目的:观察推拿联合补中益气汤治疗脾虚气陷型脱肛的临床疗效.方法:将108例脱肛患者(Ⅰ度和Ⅱ度)随机分为中药组和推拿加中药组,每组54例.两组均予补中益气汤汤剂口服治疗,推拿加中药组加用推拿手法治疗.观察比较两组的临床症状评分及脱肛程度.结果:治疗后,推拿加中药组治愈39例,有效10例,无效5例,总有效率为90.7%;中药组治愈26例,有效16例,无效12例,总有效率为77.8%.两组疗效经秩和检验,差异有统计学意义(P<0.05).治疗后,两组脱肛分级与治疗前均有统计学差异(P<0.05),两组间差异有统计学意义(P<0.05).治疗后两组中医证候各项评分及总分均较治疗前降低,组内差异有统计学意义(P<0.05);推拿加中药组各项评分及总分均低于中药组,组间差异有统计学意义(P<0.05).结论:推拿联合补中益气汤治疗脾虚气陷型脱肛的临床疗效优于单独补中益气汤治疗.
Objective:To observe the clinical effect of Tuina(Chinese therapeutic massage)combined with Bu Zhong Yi Qi Tang(Middle Jiao-supplementing and Qi-boosting Decoction)in the treatment of rectocele of Qi sinking due to spleen deficiency.Methods:A total of 108 patients with rectocele(grades Ⅰ and Ⅱ)were randomly divided into a Chinese medicine group and a Tuina+Chinese medicine group,with 54 cases in each group.Both groups were treated with Bu Zhong Yi Qi Tang,and the Tuina+Chinese medicine group was treated with additional Tuina manipulation.The score of clinical symptoms and grade of rectocele were observed and compared between the two groups.Results:After treatment,39 cases were cured,10 cases were effective,and 5 cases failed in the Tuina+Chinese medicine group,making a total effective rate of 90.7%.In the Chinese medicine group,26 cases were cured,16 cases were effective,and 12 cases failed,making a total effective rate of 77.8%.The efficacy difference between the two groups was statistically significant,checked by the rank-sum test(P<0.05).After treatment,the grades of rectocele in the two groups were statistically different from those before treatment(P<0.05),and the difference between the two groups was statistically significant(P<0.05).After treatment,the score of each item and the total score of traditional Chinese medicine symptoms in the two groups were lower than those before treatment,and the differences within the group were statistically significant(P<0.05).The score of each item and the total score of the Tuina+Chinese medicine group were lower than those of the Chinese medicine group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:Tuina plus Bu Zhong Yi Qi Tang has better clinical efficacy than Bu Zhong Yi Qi Tang alone in the treatment of rectocele of Qi sinking due to spleen deficiency.