Objective It is to approach the relationship between the types of anterior rectocele and TCM syndrome differentiation and the length of disease history, and making the frequency distribution analysis on TCM syndrome differentiation. Methods Three hundred patients with constipation underwent the examination of defecography, one hundred and twenty cases were selected with anterior rectocele and divided them into 7 types A to G. The relationships between 7 types with the Male to female ratio, length of disease history and the 3 Chinese syndromes such as sthenic zheng, deficiency zheng, asthenia-sthenia zheng complications were analyzed. And the frequency distribution of TCM syndrome differentiation was analyzed. Results Pure anterior rectocele was accounted for 9.8%, otherwise was mixed anterior rectocele. Female cases were accounted for 96. 5 % . The disease history was short with the cases of sthenic zheng, furthermore, the disease history was long with deficiency zheng and asthenia-sthenia zheng complications. There was no significant difference between the 3 Chinese syndromes and the 7 types of anterior rectocele ( P <0. 05 ). The damp was accounted for most of the sthenic zheng cases and the gas serrle-ment was accounted for most of the deficiency zheng cases. Conclusion The styles of anterior rectocele are closely related to the 3 Chinese syndromes. The reason of damp accounted for most of the deficiency zheng cases are related with the rising standard of living.%目的 探讨直肠前突各类型与虚实证之间的关系及虚实证与病史长短之间的关系,并对直肠前突中医辨证分型进行频数分布分析.方法 对300例便秘患者行排粪造影检查,筛选112例直肠前突患者,根据排粪造影所见分成7型,分别进行男女比例、发病病史长短、虚证实证及虚实夹杂分析,并对112例直肠前突进行中医辨证频数分析.结果 单纯直肠前突者较少,仅占9.8%,其余类型均为混合型.女性直肠前突较多,占96.5%.将直肠前突分成实证、虚证、虚实夹杂3组,实证多病史短,虚证及虚实夹杂病史相对长,组间比较有显著性差异(P＜0.05);实证、虚证、虚实夹杂3组分别进行排粪造影直肠前突各类型统计,组间比较均有显著性差异(P均＜0.05).直肠前突中医辨证频数分析实证以湿热下注较多,虚证中以中气下陷较多.结论 直肠前突以女性多见.排粪造影直肠前突各类型与虚实辨证之间密切相关,直肠前突中医辨证分型中以湿热下注占多数,考虑与生活水平提高有关.
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