| PurposeOutlet obstruction constipation (Outlet Obstruction Constipation OOC), also known as the rectum constipation, It refers to the anus surrounding tissue, organ functional changes occur, leading to fecal retention difficulties in the anus as a bowel syndrome, clinical often difficult bowel movements, then quit with solution not the sense of quality as the main performance. Over the past quite a long period of time of outlet obstruction constipation has been used as a laxative to treat constipation primary results far from satisfactory, In recent years, outlet obstruction constipation by the deepening understanding of the emergence of surgery, biofeedback and other new treatment ideas, compared with single-use method of laxatives its efficacy was confirmed, but look at its long-term effect is often unsatisfactory, and the higher recurrence rate. In the Western medicine approach can not be a very effective solution to outlet obstruction constipation, under the premise, We are guided by traditional Chinese medicine "is a temporary emergency relief is a permanent cure," the medical principles, through the Traditional Chinese Medicine External Treatment (injection, ligation, thread and other surgical methods) to improve the short-term symptoms, Chinese medicine within the governing law (the whole dialectic of yin and yang of Chinese medicine conditioning) Long-term consolidate the efficacy of treatment, to find an effective solution to outlet obstruction constipation treatment.MethodsSelect from March 2008 to November 2008 Hubei Province Chinese medicine hospital and First Hospital of Wuhan 90 patients with outlet obstruction constipation inpatients, Through physical examination, biochemical, imaging, to exclude slow-transit constipation (Slow Transit Constipation STC), mixed constipation (Mix Constipation), to exclude diabetes, thyroid function by pushing, uremia, diaphragmatic paralysis, anal fissure, adhesion and other concurrent constipation, preclude the use of morphine, calcium antagonists such as drug-induced constipation. According to the principle of randomization patients were divided into treatment group,50 patients in the control group of 40 patients, two groups were statistically check the general information was no significant difference (P＞0.05). According to the RomeⅡcriteria , all of outlet obstruction constipation were divided into rectocele (Rectocele RC), rectal mucosal prolapse (rectum recessiveness prolapse RRP), pelvic floor loss of slow integrated (Achalasia Pelvic Floor Syndrom APFS) 3 subtypes, Chinese medicine treatment group were used surgical methods, Xiaozhiling injection, Xiaozhiling injection and rectal mucosa ligation, Puborectalis hung plus, Postoperative outlet obstruction constipation will be based on qualitative features of the dialectic as QiJiZhuZhi, YinHanJiZhi,QiXueXuRuo and ShenJingKuiFa four types, and respectively them for the LiuMoYinZi, DaHuangFuZiTang, HuangQiRunChangTang and JiChuanJian, a course on the 10th of each week of treatment interruption, five-course limit. Block surgical control group, respectively, PPH surgery, resection of puborectalis part of the surgical methods such as Western medicine, the use of fruit after a unified guide sheet. Comparative efficacy of hospital and telephone follow-up after discharge one year after the defecation situation. Leaves the hospital for one year later the telephone revisit, the treatment group cure rate 76%, the total effectiveness is 92%, control group cure rate 40%, total effectiveness 67.5%, Two groups of results have statistics significance after statistics analysis (P＜0.05) Showing inside and outside the Chinese medicine governs the law in the export obstruction constipation treatment's forward effect to have the obvious superiority compared with the doctor practicing western medicine therapy, is worth promoting.ResultsThe treatment group of 50 patients, postoperative cure rate was 88%, with a total effective rate was 100%in control group of 40 patients, postoperative cure rate was 85%, with a total effective rate was 100%. The statistical analysis between the two (P＞0.05) was not statistically significant, combined with the cure rate shows that Chinese and Western medicine are two surgical methods of outlet obstruction constipation can be sure that short-term effect.However, from time to wound pain, wound bleeding time, wound healing time, total hospital time to consider both the surgical method Chinese medicine to alleviate the suffering of patients with hospitalization costs of patients are saved, there is a distinct advantage. Discharge one year after the telephone follow-up, treatment group,76% cure rate, with a total effective rate was 92% in the control group cure rate of 40% of the total effective rate 67.5%, two sets of results through statistical analysis (P＜0.05) was statistically significant. Note in the treatment of outlet obstruction constipation in long-term effects on the traditional Chinese medicine than western medicine External there are obvious advantages, are worth promoting.DiscussionAnorectal outlet obstruction constipation as a professional hot topic in recent years has been vigorously the development of various types of treatment after another, for the doctors to provide a valid reference point. We proceed from the idea of pure Chinese medicine, using surgical method Chinese medicine and traditional Chinese medicine theory of dialectical rule, in the long-term efficacy has made a great advantage, while the use of minimally invasive surgical method Chinese medicine concept of maximum control of the post-operative complications, not only reduce patient's pain, but also to reduce the patient's medical burden, which is par with Western medicine anorectal advantages.
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