大黄敷脐联合艾灸治疗糖尿病便秘气阴两虚证临床研究  

Clinical Study on Umbilical Application with Radix et Rhizoma Rhei Combined with Moxibustion for Diabetic Constipation with Qi-Yin Deficiency Syndrome

作　　者：张愉 ZHANG Yu

机构地区：[1]宁波市奉化区中医医院,浙江宁波315500

出　　处：《新中医》2022年第11期223-226,共4页New Chinese Medicine

基　　金：宁波市奉化区社会发展科技项目(20186518)。

摘　　要：目的:观察大黄敷脐联合艾灸治疗糖尿病便秘气阴两虚证的临床效果。方法:选择糖尿病便秘气阴两虚证患者60例,按随机数字表法分为对照组和观察组各30例。2组均给予降糖治疗措施、饮食干预,指导患者适度运动。对照组在常规降糖治疗基础上口服枸橼酸莫沙必利片,观察组在常规降糖治疗基础上给予大黄敷脐联合艾灸治疗。比较2组治疗前后排便间隔时间、每次排便时间、每周排便次数及便秘临床评分量表(CCS)变化,评价临床疗效,观察便秘复发情况。结果:观察组总有效率为93.33%,高于对照组66.67%,差异有统计学意义(P<0.05)。治疗后,2组排便间隔时间和排便所需时间均显著降低,且观察组排便间隔时间和排便所需时间低于对照组(P<0.05);2组每周排便次数较治疗前增多,且观察组每周排便次数高于对照组(P<0.05)。治疗后,2组CCS评分较治疗前降低,且观察组CCS评分低于对照组,差异有统计学意义(P<0.05)。观察组在停药后复发率低于对照组,差异有统计学意义(P<0.05)。结论:大黄敷脐联合艾灸治疗糖尿病便秘气阴两虚证患者疗效确切,能够改善患者便秘症状,降低便秘复发率。Objective:To observe the clinical effect of umbilical application with Radix et Rhizoma Rhei combined with moxibustion for diabetic constipation with qi-yin deficiency syndrome.Methods:A total of 60 cases of patients with diabetic constipation with qi-yin deficiency syndrome were selected and divided into the control group and the observation group according to the random number table method,with 60 cases in each group.Both groups were given hypoglycemic treatment measures,dietary intervention and guidance on moderate exercise;the control group was given the oral administration with mosapride citrate tablets on the basis of routine hypoglycemic treatment,and the observation group was treated with umbilical application with Radix et Rhizoma Rhei and moxibustion based on routine hypoglycemic treatment.The changes in defecation interval,defecation time,defecation times per week and Clinical Scoring Scale for Constipation(CCS)were compared between the two groups before and after treatment.Clinical effects were evaluated.The recurrence of constipation was observed.Results:The total effective rate was 93.33%in the observation group,higher than that of66.67%in the control group,the difference being significant(P<0.05).After treatment,defecation interval and defecation time in the two groups were significantly decreased,and defecation interval and defecation time in the observation group were lower than those in the control group(P<0.05);defecation times per week in the two groups were increased when compared with those before treatment,and defecation times per week in the observation group were higher than those in the control group(P<0.05).After treatment,CCS scores in the two groups were decreased when compared with those before treatment,and CCS score in the observation group was lower than that in the control group,the difference being significant(P<0.05).The recurrence rate after drug withdrawal in the observation group was lower than that in the control group,the difference being significant(P<0.05).Conclusion:Umb

关 键 词：糖尿病便秘 气阴两虚证 大黄敷脐 艾灸 便秘临床评分量表 

分 类 号：R255.4[医药卫生—中医内科学] R256.35[医药卫生—中医学]