健脾祛湿方对大肠腺瘤患者行内镜下治疗后的临床效果

Clinical Observation after the Treatment of Colorectal Adenoma by JianPi QuShi Recipe under Endoscope

目的:观察健脾祛湿方对大肠腺瘤患者行内镜下治疗后的临床症状评分及复发率。方法:选取我院2018年8月—2019年9月我院收治的120例大肠息肉患者,均行内镜下治疗后,随机均分为两组,每组60例。治疗组以健脾祛湿方(党参、生黄芪、茯苓、猪苓、乌梅、炒苍术、炒黄芩、赤芍、山药、薏苡仁、佩兰、焦山楂、焦神曲、陈皮、甘草)为主方临证加减治疗;对照组不作任何处理。观察两组的临床症状评分及复发情况。结果:治疗组临床症状评分与术前相比较均降低,差异有统计学意义(P<0.05);对照组症状评分除黏液血便外与术前相比较降低外,其余差异均无统计学意义(P>0.05)。两组患者共复发31例,总复发率为25.8%,其中治疗组复发率(15%)低于对照组(36.7%),差异有统计学意义(P<0.05)。结论:健脾祛湿方对大肠腺瘤内镜下治疗后改善临床症状及预防术后复发有明显疗效。

Objective To observe the clinical symptom score and recurrence rate after the treatment of colorectal adenoma by Jianpi Qushi Recipe under endoscope.Methods 120 patients with colorectal polyps treated by endoscopy and confirmed as adenoma by postoperative pathology were randomly divided into two groups.Treatment group was treated with Jianpi Qushi Recipe(Codonopsis pilosula,Astragalus membranaceus,Poria cocos,Polyporus umbellatus,Dark plum,Fried rhizoma atractylodis,Fried Radix Scutellariae,Radix Paeoniae Rubra,Rhizoma Dioscoreae,Coix seed,Peilan,Burned hawthorn fruit,Burned Shenqu,Tangerine peel,Liquorice)as main clinical addition and subtraction therapy.The control group was not treated with any treatment.The clinical symptom score and recurrence of the two groups were observed.Results Compare with preoperative score,the difference in clinical symptom score of the treatment group was statistically significant(P<0.05);compare with preoperative score,the difference in clinical symptom score except for mucus and bloody stool of the control group was not statistically significant(P>0.05).The recurrence rate of the treatment group(15%)was compared with the control group(36.7%),which the difference was statistically significant(P<0.05).Conclusion Jianpi Qushi Recipe has obvious curative effect on improving clinical symptoms and preventing postoperative recurrence after the treatment of colorectal adenoma under endoscopic.