本文關(guān)鍵詞： 功能性便秘 肺脾氣虛型 補肺健脾潤腸法　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:觀察補肺健脾潤腸法治療功能性便秘肺脾氣虛型的臨床療效、三個月后復(fù)發(fā)情況,以對功能性便秘肺脾氣虛型的治療提供借鑒和參考。方法:本次臨床觀察收錄40例患者,均來自黑龍江中醫(yī)藥大學(xué)附屬第一醫(yī)院肝脾胃病科門診就診患者,病例收集時間為2016年2月-2016年11月。根據(jù)導(dǎo)師謝晶日教授治療經(jīng)驗確立補肺健脾潤腸法,并且根據(jù)此法選方用藥。在治療0周及治療4周后分別對中醫(yī)主要癥狀、次要癥狀以及中醫(yī)總癥狀積分進(jìn)行記錄,計算治療前與治療后積分的變化,并計算治療前后焦慮抑郁改變情況,由此得出此次實驗臨床療效。治療結(jié)束后對患者進(jìn)行相關(guān)檢查以檢驗其治療期間的安全性,并且于治療結(jié)束后3個月后對治療有效、顯效、痊愈的患者進(jìn)行電話隨訪,觀察復(fù)發(fā)情況。此次臨床觀察的實驗數(shù)據(jù)以SPSS17.0進(jìn)行處理分析。結(jié)果:40例患者脫落3例,總共有37例患者完成本次臨床觀察,臨床痊愈11例、顯效16例、有效8例、無效2例,總有效率94.59%,主要癥狀積分、次要癥狀積分以及總癥狀積分在治療前與治療后均有非常顯著性差異,患者焦慮抑郁有所改善,結(jié)束后的安全性評價未見異常,三個月后的隨訪中有5例復(fù)發(fā),復(fù)發(fā)率為14.29%。結(jié)論:補肺健脾潤腸法對于功能性便秘肺脾氣虛型臨床療效顯著,能改善功能性便秘患者的癥狀,3個月復(fù)發(fā)率較低,遠(yuǎn)期療效較好。
[Abstract]:Objective: to observe the clinical effect of the method of tonifying the lung and invigorating the spleen and nourishing the intestine in the treatment of functional constipation with deficiency of lung and spleen qi. To provide reference and reference for the treatment of functional constipation with deficiency of lung and spleen qi. Methods: this clinical observation included 40 patients, all from the outpatient clinic of the Department of liver, spleen and stomach of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. The time of case collection was from February 2016 to November 2016. According to professor Xie Jingri's experience in treatment, the method of tonifying the lung and strengthening the spleen and nourishing the intestine was established. According to this method, the main symptoms, secondary symptoms and total symptom scores of TCM were recorded after 0 weeks of treatment and 4 weeks of treatment, and the changes of scores before and after treatment were calculated. The changes of anxiety and depression before and after treatment were calculated, and the clinical efficacy of the experiment was obtained. After the treatment, the patients were examined to test the safety of the patients during the treatment. And 3 months after the end of the treatment for the treatment of effective, effective, cured patients were followed up by telephone. The experimental data of this clinical observation were analyzed by SPSS17.0. Results 3 cases of 40 patients dropped off and 37 cases completed the clinical observation. There were 11 cases of clinical cure, 16 cases of remarkable effect, 8 cases of effective and 2 cases of ineffective. The total effective rate was 94.59 and the main symptom integral. Secondary symptom score and total symptom score were significantly different before and after treatment. Anxiety and depression were improved, safety evaluation was not abnormal after the end of the treatment, and 5 cases recurred after 3 months follow-up. Conclusion: the method of tonifying the lung and invigorating the spleen and nourishing the intestines is effective in treating functional constipation with deficiency of lung and spleen qi, and can improve the symptoms of the patients with functional constipation. The recurrence rate of 3 months is lower and the long-term curative effect is better.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R256.35

【參考文獻(xiàn)】

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1 李帷;李乾構(gòu);王帥;肖e，

本文編號：1478824