首页|行气润肠汤治疗气阴两虚型功能性便秘临床研究

行气润肠汤治疗气阴两虚型功能性便秘临床研究

扫码查看
目的:探讨行气润肠汤治疗气阴两虚型功能性便秘(FC)的临床疗效及安全性。方法:将90例气阴两虚型FC患者按随机数字表法分为观察组和对照组,每组各45例。观察组采用行气润肠汤治疗,对照组采用首荟通便胶囊治疗,疗程均为4周。比较两组治疗前后每周完全自发排便次数(CSBMs)、便秘主要症状积分、生活质量量表(PAC-QOL)评分、气阴两虚证积分、肛管直肠压力、临床疗效以及不良反应发生情况。结果:观察组的总有效率95。23%,高于对照组80。00%,两组疗效比较,差异有统计学意义(P<0。05);两组CSBMs较治疗前相比均增加(P<0。05),观察组多于对照组(P<0。05);两组便秘主要临床症状积分、PAC-QOL评分、气阴两虚证积分,以及初始感、排便感、最大耐受容量阈值与治疗前相比均明显下降(P<0。05),观察组低于对照组(P<0。05)。两组肛管静息压和肛管收缩压均明显增高(P<0。05),观察组高于对照组(P<0。05);两组不良反应差异无统计学意义(P>0。05)。结论:行气润肠汤治疗气阴两虚型FC患者临床疗效满意,可促进肠蠕动功能自主恢复,且不良反应发生率低。
Clinical Study on Xingqi Runchang Decoction(行气润肠汤)in Treatment of Functional Constipation with Deficiency of Qi and Yin
Objective:To evaluate the clinical efficacy and safety of Xingqi Runchang Decoction(行气润肠汤)in the treatment of functional constipation with deficiency of qi and yin.Methods:A total of 90 patients with functional constipation with deficiency of qi and yin were divided into the observation groupand the control group by using random number table method,each group 45.The observation group was treated with Xingqi Runchang Decoction,and the control group was treated with Shouhui Tongbian Capsule(首荟通便胶囊),the course of treatment was 4 weeks.The weekly number of complete spontaneous defecation(CSBMs),score of major symptoms of constipation,score of quality of life scale(PAC-QOL),score of qi and yin deficiency syndrome,anorectal pressure,clinical efficacy as well as the incidence of adverse reactions were compared between the two groups before and after treatment.Results:The total effective rate of the observation group was 95.23% ,the control group was 80.00% ,the difference was statistically significant between the two groups(P<0.05).Compared with those before treatment,CSBMs in both groups increased(P<0.05),and the CSBMs in the observation group was more than those in the control group(P<0.05).The scores of major clinical symptoms,quality of life scale,qi-yin deficiency syndrome,canal initial sensation thresholds,defecation sensation thresholds,and maximal tolerance thresholds in both groups were significantly decreased compared with those before treatment(P<0.05),and the decrease was more significant in the obser-vation group(P<0.05).Anal canal resting pressure and anal canal systolic pressure were significantly increased in both groups(P<0.05),and the increase was more significant in the observation group(P<0.05).There was no statistically significant difference in the occurrence of adverse reactions between the two groups(P>0.05).Conclusions:Xingqi Runchang Decoction has satisfactory clinical effect in the treatment of functional constipation with deficiency of qi and yin,it can promote the spontaneous recovery of intestinal peristalsis function with a low incidence of adverse reactions.

Xingqi Runchang DecoctionShouhui Tongbian Capsuleqi-yin deficiency constipationfunctional constipationanorectal manometry

方越婷、王本军、于边芳、韩玮玮、刘丛丛、安凡

展开 >

山东中医药大学第一临床医学院,山东济南 250014

山东中医药大学附属医院,山东济南 250014

行气润肠汤 首荟通便胶囊 气阴两虚型便秘 功能性便秘 肛管直肠测压

2024

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子:0.431
ISSN:0257-358X
年,卷(期):2024.43(12)