中药直肠灌注努责加压法治疗慢性单纯肛门坠胀症

Rectal Enema of Traditional Materia Medica Decoction and Overexertion in the Treatment of Chronic Simple Anal Tenesmus

为观察努责加压法对内服并直肠灌注活血散瘀汤治疗慢性单纯肛门坠胀症的疗效，对94例慢性单纯肛门坠胀症患者均在内服活血散瘀汤之前，提取汤剂的1／5量做直肠下端灌注，其中努责组52例保留式灌注后令其站立位闭肛憋气努责增加腹压1s，再放松休息4s，如此反复进行50次。非努责组42例保留式灌注。结果显示，努责组治愈27例（51．9％）明显优于非努责组治愈9例（21．4％）（P〈0.01）。结果表明，努责加压法能显著提高内服并直肠灌注活血散瘀汤治疗慢性单纯肛门坠胀症的疗效。

Ninety four patients with chronic simple anal tenesmus all had oral traditional materia medica Huoxue Sanyu Decoction intake （4/5 of the volume） and rectal retention enema of the same materia medica decoction（1/5 of the total volume）. Of the 94 cases,52 patients were asked to stand still and to hold breath while exerting strength to increase abdominal pressure for one second （1 second overexertion and 4 seconds rest as one time） ,50 times altogether（the trial group）. The rest 42 cases were not asked to do the overexertion （the control group）. As results,27 cases in the trial group were cured（51.9%）,while 9 cases in the control group were cured（21.4 %）（ P 〈0.01）. It is concluded that the breath-holding and overexertion can notably enhance the therapeutic effect of traditional materia medica decoction in the treatment of chronic simple anal tenesmus.