温补脾肾方贴敷神阙加艾灸中脘干预阳虚质结直肠息肉摘除术后临床研究
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R735.3;R248.2

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Clinical Study on Point Application at Shenque with Wenbu Pishen Prescription Com⁃ bined with Moxibustion at Zhongwan for Patients with Yang-Deficiency Constitution After Colonoscopy Surgery for Colorectal Polyps
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    摘要:

    目的:观察在常规治疗措施基础上加用温补脾肾方贴敷神阙联合艾灸中脘干预阳虚质结直肠息肉摘除术后患者的效果。方法:纳入82 例结直肠息肉患者,按随机数字表法分为对照组和观察组各41 例。2 组均进行结肠镜手术摘除息肉,术后给予常规治疗措施,观察组加予温补脾肾方贴敷神阙加艾灸中脘治疗。2 组均连续治疗3 个月,并随访6 个月。于治疗前、治疗3 个月后评价2 组患者的阳虚质评分、检测肠道菌群数量。统计并比较2 组的术后复发率。结果:治疗后,2 组手脚发凉、比别人容易患感冒等7 项阳虚质评分均较治疗前降低(P<0.01),观察组各项评分均低于对照组(P<0.01)。2 组双歧杆菌、乳酸杆菌数量均较治疗前增加,大肠杆菌数量较治疗前减少,差异均有统计学意义(P<0.01);观察组双歧杆菌、乳酸杆菌数量均多于对照组,肠杆菌数量少于对照组,差异均有统计学意义(P<0.01)。整个治疗过程中,2 组患者的血常规、肝肾功能、凝血功能均未见异常。随访6 个月,观察组复发率为7.32%,对照组复发率为26.83%。2 组比较,差异有统计学意义(P<0.05)。结论:在常规治疗措施基础上加用温补脾肾方贴敷神阙联合艾灸中脘,能够改善阳虚质结直肠息肉摘除术后患者的症状体征,预防复发效果确切。

    Abstract:

    Abstract:Objective:To observe the effect of point application at shenque(CV 8) point with Wenbu Pishen prescription combined with moxibustion at zhongwan(CV 12) point based on routine treatment measures for patients with yang-deficiency constitution after colonoscopy surgery for colorectal polyps. Methods:A total of 82 cases of patients with colorectal polyps were divided into the control group and the observation group according to the random number table method,41 cases in each group. Both groups were given colonoscopy surgery to remove the polyp, and routine treatment measures after surgery; the observation group was additionally treated with point application at shenque(CV 8) point with Wenbu Pishen prescription combined with moxibustion at zhongwan(CV 12) point. Both groups were treated for three months and followed up for six months. Before treatment and after three-month treatment,the scores of yang-deficiency constitution of patients in the two groups were evaluated,and the amounts of intestinal flora were detected. After surgery,the recurrence rates in the two groups were counted and compared. Results: After treatment, the seven scores of yang- deficiency constitution including cold extremities and more susceptible to get colds in the two groups were decreased when compared with those before treatment(P<0.01),and the scores in the observation group were lower than those in the control group(P<0.01). The amounts of bifidobacterium and lactobacillus in the two groups were increased when compared with those before treatment, and the amount of colibacillus was decreased, differences being significant(P<0.01); the amounts of bifidobacterium and lactobacillus in the observation group were more than those in the control group,and the amount of colibacillus was fewer, differences being significant(P<0.01). During the treatment, there was no abnormality in blood routine, liver and kidney functions and coagulation function of patients. After six-month follow-up,the recurrence rate was 7.32% in the observation group and 26.83% in the control group,the difference being significant(P<0.05). Conclusion:Based on routine treatment, the additional application of point application at shenque(CV 8) point with Wenbu Pishen prescription combined with moxibustion at zhongwan(CV 12) point can improve the symptoms and signs in patients with yang- deficiency constitution after colonoscopy surgery for colorectal polyps,which has definite preventive effect on recurrence.

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李盈.温补脾肾方贴敷神阙加艾灸中脘干预阳虚质结直肠息肉摘除术后临床研究[J].新中医,2021,53(18):179-183

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  • 在线发布日期: 2021-09-24
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