助阳通便汤治疗津亏肠燥气滞证便秘患者的临床疗效观察

发布时间：2018-04-23 02:35

本文选题：助阳通便汤 + 功能性便秘　；参考：《世界中医药》2017年01期

【摘要】：目的:探讨助阳通便汤治疗津亏肠燥气滞证便秘患者的临床疗效。方法:选择2013年1月至2014年7月西安市中医医院肛肠科接诊的120津亏肠燥气滞证功能性便秘患者,按照随机数表法分为观察组和对照组,观察组给予助阳通便汤治疗,对照组给予乳果糖。观察2组患者治疗前后全结肠通过时间、排便费力程度、排便时间、排便间隔时间及中医证候总积分变化情况,并对治疗后临床疗效、不良反应、复发率进行比较。结果:治疗后,观察组全结肠通过时间(69.51±9.24)h短于对照组(97.73±9.69)h,排便费力程度、排便时间和排便间隔时间结果 [(0.52±0.12)、(0.59±0.08)min、(0.82±0.18)d]都低于对照组[(1.20±0.35)、(1.30±0.37)min、(0.95±0.24)d],观察组中医证候总积分(6.53±1.21)低于对照组(7.81±1.75),差异有统计学意义(P0.05);观察组总有疗效95.00%(57/60)高于对照组81.67%(49/60)(P0.05);通过随访,观察组复发率1.67%(1/60)低于对照组15%(9/60),差异有统计学意义(P0.05)。结论:在津亏肠燥气滞证便秘患者中使用助阳通便汤疗效良好,患者的便秘情况得到有效的改善。
[Abstract]:Objective: to explore the clinical effect of Zhuyang Tongbian decoction on constipation with deficiency of intestinal dryness and stagnation of qi. Methods: from January 2013 to July 2014, 120 patients with functional constipation of deficiency of intestinal dryness and qi stagnation were selected and divided into observation group and control group. The control group was given lactulose. The changes of total colonic transit time, defecation effort degree, defecation time, defecation interval time and total integral of TCM syndromes were observed before and after treatment, and the clinical efficacy, adverse reactions and recurrence rate were compared. Results: after treatment, the total colonic transit time in the observation group was 69.51 卤9.24 hours shorter than that in the control group, 97.73 卤9.69 min / h, and the degree of defecation effort was significant. The results of defecation time and defecation interval were lower than those in the control group [0.52 卤0.12mmin 0.59 卤0.08min 0.82 卤0.18d]. The total score of TCM syndromes in the observation group was 6.53 卤1.21, which was significantly lower than that in the control group (7.81 卤1.75), and the total curative effect of the observation group was 95.00 / 5760) higher than that in the control group (81.67 / 5760), which was higher than that in the control group (81.67 / P = 4960P 0.05), and the total score of TCM syndromes in the observation group (6.53 卤1.21) was significantly lower than that in the control group (7.81 卤1.75). The recurrence rate of the observation group was 1.67 / 60), which was significantly lower than that of the control group (P 0.05). Conclusion: the effect of Zhuyang Tongbian decoction is good and the constipation condition is improved effectively in patients with syndrome of deficiency of intestinal dryness and stagnation of qi.
【作者单位】：西安市中医医院肛肠科;延安大学附属医院心脑血管专科病区神经外科;
【基金】：延安市科学技术研究发展计划项目(编号:2014KW-04)
【分类号】：R256.35

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