中医辨证分型治疗肛门直肠神经官能症的临床研究

目的:探讨中医辨证分型内服汤剂治疗在肛门直肠神经官能症中的临床疗效,为临床提供新的治疗方法和理论基础.方法:本研究纳入81例肛门直肠神经官能症患者,采用中医辨证分型内服汤剂治疗49例,采用口服氟哌噻吨美利曲辛片32例,根据治疗前后患者症状好转情况、治疗前后焦虑及抑郁评分比较以评价两组患者疗效.结果:两组患者在年龄、性别...

Efficacy of Different Diagnositication of Traditional Chinese Medicine in the Treatment of Anorectal Nerve Functional Disorder

Objective To explore the clinical efficacy of different diagnositication of traditional Chinese medicinal decoction in the treatment of anorectal nerve functional disorder and to provide a new treatment method and theoretical basis for the clinic.Methods 81 patients with anorectal nerve functional disorder were enrolled.Among them,49 patients were treated with different diagnositication of traditional Chinese medicine(medicinal decoction),32 patients with flupentazol and melitrazine.Anxiety score,depression score before and after therapy and the improvement rate of patients were used to evaluate the therapy.Results There were no significant differences in age,gender,BMI,smoking,disease duration,anxiety score and depression score between the two groups,indicating that the two groups were comparable.The treatment period of the two groups was 1 month,and the follow-up period was 1 year.Among the experimental group,23 patients were cured,19 patients were improved,7 patients were ineffective.The effective rate was 86%and the cured rate were 47%.In the control group,10 patients were cured,16 patients were improved and 6 patients were ineffective.The effective rate was 81%,the cured rate was 31%.There was a statistically significant difference in the effectiveness of the two groups of patients(P=0.038),and there was no significant difference in cure rate between the two groups(P=0.157).The anxiety scores were(5.96±2.491 vs 3.959±1.527),while the depression scores were(11.10±2.284 vs 5.041±2.272)in observation group before and after therapy.The anxiety scores were(6.66±3.033 vs 4.281±1.650),while the depression scores were(10.41±2.138 vs 6.375±2.296)in the control group before and after therapy.The results showed significant differences(all P<0.05).After treatment,the anxiety scores among observation group was(3.96±1.527),while it was(4.28±1.651)among control group.There were no significant difference(P=0.372).However,the depression scores among observation group was(5.041±2.272),while it was(6.375±2.296)in the control group.There were significant differences(P=0.012).Conclusion The treatment of anorectal nerve functional disorder by different diagnositication of traditional Chinese medicine(herbs decoction)is better than that of flupentixol melitrazine.