針藥聯(lián)合治療脾腎陽虛便秘型腸易激綜合征的臨床觀察
發(fā)布時間:2018-06-08 13:30
本文選題:腸易激綜合征 + 便秘; 參考:《中華中醫(yī)藥學刊》2017年02期
【摘要】:目的:探討針刺聯(lián)合中藥治療脾腎陽虛便秘型腸易激綜合征的臨床觀察。方法:2013年8月—2015年7月選擇在醫(yī)院診斷治療的便秘型腸易激綜合征便秘型患者76例,隨機分為對照組及觀察組,各38例。兩組患者均服用芪蓉潤腸口服液,14 d為1個療程,連續(xù)2個療程。觀察組在此基礎上給予針刺治療,留針30 min,14d為1個療程,連續(xù)2個療程。記錄兩組患者臨床療效,中醫(yī)癥狀評分以及兩組患者排便間隔時間以及糞便性質。結果:觀察組總有效率89.48%,對照組總有效率為81.57%,觀察組顯著優(yōu)于對照組,差異有統(tǒng)計學意義(P0.05)。治療前,兩組患者大便干結、排便困難、脘腹脹滿、腹痛、四肢不溫等癥狀積分水平比較,差異無統(tǒng)計學意義(P0.05)。治療后,兩組患者癥狀積分均大幅度下降,觀察組積分下降幅度大于對照組,差異均具有統(tǒng)計學意義(P0.05)。治療前,兩組患者排便時間及糞便性質評分等水平比較,差異無統(tǒng)計學意義(P0.05)。治療后,兩組患者兩項積分均大幅度下降,觀察組積分下降幅度大于對照組,差異均具有統(tǒng)計學意義(P0.05)。兩組患者無不良反應發(fā)生。結論:針刺療法聯(lián)合芪蓉潤腸口服液治療脾腎陽虛便秘型腸易激綜合征患者,臨床療效顯著,可以有效改善患者臨床癥狀,且無明顯不良反應發(fā)生,值得臨床推廣應用。
[Abstract]:Objective: to investigate the clinical effect of acupuncture combined with traditional Chinese medicine on irritable bowel syndrome of spleen and kidney yang deficiency constipation. Methods: from August 2013 to July 2015, 76 patients with irritable bowel syndrome were randomly divided into control group and observation group. The patients in both groups were treated with Qirong Runchang oral liquid for 14 days as a course of treatment. On this basis, the observation group was treated with acupuncture, with 30 mins and 14 days as a course of treatment for 2 consecutive courses. The clinical efficacy, TCM symptom score, defecation interval and fecal properties were recorded. Results: the total effective rate of the observation group was 89.48 and the total effective rate of the control group was 81.57. The observation group was significantly better than the control group, and the difference was statistically significant (P 0.05). Before treatment, the scores of dry stool, difficult defecation, abdominal distension, abdominal pain and unwarm limbs were not significantly different between the two groups (P 0.05). After treatment, the symptom scores of the two groups were significantly decreased, the decrease of the observation group was greater than that of the control group, and the difference was statistically significant (P 0.05). Before treatment, there was no significant difference in defecation time and fecal quality score between the two groups (P 0.05). After treatment, the two scores of the two groups were significantly decreased, the decrease of the observation group was greater than that of the control group, and the difference was statistically significant (P 0.05). No adverse reactions occurred in both groups. Conclusion: acupuncture combined with Qirong Runchang oral liquid in the treatment of irritable bowel syndrome of spleen and kidney yang deficiency constipation can effectively improve the clinical symptoms of the patients, and no obvious adverse reactions, which is worthy of clinical application.
【作者單位】: 浙江省立同德醫(yī)院針灸科;
【分類號】:R259
【參考文獻】
相關期刊論文 前10條
1 張紅麗;張虹;朱原;傅立新;劉志順;;針灸與藥物治療單純性功能性便秘療效的系統(tǒng)評價[J];針灸臨床雜志;2014年10期
2 李梅;張?zhí)K閩;劉,
本文編號:1995953
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