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消覃汤加减预防大肠息肉摘除术后(脾虚夹瘀证)息肉再发的回顾性研究
引用本文:火龙,孙申维,龚雨萍,李慧,李希,李凯,朱凌宇,费晓燕,卞慧.消覃汤加减预防大肠息肉摘除术后(脾虚夹瘀证)息肉再发的回顾性研究[J].上海中医药杂志,2017,51(2):48-50.
作者姓名:火龙  孙申维  龚雨萍  李慧  李希  李凯  朱凌宇  费晓燕  卞慧
作者单位:上海中医药大学附属龙华医院脾胃病科,上海,200032,上海中医药大学附属龙华医院脾胃病科,上海,200032,上海中医药大学附属龙华医院脾胃病科,上海,200032,上海中医药大学附属龙华医院脾胃病科,上海,200032,上海中医药大学附属龙华医院脾胃病科,上海,200032,上海中医药大学附属龙华医院脾胃病科,上海,200032,上海中医药大学附属龙华医院脾胃病科,上海,200032,上海中医药大学附属龙华医院脾胃病科,上海,200032,上海中医药大学附属龙华医院脾胃病科,上海,200032
基金项目:上海市卫生局“丁氏内科传人黄文东学术思想研究项目”(ZYSNXD-CC-HPGC-JD-003)
摘    要:  目的:评价消覃汤加减对大肠息肉摘除(脾虚夹瘀证)1年后息肉再发的预防效果。  方法:选择大肠息肉摘除术患者149例,均病史资料完整、中医辨证为脾虚夹瘀证且术后1年复查肠镜;其中规范服用消覃汤1年者(治疗组)79例,未服任何药物者(非治疗组)70例。比较两组大肠息肉摘除1年后的再发及中医证候情况。  结果:①大肠息肉摘除1年后,治疗组再发率为18.99%(15例),低于非治疗组的38.57%(27例)(P<0.05);其中治疗组腺瘤性大肠息肉、非腺瘤性息肉再发率分别为20.75%、15.38%,非治疗组分别为42.86%、32.14%,组间腺瘤性息肉再发率差异有统计学意义(P<0.05)。②治疗组除畏寒怕冷无明显改善外(P>0.05),其余各单项证候均有改善(P<0.05)。  结论:消覃汤加减对大肠息肉摘除术后(脾虚夹瘀证)的息肉再发有一定防治作用,且能在一定程度上改善患者的中医证候。

关 键 词:大肠息肉  脾虚夹瘀证  术后再发  消覃汤  回顾性研究
收稿时间:2016/8/28 0:00:00

Retrospective study of modified Xiaotan Decoction in the prevention of polyp recurrence after colorectal polypectomy(spleen deficiency with blood stasis syndrome)
HUO Long,SUN Shen-wei,GONG Yu-ping,LI Hui,LI Xi,LI Kai,ZHU Ling-yu,FEI Xiao-yan and BIAN Hui.Retrospective study of modified Xiaotan Decoction in the prevention of polyp recurrence after colorectal polypectomy(spleen deficiency with blood stasis syndrome)[J].Shanghai Journal of Traditional Chinese Medicine,2017,51(2):48-50.
Authors:HUO Long  SUN Shen-wei  GONG Yu-ping  LI Hui  LI Xi  LI Kai  ZHU Ling-yu  FEI Xiao-yan and BIAN Hui
Institution:Department of Spleen and Stomach Diseases,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,200032,Department of Spleen and Stomach Diseases,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,200032,Department of Spleen and Stomach Diseases,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,200032,Department of Spleen and Stomach Diseases,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,200032,Department of Spleen and Stomach Diseases,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,200032,Department of Spleen and Stomach Diseases,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,200032,Department of Spleen and Stomach Diseases,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,200032,Department of Spleen and Stomach Diseases,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,200032 and Department of Spleen and Stomach Diseases,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,200032
Abstract:
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