conclusion The clinical effect of Huangqi Decoction combined with RPH in the treatment of rectal intramucosal prolapse is significant and stable.

关 键 词：黄芪汤 痔上直肠黏膜套扎术 直肠黏膜内脱垂 

分 类 号：R574[医药卫生—消化系统]