摘要目的 探究自拟方保留灌肠改善直肠炎患者便血及肛门下坠等症状效果.方法 选取本院2016年1月至2017年6月收治的92例直肠炎患者作为研究对象,采取随机数字表法将其分为观察组和对照组,各46例.对照组采取西医常规治疗,观察组在对照组治疗基础上给予自拟方保留灌肠治疗,对比两组患者疗效、治疗前后中医症状积分、症状消失时间、不良反应情况及患者治疗满意率、1年疾病复发率.结果 观察组患者治疗有效率97.83％高于对照组84.78％,差异有统计学意义(P＜0.05);治疗前,两组患者中医症状积分相当,差异无统计学意义(P＞0.05);治疗后,观察组中医症状积分(2.99±0.68)分低于对照组,差异有统计学意义(P＜0.01);观察组患者腹痛、腹泻、便血、肛门下坠症状消失时间分别为(2.11±0.31)d、(4.12±1.45)d、(2.66±0.56)d、(2.99±0.48)d,均短于对照组,差异均有统计学意义(均P＜ 0.05);两组患者不良反应率相当,差异无统计学意义(P＞0.05);观察组患者治疗满意率97.83％高于对照组82.61％,1年复发率0.00％低于对照组8.70％,差异均有统计学意义(均P＜0.05).结论 自拟方保留灌肠治疗直肠炎效果良好,患者便血、肛门下坠等症状消失,患者恢复快,不良反应少,安全性高,且患者满意率高,复发率低,值得临床推广与应用.

abstractsObjective To explore the effect of retention enema with self-designed prescription for improving postoperative hematochezia and anal fall in patients with proctitis.Methods 92 patients proctitis treated at our hospital from January,2016 to June,2017 were selected as research objects,and divided into an observation group and a control group by random number table method,46 cases for each group.The control group were treated with routine western medicine;in addition,the observation group were given retention enema treatment with self-designed prescription.The curative effect,and TCM symptom score before and after the treatment,symptom-disappeared times,adverse reactions,patient satisfaction,and 1 year disease recurrence were compared between these two groups.Results The therapeutic efficacy of the observation group was higher than that of the control group (97.83％ vs.84.78％,P ＜ 0.05).There was no statistical differences in the score of TCM symptoms between the two groups before the treatment (P＞ 0.05).After the treatment,the score of symptoms was lower in the observation group (2.99±0.68) than in the control group (P ＜ 0.01).The times for the disappearance of abdominal pain,diarrhea,hematochezia,and anal fall were shorter in the observation group (2.11±0.31) d,(4.12±1.45) d,(2.66±0.56) d,(2.99±0.48) d than in the control group (P ＜ 0.05).There was no statistical difference in the incidence of adverse reactions between the two groups (P ＞ 0.05).The treatment satisfaction rate was higher and the one-year recurrence rate was lower in the observation group than in the control group (97.83％ vs.82.61％ and 0.00％ vs.8.70％),with statistical differences (P ＜ 0.05).Conclusion Retention enema with selfdesigned prescription for proctitis is effective and safe and has good effect on hematochezia,anal fall,etc.,few adverse reactions,high satisfaction,and low recurrence rate,so it is worth being clinically generalized.