本文選題：穴位埋線 + 直腸粘膜脫垂��； 參考：《湖南中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:穴位埋線聯(lián)合PPH治療直腸粘膜脫垂的臨床療效和優(yōu)越性。方法:將符合納入標(biāo)準(zhǔn)的60例直腸粘膜脫垂患者隨機分為治療組A和治療組B兩組,每組各30例共60例,A組予穴位埋線聯(lián)合PPH術(shù),B組給予PPH術(shù)。兩組術(shù)后基礎(chǔ)治療相同,且同病種患者之間互不知接受何種治療。住院療程為兩周,觀察患者術(shù)前第1天及術(shù)后第7天、第30天的排便困難、肛門或骶尾部的墜脹感、肛門阻塞感的臨床癥狀情況,并分別給患者術(shù)前1天及術(shù)后30天分別行排糞造影檢查并記錄數(shù)據(jù)�；颊叱鲈�1個月后追訪病人統(tǒng)計臨床癥狀積分及排糞造影數(shù)據(jù),對其總體療效進行評價;同時觀察研究中出現(xiàn)的不良反應(yīng)及嚴(yán)重性,及時對癥處理,最后評價其安全性。結(jié)果:入選的60例患者,各組一般資料比較無明顯差異(P0.05)。兩組在治療前后在癥狀總積分比較均有統(tǒng)計學(xué)意義,且差異有統(tǒng)計學(xué)意義(P0.01),對照組高于治療組的總積分,說明治療組在改善癥狀上優(yōu)于對照組。治療組在術(shù)后第7天,術(shù)后30天后的排便困難、肛門或骶尾部墜脹感、肛門阻塞感癥狀積分明顯優(yōu)于對照組,差異有統(tǒng)計學(xué)意義(P0.05)。治療后排糞造影療效比較,兩組患者比較(P0.05),兩組在排糞造影結(jié)果比較差異無統(tǒng)計學(xué)意義。說明兩組患者1個月后肛門功能恢復(fù)無差異。兩組在30天后總體療效采用秩和檢驗比較P0.05,認(rèn)為兩組療效比較無統(tǒng)計學(xué)差異。表明PPH術(shù)結(jié)合埋線法以及單純的PPH術(shù),在臨床上都是治療直腸粘膜脫垂的的有效的治療方式。結(jié)論:穴位埋線聯(lián)合PPH通過改善患者體質(zhì),減少術(shù)后并發(fā)癥,從根本上達到治愈疾病的目的能起到標(biāo)本同治。穴位埋線通過對局部穴位的持久刺激作用能夠起到益氣固脫的治療作用。促進傷口恢復(fù),減少排便費力及便后肛門墜脹感。且穴位埋線未發(fā)現(xiàn)不良反應(yīng),是一種安全有效的中醫(yī)治療方法。
[Abstract]:Objective: to study the clinical effect and superiority of acupoint catgut implantation combined with PPH in the treatment of rectal mucosal prolapse. Methods: sixty patients with rectal mucosal prolapse were randomly divided into two groups: group A and group B. each group (30 cases) was treated with PPH. The two groups had the same basic treatment and did not know what kind of treatment to receive. The course of treatment was two weeks. The clinical symptoms of defecation, anus or sacrococcygeal distention, anus obstruction were observed on the first day before operation, 7 days after operation and 30 days after operation. Defecography was performed 1 day before operation and 30 days after operation. The clinical symptom score and defecography data were collected one month after discharge to evaluate the overall curative effect, and the adverse reactions and severity of the study were observed, the symptoms were treated promptly, and the safety was finally evaluated. Results: there was no significant difference in general data among the 60 patients in each group (P 0.05). There was significant difference between the two groups in the total symptom score before and after treatment, and the difference was statistically significant. The control group was higher than the treatment group in the total score, which indicated that the treatment group was better than the control group in improving symptoms. In the treatment group, the scores of defecation, anus or sacrococcygeal distention and anal obstruction were significantly better than those in the control group on the 7th day after operation and 30 days after the operation, and the difference was statistically significant (P 0.05). After treatment, the effect of defecography was compared between the two groups, there was no significant difference in the results of defecography between the two groups. There was no difference in anal function between the two groups after 1 month. After 30 days, the total curative effect of the two groups was compared by rank sum test (P 0.05), and there was no statistical difference between the two groups. The results indicate that PPH combined with embedding and simple PPH are effective methods in the treatment of rectal mucosal prolapse. Conclusion: acupoint catgut embedding combined with PPH can improve the physique of patients, reduce postoperative complications, and achieve the goal of curing the disease. Catgut embedding at acupoints can benefit Qi and remove through the lasting stimulation of local acupoints. Promote wound recovery, reduce defecation and anal bloating. No adverse reactions were found in acupoint catgut embedding, which is a safe and effective method of TCM treatment.
【學(xué)位授予單位】：湖南中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.2

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