健脾补肾法治疗慢性功能性便秘临床疗效观察
|
摘要
研究目的:观察以健脾补肾法组方的中药对慢性功能性便秘患者的临床症状改善情况及治疗疗效并予以分析说明。
研究方法:1、取广州中医药大学第一附属医院消化内科门诊病人或消化内科住院病人,诊断为慢性功能性便秘辨证为脾肾两虚证的患者50人。2、予病人口服健脾补肾之中药,疗程四周。3、观察在治疗后第一周、第二周、第三周、第四周之症状变化。4、应SPSS统计软件包进行统计分析,作治疗6前后t检验。
结果:1、采用健脾补肾法治疗慢性功能性便秘脾肾两虚证患者总有效率为88%,说明健脾补肾法组方的中药对慢性功能性便秘脾肾两虛证有确切的临床效果。2、经治疗前后症状积分的比较表明,健脾补肾、润肠通便中药能明显改善临床症状,尤其缓解腹胀症状有效率100%、缓解大便干结症状有效率98%、缓解排便间隔延长症状有效率94%、缓解排便困难症状总有效率92%。
结论:以健脾补肾、润肠通便法组方的中药可以明显改善功能性便祕脾肾两虚证患者的临床症状,总有效率达88%,表明该方法是治疗功能性便祕脾肾两虚证的有效方法。
Purpose: In order to analyze and explain the clinic curative effect of the TCM, which has the function of invigorating the stomach and tonifying the kidney and loosing the bowel and relieving constipation, we observed the TCM how to cure chronic functionality constipation. Methods:1. We selected 50 cases of chronic functionality constipation sufferers that were outpatient or in-patients of internal medicine of digestive system in the first hospital pertained to GuangZhou University of TCM. 2. The sufferers had been cured by the TCM of invigorating the stomach and tonifying the kidney for four weeks. 3. The changes of symptoms which were the first and second and third and forth week after curing was kept. 4. The scores were inputted the software of SPSS and done the test of "t" . Results:l.We found that the TCM of invigorating the stomach and tonifying the kidney can cure chronic functional ity constipation, its' efficient ratio achieved 88 percents. 2. According to the analyzing the integral of the symptoms it indicated that the TCM of invigorating the stomach and tonifying the kidney and loosing the bowel and relieving constipation can improve the clinic symptom obviously, especially the mam symptoms such as the efficient ratio of fullness in the abdomen were 100 percents , the ratio of dry and hard stool were 98 percents, prolonging the alternation of defecating were 94 percents, the ratio of the difficulty of defecating were 92 percents.
研究方法:1、取广州中医药大学第一附属医院消化内科门诊病人或消化内科住院病人,诊断为慢性功能性便秘辨证为脾肾两虚证的患者50人。2、予病人口服健脾补肾之中药,疗程四周。3、观察在治疗后第一周、第二周、第三周、第四周之症状变化。4、应SPSS统计软件包进行统计分析,作治疗6前后t检验。
结果:1、采用健脾补肾法治疗慢性功能性便秘脾肾两虚证患者总有效率为88%,说明健脾补肾法组方的中药对慢性功能性便秘脾肾两虛证有确切的临床效果。2、经治疗前后症状积分的比较表明,健脾补肾、润肠通便中药能明显改善临床症状,尤其缓解腹胀症状有效率100%、缓解大便干结症状有效率98%、缓解排便间隔延长症状有效率94%、缓解排便困难症状总有效率92%。
结论:以健脾补肾、润肠通便法组方的中药可以明显改善功能性便祕脾肾两虚证患者的临床症状,总有效率达88%,表明该方法是治疗功能性便祕脾肾两虚证的有效方法。
Purpose: In order to analyze and explain the clinic curative effect of the TCM, which has the function of invigorating the stomach and tonifying the kidney and loosing the bowel and relieving constipation, we observed the TCM how to cure chronic functionality constipation. Methods:1. We selected 50 cases of chronic functionality constipation sufferers that were outpatient or in-patients of internal medicine of digestive system in the first hospital pertained to GuangZhou University of TCM. 2. The sufferers had been cured by the TCM of invigorating the stomach and tonifying the kidney for four weeks. 3. The changes of symptoms which were the first and second and third and forth week after curing was kept. 4. The scores were inputted the software of SPSS and done the test of "t" . Results:l.We found that the TCM of invigorating the stomach and tonifying the kidney can cure chronic functional ity constipation, its' efficient ratio achieved 88 percents. 2. According to the analyzing the integral of the symptoms it indicated that the TCM of invigorating the stomach and tonifying the kidney and loosing the bowel and relieving constipation can improve the clinic symptom obviously, especially the mam symptoms such as the efficient ratio of fullness in the abdomen were 100 percents , the ratio of dry and hard stool were 98 percents, prolonging the alternation of defecating were 94 percents, the ratio of the difficulty of defecating were 92 percents.
