益气养血汤治疗功能性肛门直肠痛临床疗效观察

目的]评价益气养血汤内服治疗功能性肛门直肠痛(FAP)的临床疗效。方法]选取40例FAP患者,采用随机数字表法分为观察组和对照组各20例。观察组采用益气养血汤加温水坐浴治疗;对照组采用温水坐浴。2周为1个疗程,共2个疗程。分析比较两组患者治疗前后疼痛视觉模拟评分(VAS)、焦虑及抑郁自评分(SDS)、SF-36生活质量评分、治疗效果评估。采用SPSS 24.0软件进行统计分析。结果]观察组治疗总有效率85.00%显著高于对照组的55.00%(P0.05);观察组治疗后VAS评分显著低于对照组及治疗前(P0.05);观察组及对照组治疗后焦虑及抑郁自评分(SAS、SDS)均显著低于治疗前,但观察组评分更低(P0.05);观察组及对照组治疗后SF-36生活质量评分均显著高于治疗前,但观察组评分更高(P0.05)。结论]益气养血汤口服治疗功能性肛门直肠痛能够取得良好的临床疗效,改善患者预后。

Clinical observation of Yiqi Yangxue Decoction in the treatment of functional anorectal pain

Objective] To explore the effect of tutorial system on the training of Baduanjin for the elders.Methods] The 180 elderly people who met the inclusion criteria were randomly divided into experimental group and control group according to the random number table,with 90 cases in each group. On the basis of the conventional "four-step" training method,the experimental group used the tutorial training mode to train and exercise the elders,while the control group used the conventional "four-step" training method to train and exercise the elderly. After the training,the satisfaction of Baduanjin training was investigated,and the satisfaction of Baduanjin activity organization was investigated for 3~6 months. The total rate of individual exercise was compared,and the changes of balance function indexes before training,3 months after training and 6 months after training were compared between the two groups. Compare the changes of quality of life index of two groups before training and after 6 months of concentrated exercise.Results] The satisfaction of training and activity organization of Baduanjin in the experimental group was better than that of the control group. There was no significant difference between the two groups in the total rate of attaining the standard of individual exercise. Compared with the BERG scale for 3 months and 6 months of intensive exercise,the experimental group was better than the control group,and the difference was statistically significant (P<0.05). Compared with the change of the quality of life scale after 6 months of concentrated exercise,the experimental group was superior to the control group,and the difference was statistically significant (P<0.05).Conclusion] The new training mode of Baduanjin,a tutorial system,has a significant effect on the training and exercise for the elders.