益君康联合艾灸治疗腹泻型肠易激综合征的临床观察

发布时间：2018-01-03 07:29

本文关键词：益君康联合艾灸治疗腹泻型肠易激综合征的临床观察　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:通过对益君康联合艾灸治疗腹泻型肠易激综合征的临床观察,分析其疗效及安全性,为采用此方案治疗腹泻型肠易激综合征提供资料,更好的指导临床治疗用药。方法:符合纳入标准的腹泻型肠易激综合征患者70例随机分成两组,治疗组和对照组各35例。对照组给予黄连素治疗;治疗组给予益君康加艾灸联合治疗。观察和记录两组患者治疗前后的症状积分变化、不良反应的类型、程度、发生率以及复发率。结果:66例完成治疗与复查。治疗组与对照组总有效率分别为87.88%和66.67%,显效率分别为60.61%和33.33%,两组患者总有效率和显效率比较均有统计学差异(P㩳0.05);在改善腹痛或腹部不适程度及频率、大便次数、大便性状、里急后重等症状积分方面治疗组明显优于对照组。两组治疗期间均未出现明显不良反应。停药4周后随访,治疗组共20例治愈及显效的患者中有4例(20.00%)复发或加重,对照组11例治愈及显效患者中有6例(54.55%)复发或加重,两组复发率比较,没有统计学差异(P㧐0.05)。结论:益君康联合艾灸在治疗腹泻型肠易激综合征方面疗效更好且不良反应少。
[Abstract]:Objective: to observe the efficacy and safety of Yijun Kang combined with moxibustion in the treatment of diarrhea irritable bowel syndrome, and to provide data for the treatment of diarrhea irritable bowel syndrome. Methods: 70 patients with diarrhea irritable bowel syndrome were randomly divided into two groups: treatment group (n = 35) and control group (n = 35). The treatment group was treated with Yijun Kang plus moxibustion. Observe and record the change of symptom integral, the type and degree of adverse reaction before and after treatment. Results the total effective rates of treatment group and control group were 87.88% and 66.67% respectively. The effective rates were 60.61% and 33.33, respectively. There were significant differences in the total effective rate and the effective rate between the two groups. 0.05; In improving abdominal pain or abdominal discomfort degree and frequency, defecation frequency, stool traits. The treatment group was significantly better than the control group in terms of the score of severe and severe symptoms. There were no significant adverse reactions during the treatment in both groups. 4 weeks after withdrawal of the drug, the patients in the treatment group were followed up. In the treatment group, there were 4 cases of recurrence or aggravation of 20 cases of cure and remarkable effect, and 6 cases of the control group of 11 cases of cure and remarkable effect) recurrence or aggravation. There was no statistical difference in the recurrence rate between the two groups. Conclusion: Yijun Kanglian combined moxibustion is more effective and less adverse in treating diarrhea irritable bowel syndrome.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

【参考文献】