摘要
目的观察慢性功能性便秘(FC)患者采用温脾汤治疗的效果。方法选取天津市公安医院2016年2月—2020年6月肛肠科门诊与住院的慢性FC患者320例,随机分为观察组和对照组各160例。对照组行灌肠治疗和日常行为干预,观察组在对照组的基础上采用温脾汤治疗。观察比较两组患者治疗14 d后治疗总有效率及入院当日和治疗14 d后的直肠最大耐受阈值、肛管直肠静息压与肛门直肠抑制反射。结果治疗后,观察组总有效率为93.8%,高于对照组的77.5%,差异有统计学意义(P<0.05)。观察组直肠最大耐受阈值、肛门直肠抑制反射低于对照组,观察组肛管直肠静息压高于对照组,差异均有统计学意义(P<0.05)。结论慢性FC患者采用温脾汤治疗后,能够有效改善排便机能,提升肛管直肠静息压,降低直肠最大耐受阈值、肛门直肠抑制反射阈值,值得临床推广应用。
Objective To observe the effect of Decoction for Warming Spleen on patients with chronic functional constipation(FC).Methods From February 2016 to June 2020,320 outpatients and inpatients with chronic FC in Department of Anorectal of Tianjin Public Security Hospital were selected and randomly divided into observation group and control group,with 160 cases in each group.The control group was treated with enema treatment and daily behavior intervention,and the observation group was treated with Decoction for Warming Spleen on the basis of the control group.The total effective rate of treatment after 14 d of treatment,rectal maximum tolerance threshold,anorectal resting pressure and anorectal inhibitory reflex on the day of admission and after 14 d of treatment were observed and compared between the two groups.Results After treatment,the total effective rate in the observation group was 93.8%,which was higher than 77.5 in the control group,and the difference was statistically significant(P<0.05).The rectal maximum tolerance threshold and anorectal inhibitory reflex in the observation group were lower than those in the control group,and the anorectal resting pressure in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Patients with chronic FC treated with Decoction for Warming Spleen could effectively improve defecation function,increase anorectal resting pressure,and reduce the rectal maximum tolerance threshold and anorectal inhibitory reflex threshold,which was worthy of clinical promotion and application.
作者
刘永顺
LIU Yong-shun(Department of Anorectal,Tianjin Public Security Hospital,Tianjin 300042,China)
出处
《中国城乡企业卫生》
2021年第11期19-21,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
慢性功能性便秘
温脾汤
肛管直肠静息压
直肠最大耐受阈值
肛门直肠抑制反射
Chronic functional constipation
Decoction for Warming Spleen
Anorectal resting pressure
Rectal maximum tolerance threshold
Anorectal inhibitory reflex
