雷火灸治疗不同中医证型便秘的临床疗效分析  

Clinical effect analysis of thunder fire moxibustion on Traditional Chinese Medicine syndrome constipation

作　　者：张玉[1] 高倩 邵建国[2] 达坤林[1] 王红雨[1] 韩玥 孙丽[1] ZHANG Yu;GAO Qian;SHAO Jianguo;DA Kunlin;WANG Hongyu;HAN Yue;SUN Li(Department of Traditional Chinese Medicine,the Third People's Hospital of Nantong,Nantong,226006,China;Department of Gastroenterology,the Third People's Hospital of Nantong)

机构地区：[1]南通市第三人民医院中医科,江苏南通226006 [2]南通市第三人民医院消化科

出　　处：《中国中西医结合消化杂志》2021年第11期773-777,共5页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

摘　　要：目的:分析雷火灸治疗不同中医证型便秘的临床疗效。方法:选取2018年12月—2020年12月治疗的122例便秘患者为研究对象,按照随机分组方法分为对照组和治疗组,其中对照组采用传统西药酚酞片治疗,治疗组采用雷火灸结合西药治疗,分析2组首次排便时间、便秘严重程度积分、临床有效率、患者生存质量表评分、不良反应。分析在中医各种证型中便秘的有效率。结果:治疗组首次排便时间为(4.35±0.16) h,低于对照组的(4.92±0.20) h,差异有统计学意义(P<0.05);2组在改善便秘症状上均有效果,其中治疗组便秘严重程度积分为(4.50±0.30)分,优于对照组的(6.87±0.43)分,差异有统计学意义(P<0.01)。治疗组的有效率为95.16%,高于对照组的80.00%,差异有统计学意义(P<0.01)。治疗4周后,治疗组便秘严重程度积分为(5.27±0.34)分,仍优于对照组的(9.23±0.46)分,差异有统计学意义(P<0.01)。患者生存质量表评分治疗组为(70.98±2.33)分,低于对照组的(88.43±2.82)分,差异有统计学意义(P<0.01)。治疗组不良反应发生率为16.1%,与对照组的发生率16.7%比较差异无统计学意义(P>0.05)。雷火灸治疗脾肾阳虚型、脾虚气弱型、肠道气滞型患者有效率较高(P<0.05);治疗阴虚肠燥型和肠道实热型患者与对照组比较无明显差异。结论:通过雷火灸治疗能对便秘患者产生确切的临床疗效,提高其生活质量。雷火灸对于传统中医证型便秘患者脾肾阳虚型、脾虚气弱型最有效,肠道气滞型次之,对阴虚肠燥型和肠道实热型患者效果不显著。Objective: To analyze the clinical effect of thunder fire moxibustion on Traditional Chinese Medicine syndrome constipation. Methods: A total of 122 constipation patients treated from December 2018 to December 2020 were selected and randomly divided into control group and treatment group. The control group was treated with traditional western medicine phenolphthalein tablets, while the treatment group was treated with thunder fire moxibustion combined with western medicine. The first defecation time, constipation severity score, clinical effective rate, patients’ quality of life self-rating scale score and adverse reactions were analyzed in the two groups. To further analyze the efficiency of constipation in various Traditional Chinese Medicine syndromes. Results: The first defecation time of the treatment group(4.35±0.16) h was lower than that of the control group(4.92±0.20) h(P<0.05), the treatment methods in both groups had an effect on improving constipation symptoms, and the treatment group(constipation severity score 4.50±0.30) had a better effect than the control group(6.87±0.43)(P<0.01). The effective rate of thunder-fire moxibustion(95.16%) was higher than that of control group(80.00%)(P<0.01). After 4 weeks of treatment, the therapeutic effect of the treatment group(constipation severity score 5.27±0.34) was still better than that of the control group(9.23±0.46)(P<0.01). Patients in the treatment group(70.98±2.33) were lower than those in the control group(88.43±2.82)(P<0.01), there was no significant difference in adverse reactions between the treatment group(16.1%) and the control group(16.7%)(P>0.05). Thunder fire moxibustion treatment of spleen-kidney Yang deficiency type, spleen deficiency and weak Qi type, intestinal Qi stagnation type of patients with higher treatment efficiency(P<0.05). There was no significant difference between Yin deficiency and intestinal dryness type and intestinal heat type. Conclusion: Thunder fire moxibustion treatment can produce an exact clinical effect on pa

关 键 词：雷火灸 便秘 疗效 

分 类 号：R256.3[医药卫生—中医内科学]