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1、自擬益氣升提方治療氣虛下陷型內(nèi)痔的臨床療效觀察(上海中醫(yī)藥大學(xué)附屬曙光醫(yī)院柏氏肛腸科上海200021)【摘要】目的:觀察自擬益氣升提方治療氣虛下陷型內(nèi)痔(II川I期內(nèi)痔)升提固脫的臨床療效。方法:將88例氣虛下陷型內(nèi)痔(11川1期)隨機(jī)分為治療組(n二44)和對(duì)照組(n二44),分別采用自擬益氣升提方和補(bǔ)中益氣丸。觀察兩組用藥后0d、7d、14d肛門出血、疼痛、滲出、充血情況。結(jié)果:①治療組與對(duì)照組患者的總有效率分別是93%、89%,兩組患者治療效果差異性不明顯,P>0.05o②治療組第7天與第0天比較,疼痛分級(jí)計(jì)分差異有統(tǒng)計(jì)學(xué)意義(P<0.05);第14天與第7天比較,
2、疼痛、滲液分級(jí)計(jì)分差異有統(tǒng)計(jì)學(xué)意義(P<0.05)o對(duì)照組第7天與第0天比較,疼痛分級(jí)計(jì)分差異有統(tǒng)計(jì)學(xué)意義(P<0.05);第14天與第7天比較,疼痛、滲液分級(jí)計(jì)分差異有統(tǒng)計(jì)學(xué)意義(P<0.05)o③兩組間比較,治療組在用藥第7、14天時(shí),疼痛、滲液,與對(duì)照組相比,雖無(wú)統(tǒng)計(jì)學(xué)意義,但有提前趨勢(shì)。結(jié)論:說(shuō)明益氣升提方對(duì)痔核脫出引起的疼痛、肛門滲液有明顯改善。治療組在用藥第7、14天時(shí),疼痛、滲液,與對(duì)照組相比,雖無(wú)統(tǒng)計(jì)學(xué)意義,但有提前趨勢(shì),自擬益氣升提方能夠有效治療氣虛下陷型內(nèi)痔,療效優(yōu)于補(bǔ)中益氣丸?!娟P(guān)鍵詞】自擬益氣升提方;氣虛下陷型內(nèi)痔;臨床療效;補(bǔ)中益氣丸【中圖
3、分類號(hào)】R528.1【文獻(xiàn)標(biāo)識(shí)碼】A【文章編號(hào)】1004-6194(2015)02-0110-02ClinicalefficacySelfQiQisubsidenceliftingtheTreatmentofTypeinternalhemorrhoidsXiazeHua,ZhangYarning,Dongmei,ShenFeifeiShuguangHospital,ShanghaiUniversityofTraditionalPapanorectal(Shanghai200021)【Abstract】Objective:ToobserveYiqiliftingtheTreatment
4、ofQisubsideneetypehemorrhoids(II,IIIhemorrhoids)rosesolidoffoftheclinicalefficacyofmention.Methods:88casesofQisubsideneetypehemorrhoids(II,IIIperiod)wererandomlydividedintotreatmentgroup(n二44)andcontrolgroup(n二44),respectivelyfromYiqiliftingthesideandBuzhongyiqipills.WereobservedaftertreatmentO
5、d,7d,14danalbleeding,pain,exudation,congestionsituation.Results:①ofthetreatmentgroupandthecontrolgroupwererespectively93%efficiency,89%,thetwogroupswerenosignificantdifferencesintreatmenteffect,P>0.05.②treatmentgroupsonday7andday0,painratingscorediffereneewasstatisticallysignificant(P<0.0
6、5);comparethefirst14daysofthefirstsevendays,pain,exudategradescoringdiffereneewasstatisticallysignificant(P<0.05).Thecontrolgroupatday7andday0,painratingscorediffereneewasstatisticallysignificant(P<0.05);Comparisonof14dayswiththefirstsevendays,pain,exudategradescoringdifferencewasstatisti
7、callysignificant(P<0.05).③betweenthetwogroups,thetreatmentgroupcomparedto7and14daysinthemedication,pain,exudate,andthecontrolgroup,althoughnostat:isticallysign訐icant,butthereareearlytrend.Conclusion:DescriptionYiqiliftingthesid