Clinical Research Of Severe RC Merger RRP In The Treatment Of TCM Combined With Clinical Direction

Objective: Constipation seriously affect the patient's quality of life andendanger the patient's physical and mental health, so people pay moreattention on this disease. Clinicians proposed a variety of surgical procedureswhich have their own characteristics to correct the abnormal anatomicalstructure, but the short and long term efficacy is unstable and easy to recur,especially for the OOC of severe RC merger RRP. Systemic functional statusand higher nervous activity influence defecation process greatly which is aseries of complex and coordinated physiological reflex activity in human body.So Bianzheng Lunzhi and Zhengti Guannian of TCM has played the role ofboth the root causes of OOC of severe RC merger RRP.The purpose of thispaper is to explore the short and long term efficacy of OOC of severe RCmerger RRP with "STARR+Xiaozhiling columnar injection+WenshenYunpitang with oral".Methods: We select80cases from Anorectal in-patients of HebeiMedical University Hospital which showed OOC of severe RC merger RRPby means of symptoms, signs, defecography. We study by "STARR+Xiaozhiling columnar injection+Wenshen Yunpitang with oral". We usesurgical treatment and boil Wenshen Yunpitang into decoction, which makedinto of200ml one bag, twice a day,10days is one treatment. Observating thechange in the situation of index for defecation frequency,defecation time,poor stool,anal sense of falling,application of laxatives,defecography beforeand after treatment. All the data use SPSS13.0software statistical package forstatistical analysis and all the measurement data use the average士standarddeviation(x士S).If the line in normal distribution, we use paired t test, if not,we use the paired wilcoxon rank test. The standard of significant differencewas P <0.05. By statistical analysis of statistical principles to determine the short and long term efficacy.Results:80patients after treatment,60cases (75%) were recovered,14cases (17.5%) were cured,6cases (7.5%)were improved, total effective ratewas100%.1Defecation frequency score data of patients before and after treatmentderived by the paired wilcoxon rank test showed P <0.05, with significantdifferences. Number of bowel movements after treatment than beforetreatment was significantly increased.2Defecation time score data of patients before and after treatment derived bythe paired wilcoxon rank test showed P <0.05, with significant differences.Defecation time after treatment than before treatment was significantlyreduced.3Poor stool score data of patients before and after treatment derived by thepaired wilcoxon rank test showed P<0.05, with significant differences. Poorstool after treatment than before treatment was significantly reduced.4Anal sense of falling score data of patients before and after treatment derivedby the paired wilcoxon rank test showed P<0.05, with significant differences.Anal sense of falling after treatment than before treatment was significantlyreduced.5Application of laxatives score data of patients before and after treatmentderived by the paired wilcoxon rank test showed P<0.05, with significantdifferences. Application of laxatives after treatment than before treatment wassignificantly reduced.6The depth of Protrusion score data of patients before and after treatmentderived by the paired t test showed P<0.05, with significant differences. Thedepth of Protrusion after treatment than before treatment was significantlyreduced.Conclusion: The treatment program eliminated the pouch-likerelaxation mucosa of the rectocele, reconstructed the anatomical structures ofthe middle and lower segments of the rectum and strengthened therectovaginal septum. In conjunction with oral of traditional Chinese medicine: Bushen Wenyang, Yiqi Yangxue, Runchang Tongbian, improved thephysique of patients and enhanced the function of internal organs, includingdefecation ability. It played the advantages of combining Chinese and Westernmedicine. The short and long term efficacy was significant.