首页|中西医结合治疗腹泻型肠易激综合征患者的疗效观察

中西医结合治疗腹泻型肠易激综合征患者的疗效观察

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目的 观察中药热奄包配合治疗腹泻型肠易激综合征(IBS-D)患者的疗效及对心理状况的影响。方法 收集腹泻型IBS-D患者40例,随机分为对照组和观察组各20例,对照组予奥替溴铵片联合嗜酸乳杆菌治疗,观察组在对照组基础上辅以中药热奄包治疗,两组均治疗12周。观察两组疗效,分别于治疗前及治疗第12周对2组患者采用抑郁自评量表(SDS)、焦虑自评量表(SAS)及IBS生活质量量表(IBS-QOL)进行评分分析。结果 两组患者接受治疗后证候评分均降低(P<0。001),观察组治疗后证候评分较对照组降低(P<0。001),说明治疗方式对症候积分有负向影响;两组患者治疗后抑郁和焦虑评分均降低(P<0。001),观察组治疗后抑郁和焦虑评分较对照组降低(P<0。001),随着干预时间的延长优势更加明显,表明治疗方式对患者抑郁和焦虑评分有负向影响,对减轻抑郁和焦虑状态有积极影响;两组患者治疗后生活质量评分均升高(P<0。001),观察组治疗后生活质量评分较对照组升高,且随着干预时间的延长优势更加明显。结论 中西医结合治疗可有效治疗腹泻型IBS-D患者,并能改善其抑郁及焦虑情绪,提高其生活质量。
Objective To observe the clinical efficacy and impact on psychological status of patients with diarrhea predominant irritable bowel syndrome(IBS-D)treated with traditional Chinese medicine hot package.Methods Forty patients with diarrhea type IBS-D were collected and randomly divided into a control group and an intervention group,with 20 cases in each group.The control group was treated with a combination of atezolium bromide tablets and Lactobacillus acidophilus,while the intervention group received traditional Chinese medicine hot compress nursing on the basis of the control group.Both groups were treated for 12 weeks.Observe the efficacy of two groups of patients,and use the Self Rating Depression Scale(SDS),Self Rating Anxiety Scale(SAS),and IBS Quality of Life Scale(IBS-QOL)to score and analyze the two groups of patients before treatment and at weeks 4,8,and 12 of treatment.Results After treatment,the syndrome scores of both groups of patients decreased(P<0.001),and the intervention group showed a decrease in syndrome scores compared to the control group(P<0.001),indicating that the treatment method has a negative impact on the syndrome score.The depression and anxiety scores of both groups of patients decreased after treatment(P<0.001),and the intervention group showed a decrease in depression and anxiety scores compared to the control group after treatment(P<0.001).The advantage became more apparent with the prolongation of intervention time,indicating that the treatment method has a negative impact on patients'depression and anxiety scores and a positive impact on reducing depression and anxiety states.The quality of life scores of both groups of patients increased after treatment(P<0.001),and the intervention group had a higher quality of life score than the control group after treatment,and the advantage became more obvious with the prolongation of intervention time.Conclusion The combination of traditional Chinese and Western medicine can effectively treat patients with diarrhea type IBS-D,improve their depression and anxiety,and enhance their quality of life.

Irritable bowel syndromeDiarrheaPleen and stomach deficiency syndromeTraditional Chinese medicine hot package

叶丹、朱禹晓、邓丹、王纯纯

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310005 浙江中医药大学附属第二医院

肠易激综合征 腹泻 脾胃虚弱 中药热奄包

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(10)