首页|半夏泻心汤联合自拟润肠汤治疗功能性便秘的临床疗效观察

半夏泻心汤联合自拟润肠汤治疗功能性便秘的临床疗效观察

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目的 观察半夏泻心汤联合自拟润肠汤治疗功能性便秘的临床疗效。方法 将60例功能性便秘患者纳入本次研究,以随机数字表法分成研究组和对照组,每组30例。研究组采用半夏泻心汤联合自拟润肠汤治疗,对照组口服便通胶囊治疗。比较两组患者治疗前后每周完全自发排便次数、排便困难程度评分、排便时间、用药后首次排便时间、便秘症状改善时间、恢复正常排便时间、治疗效果、不良反应发生情况。结果 治疗后,两组患者每周完全自发排便次数较治疗前增加,排便困难程度评分较治疗前降低,排便时间较治疗前缩短,且研究组每周完全自发排便次数(6。18±0。79)次多于对照组的(4。92±0。68)次,排便困难程度评分(0。36±0。04)分低于对照组的(1。43±0。48)分,排便时间(3。38±1。12)min短于对照组的(4。53±1。49)min(P<0。05)。研究组用药后首次排便时间(1。03±0。28)d、便秘症状改善时间(3。39±0。56)d、恢复正常排便时间(7。63±0。34)d均短于对照组的(1。86±0。58)、(5。40±1。57)、(10。56±1。61)d(P<0。05)。研究组治疗总有效率96。67%高于对照组的73。33%(P<0。05)。两组患者不良反应发生率比较,无显著差异(P>0。05)。结论 功能性便秘患者采用半夏泻心汤联合自拟润肠汤治疗,可显著增加治疗后每周完全自发排便次数,缩短平均排便时间,减轻排便困难,缩短治疗后排便恢复时间,用药安全性高,疗效理想,值得临床推广。
Observation on clinical efficacy of Banxia Xiexin Tang combined with self-made Runchang Tang in the treatment of functional constipation
Objective To observe the clinical efficacy of Banxia Xiexin Tang combined with Runchang Tang in the treatment of functional constipation. Methods 60 patients with functional constipation were included in this study. They were divided into a study group and a control group using a random number table method,each with 30 cases. The study group was treated with Banxia Xiexin Tang combined with self-made Runchang Tang,and the control group was treated with Tongbian Capsule. Comparison was made on the frequency of complete spontaneous defecation per week,score of defecation difficulty,defecation time before and after treatment,first defecation time after medication,improvement time for constipation symptoms,and recovery time to normal defecation,treatment effect,and adverse reactions between the two groups. Results After treatment,the frequency of complete spontaneous defecation per week increased in both groups compared with that before treatment,the score of defecation difficulty decreased compared with that before treatment,and the defecation time was shortened compared with that before treatment;in the study group,the frequency of complete spontaneous defecation per week of (6.18±0.79) times was more than (4.92±0.68) times in the control group,the score of defecation difficulty of (0.36±0.04) points was lower than (1.43±0.48) points in the control group,and the defecation time of (3.38±1.12) min was shorter than (4.53±1.49) min in the control group (P<0.05). After medication,in the study group,the first defecation time was (1.03±0.28) d,the improvement time for constipation symptoms was (3.39±0.56) d,and the recovery time to normal defecation was (7.63±0.34) d,which were shorter than (1.86±0.58),(5.40±1.57),and (10.56±1.61) d in the control group (P<0.05). The total effective rate of treatment of 96.67% in the study group was higher than 73.33% in the control group (P<0.05). Comparison of the incidence of adverse reactions between the two groups,there was no significant difference (P>0.05). Conclusion In the treatment of patients with functional constipation,the combination of Banxia Xiexin Tang and self-made Runchang Tang can significantly increase the frequency of complete spontaneous defecation per week after treatment,shorten the average defecation time,alleviate defecation difficulty,shorten the recovery time of defecation after treatment,have high medication safety. It has ideal efficacy,and is worthy of clinical promotion.

Banxia Xiexin TangSelf-made Runchang TangFunctional constipationClinical efficacy

许美赛、林志坚

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351148 莆田市荔城区北高镇卫生院/莆田市荔城区中医院

半夏泻心汤 自拟润肠汤 功能性便秘 临床疗效

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(20)