八珍汤加味联合STARR术治疗直肠前突（中气亏虚证）的临床观察

目的 观察八珍汤加味联合STARR术治疗直肠前突（中气亏虚证）的临床疗效。方法 将200例直肠前突（中气亏虚证）患者随机分为对照与治疗组各100例，对照组采用STARR术治疗，治疗组采用八珍汤加味联合STARR术治疗，疗程30 d，观察两组治疗前后排便困难、排便不尽感主症及肛门梗阻感、肛门坠胀感次症评分和直肠前突深度变化情况及临床疗效。结果 两组治疗后主次症状评分及直肠前突深度较治疗前均降低（P< 0.05），治疗组降低程度大于对照组（P< 0.05），治疗组总有效率高于对照组（P< 0.05）。结论 八珍汤加味联合STARR术能够显著减轻直肠前突（中气亏虚证）程度，改善临床症状，提高临床疗效。

Clinical Effect of Modified Bazhen Decoction Combined with STARR Operation in Treating Rectocele (Deficiency of Qi in Middel-Jiao Syndrome)

Objective To observe the clinical effect of modified Bazhen decoction combined with STARR on rectocele (deficiency of Qi in middle-Jiao syndrome). Methods 200 patients with rectocele (deficiency of Qi in middle-Jiao syndrome) were randomly divided into control group and treatment group, 100 cases in each group. The control group was treated with STARR. The treatment group was treated with modified Bazhen decoction combined with STARR, and the course of treatment was 30 d. The main symptoms of difficult or not completely defecation, the minor symptoms of obstruction and straining feelings in anus, the dempth of rectocele were observed before and after treatment. Results The scores of primary and secondary symptoms and the depth of rectocele in the two groups were lower after treatment (P<0.05), the decrease level in the treatment group was higher than that in the control group (P<0.05). The total effective rate in the treatment group was higher than that in the control group (P<0.05). Conclusion The modified Bazhen decoction combined with STARR could significantly reduce the extent of rectocele (deficiency of Qi in middle-Jiao syndrome), improve the clinical symptoms and the clinical curative effect.