摘要
子宫直肠综合征是以肛门坠胀及排便困难为主要临床表现的一组症候群,按照最新修订的中西医关于便秘诊治指南的诊断标准,属于便秘症状之排便困难表现,即指排便费力、排出困难、排便不尽感、排便费时等,完整的概括本病及出口梗阻性便秘的症状。本研究结合本病的临床文献及既往治疗体会,明确本病是由于子宫尤其是宫颈压迫直肠,或直肠自身有一定炎症时,出现在骶尾、下腹、肛门直肠等部位的不适及排便困难等一系列症状群,与女性出口梗阻性便秘是有区别的,从鉴别诊断,发病机制,到临床表现及体征特征方面着手进而确立本病的诊断标准,并运用相应的中医理论,就病证而言属于便秘、后重、妇人腹痛等,主要病机为多种因素致脾肾气虚,湿热下注,气滞血瘀,治疗以辨证为主线,结合证型分类治疗。
The uterine rectum syndrome is a group of syndrome with the main clinical manifestations of the anal bulge and defecation difficulties. According to the current Chinese and Western Medicine on the latest revision of the diagnosis and treatment of constipation guide, the main clinical symptoms includ： the difficult defecation, elongation of defecation anus distention and non-complex defecation,the symptoms of the uterine rectum syndrome and outlet obstruction constipation. This study combined with the clinical literature of the disease and previous treatment experience, to figure out the cause of the diseases due to the uterus, especially the cervix of the uterus oppression rectum. Female outlet obstruction constipation class was different. From the differential diagnosis, pathogenesis, to the clinical manifestations and signs characteristics, Establish the diagnostic criteria for this disease. And the use of the corresponding Chinese medicine theory, the disease belongs to Constipation, Anal bulge, the woman abdominal pain, etc. The main pathogenesis of the disease is caused by a variety of factors for Spleen and Kidney Qi deficiency, dampness heat down pouring and Qi Stagnation and Blood Stasis. The treatment with syndrome differentiation as the main line, combined with the classification of syndrome treatment.
出处
《深圳中西医结合杂志》
2016年第15期191-194,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
东莞市卫生科研计划一般项目资助课题(2016105101276)
关键词
子宫直肠综合征
出口梗阻综合征
便秘
Uterine Rectum Syndrome/ Etiology/ Diagnostics
Outlet obstruction syndrome
Constipation
Chinese medicine treatment
