益气润肠通腑汤治疗结肠慢传输型便秘气虚证的临床效果观察  

Clinical Effect of Yiqi Runchang Tongfu Decoction in the Treatment of Colon Slow Transit Constipation Qi Deficiency Syndrome

作　　者：洪杨华 叶志君[1] 朱春亮 蓝元隆[1] 洪炳根 HONG Yanghua;YE Zhijun;ZHU Chunliang;LAN Yuanlong;HONG Binggen(Zhangzhou Hospital of Traditional Chinese Medicine,Zhangzhou 363000,China)

机构地区：[1]漳州市中医院,福建漳州363000 [2]洪炳根名老中医工作室

出　　处：《中外医学研究》2020年第1期1-3,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：国家中医药管理局2019年全国名老中医药专家传承工作室建设项目（项目编号：国中医药人教函[2019]41号）;福建省卫生计生委办公室2018年省名老中医药专家传承工作室建设项目（项目编号：闽卫办中医发明电[2018]216号）

摘　　要：目的:观察结肠慢传输型便秘气虚证应用益气润肠通腑汤治疗的临床效果。方法:将在笔者所在医院2017年1月-2018年12月收治的60例结肠慢传输型便秘气虚证患者作为研究对象,按照随机数字表法分为对照组(30例)与试验组(30例)。对照组患者采取黄芪汤加减治疗,试验组患者采取益气润肠通腑汤治疗。比较两组患者治疗前后各症状的中医证候评分、症状消失时间、治疗效果。结果:治疗后试验组患者各项中医证候评分明显低于对照组,差异有统计学意义(P<0.001)。试验组患者粪便硬结、排出困难、排便次数减少、腹痛腹胀症状消失时间明显早于对照组,差异有统计学意义(P<0.001)。试验组治疗总有效率为100%,高于对照组的86.67%,差异有统计学意义(P<0.05)。结论:对结肠慢传输型便秘气虚证患者采取益气润肠通腑汤治疗,可明显改善患者中医证候评分,加速患者症状消失时间,提高治疗效果,效果理想。Objective:To observe the clinical effect of Yiqi Runchang Tongfu Decoction in the treatment of colon slow transit constipation qi deficiency syndrome.Method:Sixty patients with colon slow transit constipation qi deficiency syndrome admitted in our hospital from January 2017 to December 2018 were taken as the research objects.They were divided into the control group(30 cases)and experimental group(30 cases)according to the random number table method.Patients in the control group were treated with modified Huangqi Decoction,and the patients in the experimental group were treated with Yiqi Runchang Tongfu Decoction.The TCM syndrome scores of each symptom before and after treatment,symptom disappearance time and treatment effect were compared between the two groups.Result:After treatment,the TCM syndrome scores of the experimental group were significantly lower than those of the control group,the difference was statistically significant(P<0.001).The time of stool induration,difficulty of excretion,reduction of defecation times and abdominal pain and distention disappearance in the experimental group were significantly earlier than those in the control group,the differences were statistically significant(P<0.001).The total effective rate of the experimental group was 100%,which was higher than 86.67%of the control group,the difference was statistically significant(P<0.05).Conclusion:The treatment of colon slow transit constipation qi deficiency syndrome by Yiqi Runchang Tongfu Decoction can significantly improve the TCM syndrome score of the patients,accelerate the time of symptom disappearance of the patients,improve the treatment effect,the effect is ideal.

关 键 词：结肠慢传输型 便秘气虚证 益气润肠通腑汤 临床疗效 

分 类 号：R256.35[医药卫生—中医内科学]