中药膏方配合生物反馈治疗慢传输型功能性便秘的疗效及对生活质量的影响  

Effect of traditional Chinese medicine ointment combined with biofeedback on slow transit functional constipation and its impact on quality of life

作　　者：马剑海 MA Jianhai(Qinhuangdao Hospital of Traditional Chinese Medicine, Qinhuangdao 066000, Hebei, China)

机构地区：[1]河北省秦皇岛市中医医院,河北秦皇岛066000

出　　处：《现代中西医结合杂志》2020年第11期1153-1156,1161,共5页Modern Journal of Integrated Traditional Chinese and Western Medicine

基　　金：秦皇岛市科技局计划项目(201401A118)。

摘　　要：目的观察中药膏方配合生物反馈治疗慢传输型功能性便秘的疗效及对生活质量的影响。方法将2014年4月—2015年2月秦皇岛市中医医院收治的120例慢传输型功能性便秘患者随机分为对照组和观察组,每组60例。对照组给予生物反馈治疗,观察组给予中药膏方配合生物反馈治疗,2组疗程均为1个月。分别于治疗前后根据便秘症状积分标准对患者的排便间隔、排便困难情况、大便性状、肛门阻塞感和排便不尽感进行评分,比较2组临床疗效,使用便秘患者生活质量量表(PAC-QOL)评价2组治疗前后的生活质量,观察停药1个月、2个月后2组患者便秘复发情况。结果治疗后2组排便间隔、大便形态、排便困难程度、排便不尽感和肛门堵塞感评分均明显低于治疗前(P均<0.05),且观察组均明显低于对照组(P均<0.05);观察组的临床总有效率为91.7%(55/60),明显高于对照组的78.3%(47/60),差异有统计学意义(P<0.05)。治疗后2组身体不适、心理社会不适、担心和焦虑、满意度评分均明显降低(P均<0.05),且观察组均明显低于对照组(P均<0.05)。停药1个月、2个月后,观察组复发率分别为3.6%(2/55)、7.3%(4/55),明显低于对照组的17.0%(8/47)、25.3%(12/47),差异有统计学意义(P均<0.05)。结论在生物反馈治疗慢传输型功能性便秘的基础上,加用中药膏方可明显减轻患者临床症状,提高临床疗效,改善生活质量,降低复发率。Objective It is to observe the curative effect of traditional Chinese medicine ointment combined with biofeedback on slow transit functional constipation and its effect on quality of life.Methods 120 patients with slow-transmission functional constipation treated in Qinhuangdao Hospital of Traditional Chinese Medicine from April 2014 to February 2015 were randomly divided into a control group and an observation group,with 60 cases in each group.The control group was given biofeedback treatment,and the observation group was given traditional Chinese medicine ointment combined with biofeedback treatment.Both groups were treated for 1 month.Before and after treatment,the patients were scored for constipation interval,difficulty in defecation,stool characteristics,anal obstruction and endlessness according to the constipation symptom criteria.The clinical efficacy of the two groups was compared.The quality of life before and after treatment was evaluated by the Patient Assessment of Constipation Quality of Life(PAC-QOL)questionnaire in the two groups,and the recurrence of constipation in the two groups after 1 month and 2 months of discontinuation was observed.Results After treatment,the scores of defecation interval,stool pattern,difficulty of defecation,endless defecation,and anal blockage in the two groups were significantly lower than those before treatment(P<0.05),and the observation group was significantly lower than the control group(P<0.05).The clinical total effective rate of the observation group was 91.7%(55/60),which was significantly higher than that 78.3%(47/60)of the control group(P<0.05).After treatment,the scores of physical discomfort,psychosocial discomfort,worry and anxiety,and satisfaction of the two groups were significantly reduced(P<0.05),and the above scores in the observation group were significantly lower than those in the control group(P<0.05).After 1 month and 2 months of discontinuation,the recurrence rate in the observation group were 3.6%(2/55),7.3%(4/55),respectively,which were signif

关 键 词：中药膏方 生物反馈 慢传输型便秘 生活质量 

分 类 号：R574.62[医药卫生—消化系统]