引文
[1] 中医内科学(六版).上海科技出版社
[2] Morre Gilton V. constipation: what dose the patient mean? J R SOC Med, 1984; 77: 108-110
[3] 甄承恩,吕晓萍.慢性便秘的诊治临床荟2003;18(20):1168-1171
[4] 郑学宝,胡玲,王汝俊,叶丽萍.便秘治疗机制研究思路探讨.广州中医药大学学报,2001;18(3):283-286
[5] 黄宁霞.大肠癌例临床病理分析.九江医学,2003:18(1):31-32
[6] 潘志恒,杨跃武,陈琰碧.等.疏肝润肠汤治疗便秘型肠易激综合征46例疗效观察.新中医,1998;30(11):12—14
[7] 王敏英.便秘的分型治疗.湖南中医杂志,2002;18(4):34
[8] 岳维成,包丽红.便秘的辨证分型施治.中医药学刊,2003;21(8):1380
[9] 李永奇.张东岳治疗便秘临床经验.陕西中医,2003;24(7):634—635
[10] 郑艺.中老年人便秘的辨证施护体会.现代中西医结合杂志,2003;12(24):2716
[11] 吴春蕴.浅谈便秘的中医辨证施护体会.吉林中医药,2003;23(9):35
[12] 张和平.老年便秘的临床特点及辨证施治.云南中医杂志,1991;12(1):45—46
[13] 李业尧.虚秘舒通治疗便秘虚证临床和实验研究.现代中西医结合杂志,1994;2(2):23—24
[14] 苏建华.固肾缩尿法治疗老年性便秘23例疗效观察.中医杂志,1990;(1):27
[15] 张松柏.从五脏论治习惯性便秘200例.1994:5:19—21
[16] 郑学宝,胡玲,陈英华,等.虚性便秘的研究思路.中国中医基础医学杂志,2001;7(10):22—24
[17] 王兰英.老年性便秘辨治思路探讨.中医杂志,2001;42(2):111～112
[18] 陈剑屏.宣肺理气治疗便秘.上海中医药杂志,1996;(6);41
[19] 黄绍刚.周福生教授论治便秘经验教授治疗便秘遮拾.中医药学刊,2002;20(5):583—584
[20] 李永奇.张东岳治疗便秘临床经验.陕西中医,2003:24(7):634—635
[21] 张和平.老年便秘的临床特点及辨证施治.云南中医杂志,1991;12(1):45—46
[22] 宋光瑞.自拟“便乐Ⅱ号”治疗虚型便秘240例.上海中医药杂志,1989;(7):27
[23] 张恩佳,常越萍,王宁,等.参椹丸治疗老年性便秘的临床观察.中医杂志,1992;33
[2] Morre Gilton V. constipation: what dose the patient mean? J R SOC Med, 1984; 77: 108-110
[3] 甄承恩,吕晓萍.慢性便秘的诊治临床荟2003;18(20):1168-1171
[4] 郑学宝,胡玲,王汝俊,叶丽萍.便秘治疗机制研究思路探讨.广州中医药大学学报,2001;18(3):283-286
[5] 黄宁霞.大肠癌例临床病理分析.九江医学,2003:18(1):31-32
[6] 潘志恒,杨跃武,陈琰碧.等.疏肝润肠汤治疗便秘型肠易激综合征46例疗效观察.新中医,1998;30(11):12—14
[7] 王敏英.便秘的分型治疗.湖南中医杂志,2002;18(4):34
[8] 岳维成,包丽红.便秘的辨证分型施治.中医药学刊,2003;21(8):1380
[9] 李永奇.张东岳治疗便秘临床经验.陕西中医,2003;24(7):634—635
[10] 郑艺.中老年人便秘的辨证施护体会.现代中西医结合杂志,2003;12(24):2716
[11] 吴春蕴.浅谈便秘的中医辨证施护体会.吉林中医药,2003;23(9):35
[12] 张和平.老年便秘的临床特点及辨证施治.云南中医杂志,1991;12(1):45—46
[13] 李业尧.虚秘舒通治疗便秘虚证临床和实验研究.现代中西医结合杂志,1994;2(2):23—24
[14] 苏建华.固肾缩尿法治疗老年性便秘23例疗效观察.中医杂志,1990;(1):27
[15] 张松柏.从五脏论治习惯性便秘200例.1994:5:19—21
[16] 郑学宝,胡玲,陈英华,等.虚性便秘的研究思路.中国中医基础医学杂志,2001;7(10):22—24
[17] 王兰英.老年性便秘辨治思路探讨.中医杂志,2001;42(2):111～112
[18] 陈剑屏.宣肺理气治疗便秘.上海中医药杂志,1996;(6);41
[19] 黄绍刚.周福生教授论治便秘经验教授治疗便秘遮拾.中医药学刊,2002;20(5):583—584
[20] 李永奇.张东岳治疗便秘临床经验.陕西中医,2003:24(7):634—635
[21] 张和平.老年便秘的临床特点及辨证施治.云南中医杂志,1991;12(1):45—46
[22] 宋光瑞.自拟“便乐Ⅱ号”治疗虚型便秘240例.上海中医药杂志,1989;(7):27
[23] 张恩佳,常越萍,王宁,等.参椹丸治疗老年性便秘的临床观察.中医杂志,1992;33