培土生金法预防大肠息肉复发的临床研究

Prevention effects of strengthening earth to generate metal on colorectal polyp recurrence

[目的]观察培土生金法对内镜治疗后腺瘤性大肠息肉患者的影响。[方法]将122例脾虚湿瘀型腺瘤性大肠息肉患者随机分中医药治疗组和非中医药治疗对照组。2组均经电子结肠镜下行息肉摘除术,6个月、1年、3年后复查肠镜。[结果]治疗2个月后,治疗组症状明显改善,治疗前后总平均症状积分比较,差异有统计学意义(t=28.96,P<0.01)。治疗组与对照组治疗后总平均症状积分比较,差异有统计学意义(t=26.63,P<0.01)。治疗后6个月、1年、3年,治疗组复发率均明显低于对照组,差异有统计学意义(P<0.01)。[结论]培土生金法能有效改善腺瘤性大肠息肉患者的临床症状,降低内镜治疗后的再复发率。

[Objective]To observe the effects of intervention by the method of strengthening earth to generate metal on patients with adenomatous colonic polyps（ACP）after endoscopic treatment.[Methods]A total of 122 ACP patients being spleen wet stasis were randomly divided into two groups,the treatment group（TCM group）and the control group（non-TCM）.Both groups got endoscopic treatment and reviewed with colonoscopy after six months,one year,and three years.[Results]Various clinical symptoms were improved clearly in the treated group after 2months,and the total average symptom scores before treatment and after were different significantly（t=28.96,P〈0.01）.After treatment,the total average symptom scores of the treated group were lower than the control group,and the difference was significant（t=26.63,P〈0.01）.The relapse rates of the treatment group after six months,one year and three years were all lower than the control group with significant difference（P〈0.01）.[Conclusion]The method of strengthening earth to generate metal can effectively improve clinical symptoms of ACP patients and control the relapse rate after endoscopic therapy.