艾灸联合脱肛坐浴汤治疗脱肛临床研究

Clinical Study on Moxibustion Combined with Tuogang Zuoyu Tang for Rectal Prolapse

目的:观察艾灸联合脱肛坐浴汤治疗脱肛的临床疗效。方法:将113例脱肛患者随机分为观察组57例和对照组56例;2组均给予基本支持对症治疗及脱肛坐浴汤治疗,观察组在此基础上联合艾灸治疗;观察比较2组临床疗效及脱肛程度,检测治疗前后血清C-反应蛋白(CRP)水平。结果:观察组治愈42例,有效12例,无效3例;对照组治愈27例,有效19例,无效10例;2组临床疗效比较,经秩和检验,差异有统计学意义(P <0.05)。治疗后,观察组脱肛程度I度11例,Ⅱ度3例,Ⅲ度1例,对照组I度18例,Ⅱ度9例,Ⅲ度2例;2组脱肛程度恢复情况比较,经秩和检验,差异有统计学意义(P <0.05)。治疗后,2组CRP水平均较治疗前降低(P <0.05),且观察组CRP水平明显低于对照组(P <0.05)。结论:艾灸联合脱肛坐浴汤治疗脱肛临床疗效显著,且操作简单,值得推广应用。

Objective:To observe the clinical effect of moxibustion combined with Tuogang Zuoyu tang for rectal prolapse.Methods:A total of 113 cases of patients with rectal prolapse were randomly divided into the observation group(57 cases)and the control group(56 cases).Both groups were given basic supportive and symptomatic treatment and Tuogang Zuoyu tang,and the observation group was additionally treated with moxibustion.The clinical effect and the degree of rectal prolapse in the two groups after treatment were observed and compared,and the levels of C-reactive protein(CRP)in serum in the two groups before and after treatment were detected.Results:In the observation group,42 cases were cured,12 cases were effective and three cases were ineffective;in the control group,27 cases were cured,19 cases were effective and 10 cases were ineffective;the comparison of the clinical effect in the two groups showed significance in the difference(P<0.05).After treatment,as for the degree of rectal prolapse,there were 11 cases of degree I,three cases of degreeⅡand one case of degreeⅢin the observation group,and there were 18 cases of degree I,nine cases of degreeⅡand two case of degreeⅢin the control group;the comparison of the recovery of the degree of rectal prolapse in the two groups showed significance in the difference(P<0.05).After treatment,the levels of CRP in the two groups were decreased when compared with those before treatment(P<0.05),and the level of CRP in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:The therapy of moxibustion combined with Tuogang Zuoyu tang has significant clinical effect in treating rectal prolapse with simple operation,which is worthy of application and promotion.