食疗联合加减黄芪汤治疗老年功能性便秘的疗效分析
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摘要
[目的]探讨食疗联合中药加减黄芪汤治疗老年功能性便秘的临床疗效。[方法]选取深圳市中医院2015年4月——2017年8月收治的92例老年功能性便秘(FC)患者作为研究对象,并根据随机数字表法分为观察组、对照组各46例。对照组给予加减黄芪汤治疗,观察组在对照组基础上联合食疗方法,比较两组患者疗效及治疗前后便秘相关临床症状及生活质量量表(PAC-QOL)评分。[结果]观察组的治疗总有效率为91.30%,明显高于对照组的76.09%(P<0.05);治疗后两组患者排便频率及排便时间、粪便性状、腹胀、排便困难评分和PAC-QOL评分均低于治疗前(P<0.05),且观察组排便频率及排便时间、粪便性状、腹胀、排便困难评分和PAL-QOL量表心各维度评分较对照组改善明显(P<0.05)。[结论]食疗联合加减黄芪汤治疗老年FC患者临床疗效显著,可有效的改善便秘临床症状,提高患者生活质量。
[Objective] To investigate the therapeutic effect of food therapy combined with traditional Chinese medicine of Jianian Huangqi Decoction on senile functional constipation(FC). [Methods] The 92 elderly FC patients admitted to Shenzhen Traditional Chinese Medicine Hospital from April 2015 to August 2017 were selected, and were divided into observation group and control group according to random number table(46 cases in each group). The control group was treated with Jiajian Huangqi Decoction, and based on this, the observation group received food therapy. The curative effect, constipation-related clinical symptoms and PCA-QOL scores before and after treatment were compared between two groups. [Results] The total effective rate of observation group was significantly higher than that of control group(91.30% vs 76.09%, P<0.05). In the two groups after treatment in patients with defecation frequency and time defecate, excrement character, abdominal distension and difficult defecation score and PAC-QOL scores are lower than before treatment(P <0.05), and the observation group of defecation frequency and defecation time, excrement character, abdominal distension and difficult defecation score and PAC-QOL score than the control group improved significantly(P<0.05). [Conclusion]The food therapy combined with Jiajian Huangqi Decoction is an effective treatment method to ameliorate the constipation-related clinical symptoms and improve the quality of life for senile FC.
[Objective] To investigate the therapeutic effect of food therapy combined with traditional Chinese medicine of Jianian Huangqi Decoction on senile functional constipation(FC). [Methods] The 92 elderly FC patients admitted to Shenzhen Traditional Chinese Medicine Hospital from April 2015 to August 2017 were selected, and were divided into observation group and control group according to random number table(46 cases in each group). The control group was treated with Jiajian Huangqi Decoction, and based on this, the observation group received food therapy. The curative effect, constipation-related clinical symptoms and PCA-QOL scores before and after treatment were compared between two groups. [Results] The total effective rate of observation group was significantly higher than that of control group(91.30% vs 76.09%, P<0.05). In the two groups after treatment in patients with defecation frequency and time defecate, excrement character, abdominal distension and difficult defecation score and PAC-QOL scores are lower than before treatment(P <0.05), and the observation group of defecation frequency and defecation time, excrement character, abdominal distension and difficult defecation score and PAC-QOL score than the control group improved significantly(P<0.05). [Conclusion]The food therapy combined with Jiajian Huangqi Decoction is an effective treatment method to ameliorate the constipation-related clinical symptoms and improve the quality of life for senile FC.
引文
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[10]谢更钟,李惠林,张志玲,等.乌梅降糖止泻方佐治上热下寒型糖尿病伴顽固腹泻患者的效果及对胃肠动力指标的影响[J].临床误诊误治,2017,30(7):91-95.
[11]董璐,宋花玲,车文,等.超声中频同步电疗法联合朱氏一指禅推拿治疗老年慢性功能性便秘的效果[J].中国医药导报,2016,13(28):40-43.
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[13]张剑青,刘鹏飞,冯义朝,等.生物反馈联合小麦纤维素治疗老年功能性便秘的疗效[J].中国临床保健杂志,2015,17(4):403-404.
[14]黄丹,江滨.老年功能性便秘中西医药物治疗进展[J].辽宁中医药大学学报,2016,17(2):98-101.
[2]李峨,王磊,李国栋.六味能消胶囊联合中药敷脐治疗功能性便秘临床研究[J].中国中医药信息杂志,2015,22(1):26-28.
[3]闫宛春,杨国嵘,吴景玲,等.中药五仁汤联合乳果糖治疗老年功能性便秘临床观察[J].西北国防医学杂志,2015,36(10):651-653.
[4]李亚新,段发兰,陈欣,等.芪蓉润肠口服液联合针灸干预对老年住院功能性便秘早期患者预后影响的研究[J].针灸临床杂志,2015,31(10):17-19.
[5]李亚玲,曾超,叶云,等.中药传统饮片与中药配方颗粒治疗老年功能性便秘的临床疗效观察[J].中国医院药学杂志,2017,36(23):332-334.
[6]中华医学会外科学分会肛肠外科学组.便秘症状及疗效评估[J].中华胃肠外科杂志,2005,8(4):355-356.
[7]Zheng J,Yang L,Guo C,et al.Relationship between fatigue and quality of life in elderly functional constipation patients[J].Journal of Changchun University of Chinese Medicine,2015,18(2):224-226.
[8]严小勇,李祥,王晓丽,等.木犀草素对肠道病毒71型感染细胞的影响[J].江苏大学学报(医学版),2016,26(6):488-491.
[9]侯艳苗,杨锦萍,苏建荣.乳果糖口服液联合四磨汤口服液治疗4岁以上小儿功能性便秘疗效分析[J].儿科药学杂志,2015,20(1):25-27.
[10]谢更钟,李惠林,张志玲,等.乌梅降糖止泻方佐治上热下寒型糖尿病伴顽固腹泻患者的效果及对胃肠动力指标的影响[J].临床误诊误治,2017,30(7):91-95.
[11]董璐,宋花玲,车文,等.超声中频同步电疗法联合朱氏一指禅推拿治疗老年慢性功能性便秘的效果[J].中国医药导报,2016,13(28):40-43.
[12]祁志荣,宋昕,王春玲,等.乳果糖口服溶液联合开塞露治疗老年功能性便秘的临床观察[J].中国医药导刊,2015,17(11):1151-1152.
[13]张剑青,刘鹏飞,冯义朝,等.生物反馈联合小麦纤维素治疗老年功能性便秘的疗效[J].中国临床保健杂志,2015,17(4):403-404.
[14]黄丹,江滨.老年功能性便秘中西医药物治疗进展[J].辽宁中医药大学学报,2016,17(2):98-101.