中国全科医学2017，Vol.20Issue(3)：342-346,5.DOI:10.3969/j.issn.1007-9572.2017.03.015
基于倾向性匹配法评价苦参汤熏洗结合八!穴盒灸治疗高位复杂性肛瘘患者术后并发症的临床疗效研究
程跃 1周晋 1侯艳梅 1郭玉琨1
作者信息
- 1. 610072四川省成都市，成都中医药大学附属医院
- 折叠
摘要
Abstract
Objective To evaluate the clinical effect of sophora flavescens decoction fumigation combined with box moxibustion at Baliao acupoint on treating postoperative complications in patients with high complicated anal fistula. Methods According to the inclusion criteria,873 high complicated anal fistula patients in Inpatient Department of Teaching Hospital of Chengdu University of T. C. M from September 2010 to September 2015 were retrospectively selected. By propensity score matching of SPSS 20. 0 ,128 patients adopted sophora flavescens decoction fumigation combined with box moxibustion at Baliao acupoint (group A),128 used sophora flavescens decoction fumigation alone(group B)and 128 received box moxibustion at Baliao acupoint alone(group C). The patients in the three groups were treated for 14 days. The clinical effects of patients 14 days after operation were evaluated,the postoperative pain degree of patients at the first day,seven days and 14th after operation was evaluated by numeric rating scale( NRS)score,and incidence of urine retention of patients at the first day and the third day after operation was observed. Results At the 14th day after operation,the clinical efficacy of patients in the three groups was significantly different(p〈0. 05). The clinical effect in group A was better than that in group B and C(p 〈0. 05),while there was no significant difference in the clinical effect between group B and C ( p 〉0. 05 ) . The therapeutic method and treatment time had interactive effects on NRS score(p〈0. 05),the treatment time had no significant interactive effects on NRS score(p〉0. 05),while the therapeutic method had significant interactive effects on NRS score(p〈0. 05). The NRS score of patients at the 7th day after operation in group A was lower than that in group B and C(p〈0. 05);the NRS score of patients at the 7th day after operation in group B was lower than that in group C(p〈0. 05). The NRS score of patients at the 14th day after operation in group A and B was lower than that in group C(p〈0. 05),there was no significant difference in the NRS score of patients in group A and B at the 14th day after operation(p〉0. 05). The incidence of urine retention of patients in the three groups at the first day after operation was not significantly different(p〉0. 05). There was significant difference in the incidence of urine retention of patients in the three groups at the third day after operation ( p〈0. 05 ) . Conclusion Sophora flavescens decoction combined with box moxibustion at Baliao acupoint can effectively alleviate the postoperative pain and reduce the occurrence rate of urine retention of patients with high complicated anal fistula.关键词
直肠瘘/苦参/穴,八"/灸法/治疗结果Key words
Rectal fistula/Sophora flavescens/Points,Baliao/Moxibustion/Treatment outcome分类
医药卫生引用本文复制引用
程跃,周晋,侯艳梅,郭玉琨..基于倾向性匹配法评价苦参汤熏洗结合八!穴盒灸治疗高位复杂性肛瘘患者术后并发症的临床疗效研究[J].中国全科医学,2017,20(3):342-346,5.
