中医药综合疗法联合西药治疗慢性功能性便秘老年患者临床观察
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R256.35

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ClinicalObservationofIntegratedTherapyofChineseMedicineComprehensive Therapy Combined with Western Medicine for Senile Patients with Chronic Functional Constipation
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    摘要:

    目的:观察中医药综合疗法联合西药治疗慢性功能性便秘老年患者的效果。方法:将150例脾肾阳虚型慢性功能性便秘老年患者随机分为治疗组和对照组各75例。对照组采用多潘立酮片、酚酞片治疗,治疗组在对照组治疗基础上采用中医药综合疗法,包括内服温肾润肠方,将生大黄贴敷于神阙穴,针刺治疗。2组均连续治疗1月。比较2组治疗前后主要症状[排便困难、排便时间、粪便性状、腹胀、排便次数]评分、血清P物质(SP)和血管活性肽(VIP)水平的变化及临床疗效。结果:治疗后,总有效率治疗组97.33%,对照组86.67%,2组比较,差异有统计学意义(P<0.05)。2组主要症状(排便困难、排便时间、粪便性状、腹胀、排便次数)评分均较治疗前减少(P<0.01);治疗组各症状评分均低于对照组(P<0.01)。2组血清SP水平均较治疗前升高,VIP水平均较治疗前降低,差异均有统计学意义(P<0.01);治疗组血清SP水平高于对照组,VIP水平低于对照组,差异均有统计学意义(P<0.01)。结论:中医药综合疗法联合西药治疗慢性功能性便秘脾肾阳虚证老年患者疗效确切,上调血清中SP及降低VIP水平可能是其疗效途径之一。

    Abstract:

    ObjectiveTo observe the clinical effect of integrated therapy of Chinese medicine comprehensive therapycombined with western medicine in treating senile patients with chronic functional constipation.MethodsDivided 150 cases of senile patients with chronic functional constipation of spleen-kidney yang deficiency type into the treatment group and the control group randomly,75 cases in each group.Both groups receiveddomperidone tablets and phenolphthalein tablets for treatment,while the treatment group additionally received integrated therapy of Chinese medicine comprehensive therapy,including oral application of Wenshen Runchang prescription as well as acupoint application with Radix et Rhizoma Rhei at Shenque and performing acupuncture.Both groups received the treatment for 1 month.Compared scores of main symptoms[difficult defecation,defecation time,fecal properties,abdominal distension,times of defecation],and the changes of level of serum substance P(SP)and vasoactive intestinal peptide(VIP)before and after treatment,and clinical effect of both groups.ResultsAfter treatment,the total effective rate was 97.33%in the treatment group and 86.67%in the control group,the difference being significant(P < 0.05).Scores of main symptoms[difficult defecation,defecation time,fecal properties,abdominal distension,times of defecation]in both groups were lower than those before treatment(P < 0.01);the main symptoms scores in the treatment group were all lower than those in the control group(P<0.01).Serum SP levels in both groups were higher than those before treatment,and VIP levels were lower than those before treatment,differences being significant(P < 0.01);serum SP levels in the treatment group were higher than those in the control group(P < 0.01),and VIP levels were lower than those in the control group(P<0.01).ConclusionIntegrated therapy of Chinese medicine comprehensive therapy combined with western medicine has certain curative effect in treating senile patients with chronic functional constipation,and one of the reasons may be its effect of raising serum SP level and reducing VIP level.

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张玉红,潘永兴.中医药综合疗法联合西药治疗慢性功能性便秘老年患者临床观察[J].新中医,2018,50(2):28-31

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  • 在线发布日期: 2018-02-08
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