痛泻要方加减治疗考前腹泻型肠易激综合征随机平行对照研究  

TongxieYaofang's Add-subtract in Treatment with D-IBS before Examination Randomized Controlled Clinical Study

作　　者：华朝阳[1] 

机构地区：[1]宁夏大学校医院中医科,银川750021

出　　处：《实用中医内科杂志》2013年第2期10-11,共2页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：[目的]观察痛泻要方加减对考前腹泻型肠易激综合征疗效。[方法]使用随机平行对照方法,将160例门诊患者按随机数字表法分为两组。对照组80例得舒特,50mg/d,口服,tid。治疗组80例痛泻要方(炒白术15g,炒陈皮10g,炒白芍12g,防风8g)。若腹泻明显加煨木香、升麻等;腹痛重者加大芍药用量,加元胡等;神疲乏力者加党参、黄芪等;睡眠欠佳加茯苓神、酸枣仁等。水煎,1剂/d。观测临床症状、腹胀腹痛、大便次数、大便质地及精神紧张程度等。连续治疗2个疗程(20d),判定疗效。[结果]治疗组治愈28例,好转48例,无效4例,总有效率95.00%。对照组治愈15例,好转35例,无效30例,总有效率62.50%。临床疗效治疗组优于对照组(P<0.05)。[结论]痛泻要方加减治疗考前D-IBS效确切,值得临床推广应用。[ Objective ] To observe the effects of Tongxie Yaofang＇s add - subtract in D - IBS. [ Methods ] A randomized controlled clinical trial was carried out. 160 cases of D - IBS were randomly divided into two groups, the control group 80 cases, Dicete1,50mg, oral, Tid. The treatment group, using Tongxie Yaofang＇s add - subtract, diarrhea deteriorate, add Radix Aucklandiae ; abdominal pain accentuates, plu peony and rhizoma corydalis ; plu Radix Codonopsis and Astragalus for fatigue ; Insomnia, add fushen and semen ziziphi spinosae ; Water decoction, 1 dose/d. Clinical symptoms were observed. All patients must continuous 2 courses of treatment（20d）. ] Results In test group, cured was noted in 28, the better in 48, ineffectiveness in 4, the total effective rate in 95.00% and in control group 15, 35, 30, 62.05% , respectively, the difference was statistical significance（P 〈0.05）. [ Conclusion]Tongxie Yaofang＇s add- subtract treatment before the D- IBS is effective, worthy of clinical application.

关 键 词：痛泻要方 腹泻型 肠易激综合征 随机平行对照研究 

分 类 号：R256.34[医药卫生—中医内科学]