芍药汤联合白头翁汤治疗湿热蕴结型放射性直肠炎的效果观察OA
Clinical Efficacy of Shaoyao Decoction Combined with Baitouweng Decoction in Treatment of Radiation Proctitis of Damp-Heat Accumulation Type
目的:观察芍药汤联合白头翁汤治疗温热蕴结型放射性直肠炎患者的疗效.方法:选取2024年1~12月我院收治的放射性直肠炎患者70例作为研究对象,按照不同治疗方案,将其随机分为对照组和观察组,每组35例.对照组患者采用美沙拉秦肠溶片治疗,观察组患者采用芍药汤联合白头翁汤治疗,比较2组患者的疗效、中医症状积分、卡氏评分以及炎症指标水平.结果:观察组患者治疗总有效率高于对照组(P<0.05);治疗前2组患者中医症状积分比较差异无统计学意义(P>0.05),治疗后观察组患者腹痛、里急后重、腹泻、便血积分均低于对照组(P<0.05);治疗前2组患者卡氏评分比较差异无统计学意义(P>0.05),治疗后观察组患者卡氏评分高于对照组(P<0.05);治疗前2组患者炎症指标水平比较差异无统计学意义(P>0.05),治疗后观察组患者炎症指标水平均低于对照组(P<0.05).结论:芍药汤和白头翁汤联合治疗温热蕴结型放射性直肠炎可减轻患者临床症状,降低炎症因子水平,疗效显著.
Objective To observe the clinical efficacy of Shaoyao Decoction combined with Baitouweng Decoction in the treatment of patients with radiation proctitis of damp-heat accumulation type.Methods A total of 70 patients with radiation proctitis admitted to our hospital from January to December 2024 were enrolled as study subjects.According to different treatment regimens,they were randomly divided into a con‐trol group and an observation group,with 35 cases in each group.The control group was treated with mesala‐zine enteric-coated tablets,while the observation group was given Shaoyao Decoction combined with Baitou‐weng Decoction.The clinical efficacy,traditional Chinese medicine(TCM)symptom scores,Karnofsky Per‐formance Status(KPS)scores,and levels of inflammatory indicators were compared between the two groups.Results The total effective rate of treatment in the observation group was significantly higher than that in the control group(P<0.05).There was no statistically significant difference in TCM symptom scores between the two groups before treatment(P>0.05).After treatment,the scores of abdominal pain,tenes‐mus,diarrhea and hematochezia in the observation group were lower than those in the control group(P<0.05).There was no statistically significant difference in KPS scores between the two groups before treatment(P>0.05).After treatment,the KPS scores in the observation group was higher than those in the control group(P<0.05).There was no statistically significant difference in the levels of inflammatory indicators between the two groups before treatment(P>0.05).After treatment,the levels of inflammatory indicators in the observation group were lower than those in the control group(P<0.05).Conclusion Shaoyao Decoc‐tion combined with Baitouweng Decoction in the treatment of radiation proctitis of damp-heat accumulation type can alleviate patients' clinical symptoms,reduce the levels of inflammatory factors,and achieve remarkable clini‐cal efficacy.
罗昕;胡嘉轩;王鹏;常枫明;张续兰;王淑琴
甘肃省平凉市第二人民医院放疗科(甘肃 平凉 744000)甘肃省平凉市第二人民医院放疗科(甘肃 平凉 744000)甘肃省平凉市第二人民医院放疗科(甘肃 平凉 744000)甘肃省平凉市第二人民医院放疗科(甘肃 平凉 744000)甘肃省平凉市第二人民医院放疗科(甘肃 平凉 744000)甘肃省平凉市第二人民医院放疗科(甘肃 平凉 744000)
放射性直肠炎温热蕴结型芍药汤白头翁汤
Radiation proctitisDamp-heat accumulation typeShaoyao DecoctionBaitouweng Decoction
《中国肛肠病杂志》 2026 (1)
29-31,3
甘肃省平凉市崆峒区科技局技术创新引导计划项目,项目编号:PL-KT-2025-20
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