四物汤合增液汤加味治疗盆底失弛缓综合征致便秘36例疗效观察

Treatment of Constipation Due to Pelvic Floor Achalasia Syndrome by Siwu Tang Combined with Zengyethang Jiawei:A Clinical Observation of 36 Cases

目的:观察四物汤合增液汤加味治疗盆底失弛缓综合征所致便秘的临床疗效。方法:选取66例盆底失弛缓综合征患者随机分为2组,治疗组36例用四物汤合增液汤加味治疗;对照组30例用生物反馈疗法治疗。结果:总有效率治疗组为91.67%,明显高于对照组73.33%(P<0.01);2组治疗后肛管静息压、肛管排便压均较治疗前显著降低,括约肌功能长度显著缩短(P<0.05,P<0.01),治疗后治疗组各项指标均低于对照组(P<0.01)。结论:气滞血亏是盆底失弛缓综合征形成的主要病机,四物汤合增液汤加味能明显改善盆底失弛缓综合征的主要临床症状。

To observe the curative effect of Siwu Tang combined with Zengyetang Jiawei(STZJ)for pelvic floor achalasia syndrome (PFAS).Methods:66 cases of PFAS were allocated to two groups randomly,treatment group(36 cases)treated by STZJ and control group(30 cases)by biological feedback therapy.Results:The total effective rate was 91.6%in treatment group and 73.3%in control group(P < 0.01).The anal resting pressure and anal defecating pressure in two group were markedly decreased after treatment,the functional length of sphincter were markedly shortened(P < 0.05,P < 0.01).The various indexes of treatment group were lower than that of control group(P < 0.01).Conclusion:The qi stagnation and blood deficiency are the chief pathogenesis of PFAS and STZJ can markedly improve the chief clinical symptoms of PFAS.