摘要
目的探索中医宏观微观辨证施膳对预防大肠湿热证肠息肉术后复发的作用。方法160例大肠湿热证肠息肉术后住院患者作为研究对象,采用随机方法分为常规组和施膳组,每组80例。常规组患者采用常规护理饮食调理,施膳组患者在常规组基础上运用宏观微观辨证施膳法进行干预。随访1.5年,比较两组依从性、复发情况、临床疗效及生活质量评分。结果随访1.5年,施膳组患者中不依从5例,依从75例,依从率为93.75%;常规组患者中不依从25例,依从55例,依从率为68.75%;施膳组患者的依从率高于常规组,差异有统计学意义(P<0.05)。随访1.5年,施膳组患者的总复发率为10.00%(8/80),低于常规组的31.25%(25/80),差异有统计学意义(P<0.05)。施膳组患者的临床总有效率92.50%(74/80)显著高于对照组的77.50%(62/80),差异有统计学意义(P<0.05)。施膳组患者的生理职能(RP)、生理机能(PF)、情感职能(RE)、躯体疼痛(BP)、社会职能(SF)、精神健康(MH)、活力(VT)、总体健康(GH)评分均明显高于常规组,差异有统计学意义(P<0.05)。结论宏观微观辨证施膳能降低大肠湿热证肠息肉术后的复发率,改善患者的生活质量。
Objective To discuss the effect of macroscopic and microscopic syndrome differentiation diet for preventing postoperative recurrence of large intestinal polyps with damp-heat syndrome.Methods A total of 160 cases of large intestinal polyps with damp-heat syndrome as study subjects were randomly divided into conventional group and diet group,with 80 cases in each group.Patients in the conventional group were treated with conventional nursing and diet,and the patients in the diet group were treated with macroscopic and microscopic syndrome differentiation diet based on the routine group.After 1.5 years of follow-up,the compliance,recurrence,clinical efficacy and quality of life score were compared between the two groups.Results After 1.5 years of follow-up,there were 5 cases of non-compliance and 75 cases of compliance in the diet group,with a compliance rate of 93.75%;25 cases of non-compliance in the conventional group,and 55 cases of compliance,with a compliance rate of 68.75%;the compliance rate of the diet group was higher than that of the conventional group,and the difference was statistically significant(P<0.05).After 1.5 years of follow-up,the total recurrence rate of diet group was 10.00%(8/80),which was lower than 31.25%(25/80)of conventional group,and the difference was statistically significant(P<0.05).The total clinical effective rate 92.50%(74/80)of diet group was significantly significantly higher than 77.50%(62/80)of the control group,and the difference was statistically significant(P<0.05).The role-physical(RP),physical functioning(PF),responsibility of emotion(RE),body pain(BP),social function(SF),mental health(MH),vitality(VT),general health(GH)score of diet group were obviously higher than those of conventional group,and the difference was statistically significant(P<0.05).Conclusion Macroscopic microscopic syndrome differentiation diet can reduce the recurrence rate of large intestinal dampheat syndrome after intestinal polyp surgery and improve the quality of life of patients.
作者
伍肖玲
李婷珊
徐洪侠
钟惠新
徐紫珊
黄务梨
唐灿
WU Xiao-ling;LI Ting-shan;XU Hong-xia(Zhongshan Sanxiang Hospital,Zhongshan 528463,China)
出处
《中国实用医药》
2021年第1期16-19,共4页
China Practical Medicine
基金
广东省社会公益科技基金资助项目(项目编号:2016B1041)。
关键词
大肠湿热证
肠息肉术后
宏观微观辨证施膳
复发
Large intestinal damp-heat syndrome
Intestinal polyps
Macroscopic microscopic syndrome differentiation
Recurrence
