提壶揭盖法治疗肺气郁闭型脑出血后便秘疗效观察  被引量:4

Observation of the curative effect of Tihu Jiegai theory on constipation after cerebral hemorrhage with syndrome of Lung Qi Stagnation

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作  者:廖卜生 张毅 宋飞 陈旭 张昭 LIAO Busheng;ZHANG Yi;SONG Fei;CHEN Xu;ZHANG Zhao(Shaanxi University of Traditional Chinese Medicine, Xianyang 712000, Shaanxi, China;The Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, Xianyang 712000, Shaanxi, China)

机构地区:[1]陕西中医药大学,陕西咸阳712000 [2]陕西中医药大学附属医院,陕西咸阳712000

出  处:《现代中西医结合杂志》2022年第4期459-463,共5页Modern Journal of Integrated Traditional Chinese and Western Medicine

基  金:国家重点研发计划项目(2017YFC1703502);陕西省重点研发计划项目(2018SF-311,2019SF-309);陕西省中医脑病临床医学研究中心建设项目(201704);陕西中医药大学附属医院科研课题(2020XZ006);陕西中医药大学学科创新团队项目(2019-YL15);陕西省中医药重点研究室建设项目(陕中医药发[2018]23号)。

摘  要:目的探索提壶揭盖法治疗肺气郁闭型脑出血后便秘患者的临床疗效。方法选取2019年9月—2021年3月在陕西中医药大学附属医院治疗的80例肺气郁闭型脑出血后便秘患者,按随机数字表法分为治疗组与对照组,每组40例。治疗过程中脱落3例,最终纳入治疗组39例、对照组38例。对照组在脑出血常规治疗基础上给予乳果糖口服溶液治疗,治疗组在脑出血常规治疗基础上采用提壶揭盖法自拟中药方治疗,2组均连续治疗4周。治疗前及治疗后1周、2周、4周观察并记录2组患者的便秘症状评分(包括排便困难、排便时间、排便频率、粪便性状、下坠感、腹胀6项),比较2组临床疗效。结果治疗后1周,治疗组排便困难、排便频率评分及总评分均明显低于对照组(P均<0.05);治疗后2周,治疗组排便困难、排便时间、排便频率、腹胀评分及总评分均明显低于对照组(P均<0.05);治疗后4周,治疗组排便困难、粪便性状、排便时间、排便频率、腹胀评分及总评分均明显低于对照组(P均<0.05)。治疗组愈显率为79.5%(31/39),总有效率为94.9%(37/39),分别高于对照组的55.3%(21/38)和73.7%(28/38),差异均有统计学意义(P均<0.05)。结论提壶揭盖法可有效改善肺气郁闭型脑出血后便秘患者的排便困难程度、粪便性状、腹胀症状,缩短排便时间、排便频率,疗效优于乳果糖口服溶液治疗。Objective It is to explore the clinical curative effect of Tihu Jiegai theory in patients with constipation after cerebral hemorrhage with syndrome of Lung Qi Stagnation.Methods Eighty patients with constipation after cerebral hemorrhage with syndrome of Lung Qi Stagnation treated in the Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine from September 2019 to March 2021 were selected and divided into a treatment group and a control group according to a random number table,with 40 cases in each group.During the treatment,3 cases fell off,and finally 39 cases were included in the treatment group and 38 cases in the control group.The control group was treated with lactulose oral solution based on the conventional treatment of cerebral hemorrhage,and the treatment group was treated with self-made decoction according with Tihu Jiegai theory based on the conventional treatment of cerebral hemorrhage,both groups were continuously treated for 4 weeks.The constipation symptom scores including difficulty in defecation,defecation time,defecation frequency,stool characteristics,falling feeling,and abdominal distension of the patients in the two groups were recorded before treatment and 1 week,2 weeks,and 4 weeks after treatment.Results One week after treatment,the scores of defecation difficulty,defecation frequency and total score in the treatment group were significantly lower than those in the control group(P<0.05);2 weeks after treatment,the scores of defecation difficulty,defecation time,defecation frequency,abdominal distension and total score in the treatment group were all significantly lower than those in the control group(all P<0.05);4 weeks after treatment,the scores of difficulty in defecation,stool characteristics,defecation time,defecation frequency,abdominal distension and total scores in the treatment group were significantly lower than those in the control group(all P<0.05).The markedly effective rate in the treatment group was 79.5%(31/39),and the total effective rate was 94.9%(37/39

关 键 词:提壶揭盖法 脑出血 便秘 肺气郁闭 脑-肠互动理论 脑-肠轴 

分 类 号:R743.34[医药卫生—神经病学与精神病学]

 

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