升阳益胃汤加减治疗腹泻型肠易激综合征240例  

240 cases′ Clinical Observation of Diarrhea Predominant Irritable Bowel Syndrome Treated by Shengyang yi wei Decoction Modified

作　　者：马玉萍[1] 苏进义 丁乾[1] 张海超[1] 刘倩[1] 刘铁军[1] 

机构地区：[1]保定市第二中心医院,河北涿州072750

出　　处：《辽宁中医杂志》2011年第4期657-659,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局科学技术研究计划课题(2009171)

摘　　要：目的:观察升阳益胃汤加减治疗腹泻型肠易激综合征(IBS-D)的疗效,总结施奠邦教授临证经验。方法:将IBS-D患者240例辨证分为肝郁脾虚型、肝郁气滞型、脾胃虚弱型、脾胃湿热型、脾肾阳虚型5组,应用升阳益胃汤加减进行治疗,疗程8周,随访6个月。结果:中医临床疗效:总有效率90.41%,其中肝郁脾虚型为91.76%,肝郁气滞型88.64%,脾胃虚弱型90.70%,脾胃湿热型92.11%,脾肾阳虚型86.67%;证候积分比较:各组积分治疗后与治疗前比较均有显著性差异(P<0.05),但各组间无差异;各组均能有效改善患者腹痛、腹胀、腹泻主要单项症状,但各组间比较无显著性差异(P>0.05)。结论:升阳益胃汤加减治疗IBS-D疗效肯定。Objective：To evaluate the curative effect of diarrhea predominant irritable bowel syndrome（IBS-D） treated by Sheng yang yi wei Decoction modified,make a summary of Professor Shi Dian-bang clinical experience.Methods：240 patients with IBS-D were divided into 5 groups based on syndrome differentiation;liver stagnation and spleen deficiency group,liver depression qi stagnation group,deficiency of spleen and stomach group,spleen-stomach damp heat group,spleen-kidney-yang deficiency group,were all treated with Sheng yang yi wei Decoction modified.Course of treatment was 8 weeks and the follow-up was 6 months.Results：①The effect assessment of accumulating scores of TCM pattern;the total effective rate of 5 groups was 90.41%,including liver stagnation and spleen deficiency group was 91.76%,liver depression qi stagnation group was 88.64%,deficiency of spleen and stomach group was 90.70%,spleen-stomach damp heat group was 92.11%,and spleen-kidney-yang deficiency group was 86.67%.②Effect after treatment observation：5 groups were all superior to prior treatment significantly（P0.05）,but there was no significantly different between every two groups.③Each group can effectively improve main symptoms such as abdominal pain,abdominal distension and diarrhea,but there was no significantly different between every two groups（P0.05）.Conclusion：IBS-D treated by Sheng yang yi wei Decoction modified has good clinical curative effect.

关 键 词：升阳益胃汤 施奠邦 腹泻型 肠易激综合征 

分 类 号：R57[医药卫生—消化系统]