【摘要】：目的興安升麻的傳統(tǒng)藥用部位為其根莖部分,其根莖部分采集后常應(yīng)用在傳統(tǒng)中藥方劑“補(bǔ)中益氣湯”中治療子宮脫垂患者,而其地上部分則被廢棄。因?yàn)榕d安升麻多分布于我國(guó)東北部山坡林地,可利用植物資源有限,所以為了更好地利用興安升麻地上部分,防止資源的浪費(fèi),本文擬通過(guò)對(duì)比興安升麻地上部分與地下部分在中藥配方中療效對(duì)比,進(jìn)一步研究興安升麻地上部分在治療子宮脫垂中的臨床應(yīng)用。方法臨床應(yīng)用中選取在承德市婦幼保健院、承德市第三醫(yī)院及豐寧縣婦幼保健院三個(gè)醫(yī)院就診的Ⅰ度輕型子宮脫垂患者210例(經(jīng)中醫(yī)辨證為氣虛型),將患者隨機(jī)分為三組,三組患者治療前一般情況及合并癥經(jīng)統(tǒng)計(jì)學(xué)比較均無(wú)差異(P0.05)。三組的治療方案如下:單純縮肛治療組(組1),興安升麻地上部分與中藥配伍治療+縮肛治療組(組2)和興安升麻地下部分與中藥配伍治療+縮肛治療組(組3)。三組的治療療程均為4個(gè)月,三組患者治療前后均進(jìn)行盆底肌力測(cè)定及臨床療效比較。治療后對(duì)三組患者合并癥緩解情況、治療的滿意度及兩組中藥治療的患者胃腸道反應(yīng)均進(jìn)行對(duì)比。結(jié)果三組患者治療后子宮脫垂程度均較前有所好轉(zhuǎn),盆底肌力測(cè)試顯示各組盆底肌力均有所提高(P0.05),組2和組3患者的盆底肌力提高較組1患者更明顯,經(jīng)數(shù)據(jù)對(duì)比均具有統(tǒng)計(jì)學(xué)差異(P0.05)。三組患者治療后較治療前均較滿意,但組2及組3的滿意度較組1相比有統(tǒng)計(jì)學(xué)差異(P0.05)。組2和組3痊愈率、總有效率、滿意度及胃腸道反應(yīng)經(jīng)統(tǒng)計(jì)學(xué)處理,差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論興安升麻地上部分加入補(bǔ)中益氣湯方劑中對(duì)于治療Ⅰ度輕型子宮脫垂的作用效果與興安升麻地下部分大致相同。
[Abstract]:Objective the traditional medicinal part of Xingan Shengma is its rhizome, which is often used in the treatment of uterine prolapse in the traditional Chinese medicine prescription "Buzhong Yiqi decoction", but its aboveground part is abandoned. In order to make better use of the aboveground part of Xinan Shengma and prevent the waste of resources, because it is mainly distributed in the forest land of the northeast of our country, and the available plant resources are limited, in order to make better use of the aboveground part of Xinan Shengma, The purpose of this paper is to study the clinical application of Xingan ascending anesthesia in treating uterine prolapse by comparing the curative effect of the above ground part and the underground part in the prescription of traditional Chinese medicine. Methods 210 patients with mild uterine prolapse were selected from three hospitals of Chengde City Maternal and Child Health Hospital, Chengde third Hospital and Fengning County Maternal and Child Health Hospital. The patients were randomly divided into three groups. There was no statistical difference between the three groups in general and complications before treatment (P0.05). The treatment schemes of the three groups were as follows: simple anal contraction treatment group (group 1), Xingan Shengma aboveground part combined with traditional Chinese medicine treatment group (group 2) and Xingan Shengma underground part with traditional Chinese medicine treatment group (group 3). The three groups were treated for 4 months. The pelvic floor muscle strength was measured before and after treatment and the clinical efficacy was compared. After treatment, three groups of patients with complications remission, treatment satisfaction and two groups of Chinese medicine treatment of patients with gastrointestinal reaction were compared. Results after treatment, the degree of uterine prolapse in the three groups was improved, the pelvic floor muscle strength was increased in each group (P0.05), and the pelvic floor muscle strength in group 2 and group 3 was significantly higher than that in group 1. The data were compared with each other (P0.05). Three groups of patients were satisfied after treatment, but the satisfaction of group 2 and group 3 was significantly higher than that of group 1 (P0.05). The recovery rate, total effective rate, satisfaction and gastrointestinal reaction of group 2 and group 3 were not statistically significant (P0.05). Conclusion the effect of Xingan Shengma aboveground part with Buzhong Yiqi decoction on the treatment of 鈪，

本文編號(hào)：2386060