六磨汤高位灌肠联合生物反馈治疗混合型功能性便秘45例临床观察

发布时间：2018-04-02 06:13

本文选题：功能性便秘　切入点：六磨汤　出处：《中医杂志》2017年19期

【摘要】：目的评价六磨汤高位保留灌肠联合生物反馈治疗混合型功能性便秘的临床疗效。方法将90例混合型功能性便秘患者随机分为治疗组和对照组各45例。治疗组给予六磨汤高位灌肠联合生物反馈治疗,对照组给予生理盐水高位灌肠联合生物反馈治疗。两组均隔日睡前灌肠1次,生物反馈治疗每次1h,与灌肠交替隔日进行。两种疗法均分别进行15次,疗程共30天。两组治疗前后对排便不尽感、肛门梗阻感、排便费力、大便性状、排便次数、排便时间、腹胀进行评分,治疗后评价临床疗效,治疗结束后随访3个月,观察各临床症状复发情况。结果治疗组临床疗效总有效率为75.56%,优于对照组的55.56%(P0.05)。治疗组治疗后排便不尽感、肛门梗阻感、排便费力、大便性状、排便次数、排便时间、腹胀积分均明显降低,对照组仅排便不尽感、排便次数积分明显降低(P0.05),且治疗组各临床症状改善均明显优于对照组(P0.05)。随访3个月两组未发现各临床症状复发情况。结论六磨汤高位灌肠联合生物反馈治疗混合型功能性便秘临床疗效确切,能明显改善患者排便困难等临床症状。
[Abstract]:Objective to evaluate the clinical effect of Liumo decoction high position retention enema combined with biofeedback on mixed functional constipation. Methods 90 patients with mixed functional constipation were randomly divided into treatment group (n = 45) and control group (n = 45). Liumo decoction high level enema combined with biofeedback therapy, The control group was treated with saline high enema combined with biofeedback therapy. The course of treatment was 30 days. Before and after treatment, the two groups had no sense of defecation, anus obstruction, laborious defecation, defecation character, defecation frequency, defecation time, abdominal distension. The clinical effect was evaluated after treatment and followed up for 3 months after treatment. Results the total effective rate of the treatment group was 75.56, which was better than that of the control group (55.56%, P 0.05). The defecation, anal obstruction, defecation effort, defecation character, defecation frequency and defecation time were not enough after treatment in the treatment group. The abdominal distension score was significantly decreased in the control group, but the defecation was not felt in the control group. The scores of defecation times decreased significantly, and the improvement of clinical symptoms in the treatment group was obviously better than that in the control group. No recurrence of clinical symptoms was found in the two groups after 3 months follow-up. Conclusion Liumo decoction high position enema combined with biofeedback therapy is mixed. Type A functional constipation is effective in clinical practice. Can obviously improve the patient defecation difficulty and other clinical symptoms.
【作者单位】：广西壮族自治区人民医院;广西中医药大学第一附属医院;
【基金】：国家自然科学基金(81360545,81660416) 广西中医药大学第一附属医院青年科学基金(GZYQJ2014013) 广西医疗卫生适宜技术研究与开发课题(S201410-05)
【分类号】：R574.62

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