本文關鍵詞：通便方治療慢傳輸型便秘陰虛腸燥證臨床觀察　出處：《湖南中醫(yī)藥大學》2016年碩士論文　論文類型：學位論文

  更多相關文章： 通便方 慢傳輸型便秘 陰虛腸燥證

【摘要】：目的:探討通便方治療慢傳輸型便秘陰虛腸燥證的臨床療效和安全性。方法:本研究采取完全隨機設計的方法。收集來自于湖南省中醫(yī)附一72例符合STC診斷標準的志愿者,采用隨機數字表法分為治療組和對照組。完成觀察的治療組和對照組各30例,其中治療組予通便方聯(lián)合一般治療;對照組予莫沙必利片聯(lián)合一般治療。觀察4周,對患者臨床療效、中醫(yī)證候積分、結腸傳輸試驗、持續(xù)穩(wěn)定性指標、安全性指標進行統(tǒng)計分析。結果:1、治療28天后,治療組的總有效率為90%,對照組的總有效率為73.33%,兩組總有效率比較差異有統(tǒng)計學意義(P0.05)。2、在中醫(yī)證候總積分方面,兩組自身前后證候總積分比較差異有統(tǒng)計學意義(P0.05),治療后治療組與對照組比較差異有統(tǒng)計學意義(P0.05)。3、在主癥積分比較方面,兩組各項自身前后比較差異有統(tǒng)計學意義(P0.05),治療后治療組和對照組比較差異差異有統(tǒng)計學意義(P0.05)。4、在次癥積分比較方面,兩組自身前后比較,治療組差異有統(tǒng)計學意義(P0.05),對照組在失眠方面治療前后差異有統(tǒng)計學意義(P0.05),治療后兩組比較差異均有統(tǒng)計學意義(P0.05)。5、在鋇劑殘余數方面,兩組自身前后比較差異有統(tǒng)計學意義(P0.05),治療后兩組比較差異有統(tǒng)計學意義(P0.05)。6、在持續(xù)穩(wěn)定性評價方面,兩組復發(fā)率比較差異無統(tǒng)計學意義(P0.05)。7、在不良方應方面,對照組出現1例不良反應,治療組未出現不良反應。結論:通便方配合一般治療能有效治療慢傳輸型便秘陰虛腸燥證患者,明顯改善中醫(yī)癥狀,安全無毒副作用,值得臨床推廣。
[Abstract]:Objective: to investigate the clinical efficacy and safety of Tongbian recipe in treating chronic constipation with Yin deficiency and intestinal dryness. In this study, a totally randomized design was used to collect 72 volunteers from Hunan Province who met the diagnostic criteria of STC. The treatment group and control group were divided into treatment group and control group with 30 cases in each group, in which the treatment group was treated with Tongbian recipe combined with general treatment. The control group was treated with mosapride tablet combined with general treatment. After 4 weeks of observation, the clinical efficacy, TCM syndrome score, colonic transit test, sustained stability index and safety index were statistically analyzed. Results: 1. After 28 days of treatment, the total effective rate of the treatment group was 90 and the total effective rate of the control group was 73.33. The difference of the total effective rate between the two groups was statistically significant (P 0.05). In the total integral of TCM syndromes, the two groups before and after the comparison of the total syndromes integral difference was statistically significant, the treatment group and the control group after the difference was statistically significant (P 0.05). In the main symptom score comparison, there was significant difference between the two groups before and after the comparison, the treatment group and the control group after treatment, the difference was statistically significant (P 0.05). In terms of score comparison, the two groups before and after the comparison, the treatment group difference was statistically significant, the control group in insomnia before and after treatment has statistical significance (P0.05). After treatment, the difference between the two groups was statistically significant (P 0.05). In the barium residue, the difference between the two groups before and after the comparison was statistically significant (P 0.05). After treatment, the difference between the two groups was statistically significant (P 0.05). In the evaluation of the stability of the two groups, there was no significant difference in the recurrence rate between the two groups (P 0.05), and there was no significant difference in the recurrence rate between the two groups (P 0.05). Conclusion: Tongbian recipe combined with general treatment can effectively treat chronic constipation patients with Yin deficiency and intestinal dryness syndrome, and obviously improve the symptoms of TCM. Safety and no side effects, worthy of clinical promotion.
【學位授予單位】：湖南中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R256.35

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1 顏麗花;通便方治療慢傳輸型便秘陰虛腸燥證臨床觀察[D];湖南中醫(yī)藥大學;2016年

2 錢陳潔;加味增液湯治療腸易激綜合征陰虛腸燥證的臨床研究[D];南京中醫(yī)藥大學;2011年

3 譚志勇;超微加味增液湯治療慢傳輸型便秘陰虛腸燥證的臨床療效觀察[D];湖南中醫(yī)藥大學;2014年

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本文編號：1426578