运脾化浊食疗在老年顽固性便秘胃肠湿热证中的应用效果  

Application effect of Yunpi Huazhuo dietotherapy in gastrointestinal damp heat syndrome of senile intractable constipation

作　　者：王筱 WANG Xiao(Kaifeng Hospital of traditional Chinese Medicine,Geriatrics Department,Kaifeng 475000,China)

机构地区：[1]开封市中医院老年病科,475000

出　　处：《中国老年保健医学》2022年第5期67-70,共4页Chinese Journal of Geriatric Care

摘　　要：目的 探讨基于运脾化浊理论的清淡素食法在老年顽固性便秘胃肠湿热证中的应用效果。方法 选取2019年5月至2021年8月本院收治的老年顽固性便秘患者86例为研究对象,采用随机数字表法将其分成观察组和对照组,每组43例。对照组患者予以常规治疗措施和护理措施,观察组患者在对照组治疗基础上予以基于运脾化浊理论的清淡素食法。两组患者均以14d为一个疗程,2个疗程后观察两组肠道菌群水平、中医症状评分、便秘、粪便性状和生活质量评分的改善情况。结果 观察组干预后乳酸杆菌、双歧杆菌水平明显高于对照组,大肠杆菌水平明显低于对照组(P<0.05)。观察组干预后大便艰涩、胃脘胀满、面赤身热、口干思饮症状评分明显低于对照组(P<0.05)。观察组干预后便秘评分明显低于对照组,粪便性状和生活质量评分明显高于对照组(P<0.05)。结论 基于运脾化浊理论的清淡素食法可改善老年顽固性便秘湿热证患者的中医症状和便秘评分,改善其肠道菌群水平,提高其生活质量。Objective To explore the application effect of a light vegetarian method based on the theory of “motivate the spleen to transform turbidity” in the treatment of senile intractable constipation with gastrointestinal damp-heat syndrome.Methods A total of 86 elderly patients with intractable constipation admitted to our hospital from May 2019 to August 2021 were selected as the research objects.They were divided into observation group and control group by random number table method, with 43 cases in each group.Patients in the control group were given conventional treatment and nursing measures, and patients in the observation group were given a light vegetarian diet based on the theory of “moving the spleen and transforming turbidity” on the basis of the treatment of the control group.Both groups of patients took 14 days as a course of treatment.After 2 courses of treatment, the improvement of the intestinal flora level, TCM symptom score, constipation, stool traits and quality of life score of the two groups was observed.Results The levels of lactobacilli and bifidobacteria in the observation group were significantly higher than those in the control group after intervention, and the levels of E.coli were significantly lower than those in the control group(P<0.05).After the intervention, the observation group had a hard stool, full stomach, hot face and body, dry mouth and thinking about drinking symptoms, the scores were significantly lower than those of the control group(P<0.05).The observation group’s constipation scores after intervention were significantly lower than those of the control group, and the stool traits and quality of life scores were significantly higher than those of the control group(P<0.05).Conclusion The light vegetarian method based on the theory of “motivates the spleen and transforms turbidity” can improve the TCM symptoms and constipation scores of elderly patients with intractable constipation with damp-heat syndrome, improve their intestinal flora level, and improve their qu

关 键 词：运脾化浊理论 清淡素食法 老年顽固性便秘 胃肠湿热证 

分 类 号：R248.1[医药卫生—中医临床基础]