Clinical Study Of Spleen And Anti-tumor Decoctiontreating Colon Adenomas And Colorectal Adenomas By Coagulation Resection

ObjectiveThe subject through the use of proposed spleen and anti-tumor soup (Astragalus15g, Radix Codonopsis15g, Atractylodes15g, Poria20g, Coix seed30g, Hedyotis diffusa15g, catlike grass15g, red peony root15g, Citrus aurantium10g, Magnolia15g, licorice5g), treatment of spleen qi deficiency and intestinal damp heat stasis syndrome with colorectal adenomas electric coagulation resection patients, using RCT (randomized controlled trial) for clinical trials to explore the certain effects of incidence of intervention of Chinese medicine in the postoperative is to reduce the recurrence of colorectal adenomas. Evaluation of colorectal adenomas electric coagulation resection postoperative medical intervention in the prevention and treatment of colon adenoma recurrence and recurrence of the effects for the clinical development of the prevention of colorectal adenoma recurrence and provide a evidence of Traditional Chinese Medicine program.MethodsSelected outpatient and inpatient60cases in Guangdong Province Chinese medicine hospital in January2010to April2012who meet the inclusion criteria,60cases were randomly divided into the traditional Chinese medicine in the intervention group and control group, the statistical examination of the two groups in age, sex, adenoma number, size, constitute no significant statistical difference (P>0.05). Two groups of patients after endoscopic therapy used medicine to stop bleeding, anti-infective3-5days in support of nutrition and treatment. In the intervention group use traditional Chinese medicine the next day after surgery to give the spleen and anti-tumor soup (Astragalus15g, Codonopsis15g, atractylodes15g, Poria20g, Coix seed30g, Hedyotis diffusa15g, catlike grass15g, red peony root15g, citrus aurantium lOg, the Magnolol15g, licorice5g), the hot and humid over use Ho Tanmu15g, the Fissidens grass15g; abdominal pain significantly to add Toosendan lOg, Yuan Hu15g; stasis obvious use San Qi5g, Yuan Hu15g. Each dose of water to cook the juice200ml daily of a course for eight weeks, the control group was not given in addition to the above conventional treatment of Chinese medicine and other treatment. Electrosurgery resection6months and12months exam with colonoscopy2nd look Occur in the original polyp site. histopathological type with the same or different primary polyps and in other parts of the same or different pathological types of polyps called recurrence, were compared between the two groups of recurrence rate and, and use SPSS17.0for statistical analysis. Results(1) The results showed that the review of Chinese medicine in the intervention group, the recurrence rate was6.67%, in control group, the recurrence rate was23.3%. The statistical test is no statistically significant difference (P>0.05) between the two groups, suggesting that traditional Chinese medicine in the intervention group and the efficacy of the control group there was no difference.(2) The results showed that1year the intervention group, the recurrence rate was33.3%; in control group, the recurrence rate was66.7%. The statistical test is statistically significant difference (P>0.05), suggesting that the efficacy of traditional Chinese medicine in the intervention group than the control group by statistical tests.ConclusionUse traditional Chinese medicine group in electrosurgery resection of colorectal adenoma recurrence and recurrence in the one-year review of the case better than the control group. Indicate that spleen and anti-tumor soup can prevent colorectal adenoma recurrence, the reason may with adenomatous polyps are mostly spleen, wet stagnation, stasis. Therefore, the use of the medicine spleen, dampness, blood stasis and treatment can improve patients’ physical condition so as to control the adenomatous the recurrence of colon polyps.