首页|自拟通便方治疗慢性功能性便秘的疗效及对胃肠道功能和腹部肌群肌电图指标的影响

自拟通便方治疗慢性功能性便秘的疗效及对胃肠道功能和腹部肌群肌电图指标的影响

扫码查看
目的 观察自拟通便方治疗慢性功能性便秘的疗效及对胃肠道功能和腹部肌群肌电图指标的影响.方法 依据治疗方案不同将2021年1月至2023年4月期间在抚州市东乡区中医院消化内科就诊的70例慢性功能性便秘患者分为对照组与观察组,各35例.对照组服用乳果糖溶液,在此基础上观察组给予自拟通便方治疗,连续治疗2周.观察两组临床疗效、症状积分、胃肠功能改善时间、腹部肌群肌电图指标及生活质量情况.结果 观察组治疗总有效率(94.29%)较对照组(77.14%)高(P<0.05);治疗后两组症状积分降低,且观察组较对照组低(P<0.001);观察组肠鸣音恢复时间、肛门首次排气时间、首次自主排便时间较对照组短(P<0.01);治疗后两组10 s松弛压力(10SR)降低,净压力(NET)、3 s收缩幅度(FSC)、10 s收缩幅度(10SC)提高,且观察组改善更显著(P<0.01);治疗后两组生存质量量表(PAC-QOL)评分降低,且观察组较对照组低(P<0.001).结论 自拟通便方治疗慢性功能性便秘疗效显著,可有效促进胃肠功能恢复及腹部肌群肌电图指标的改善,提升患者生活质量.
Therapeutic effect of self-prepared laxative formula on chronic functional constipation and its impact on gastrointestinal function and electromyographic indicators of abdominal muscle group
Objective To observe the efficacy of self-prepared laxative formula on chronic functional constipation and its impact on gastrointestinal function and electromyographic indicators of abdominal muscle group.Methods According to dif-ferent treatment plans,70 patients with chronic functional constipation who were admitted to the gastroenterology department of Dongxiang Hospital of Traditional Chinese Medicine from January 2021 to April 2023 were divided into control group and observation group,with 35 cases in each group.The control group were given lactulose solution,on the basis of which the observation group were given self-designed laxative formula,and both groups were consecutively treated for 2 weeks.And then,clinical efficacy,symptom score,the improvement time of gastrointestinal function,the electromyographic indicators of abdominal muscle group and the quality of life of the two groups were observed.Results The total effective rate of the ob-servation group(94.29%)was higher than that of the control group(77.14%)(P<0.05).After treatment,the symptom scores of the two groups were decreased,and that of the observation group was lower than that of the control group(P<0.001).The recovery time of bowel sound,the first anal exhaust time and the first spontaneous defecation time in the obser-vation group were shorter than those in the control group(P<0.01).After treatment,10SR was decreased,while NET,FSC and 10SC were increased,and the improvement was more significant in the observation group(P<0.01).After treatment,the PAC-QOL scores of the two groups were decreased,and that of the observation group was lower than that of the control group(P<0.001).Conclusion The self-prepared laxative formula is effective in the treatment of chronic functional consti-pation,which can effectively promote the recovery of gastrointestinal function and the improvement of electromyographic indi-cators of abdominal muscle group,and improve the quality of life of patients.

chronic functional constipationself-prepared laxative formulagastrointestinal functionelectromyography of abdominal muscle group

熊丹、熊执波

展开 >

江西省抚州市东乡区中医院消化内科,江西抚州 331800

慢性功能性便秘 自拟通便方 胃肠道功能 腹部肌群肌电图

抚州市指导性科技计划

抚科社字[2022]5号-84

2024

右江医学
右江民族医学院附属医院

右江医学

影响因子:0.779
ISSN:1003-1383
年,卷(期):2024.52(4)
  • 12