基于“清浊相干”理论应用补中益气汤联合循经穴位艾灸治疗功能性便秘临床研究  

Clinical Study on Buzhong Yiqi Tang Combined with Moxibustion at Points Along Channels Based on Theory of "Abnormal Ascent-Descent Between Clear Yang and Turbid Yin"

作　　者：徐凯明 姜亦珍[2] 李加佳 XU Kaiming;JIANG Yizhen;LI Jiajia

机构地区：[1]德清县第三人民医院内科,浙江德清313200 [2]湖州市中心医院内科,浙江湖州313000 [3]德清县第三人民医院中医科,浙江德清313200

出　　处：《新中医》2022年第22期21-25,共5页New Chinese Medicine

摘　　要：目的:观察基于“清浊相干”理论应用补中益气汤联合循经穴位艾灸治疗功能性便秘的临床疗效。方法:对92例功能性便秘患者作回顾性研究,根据不同治疗方式将入选患者分为对照组40例和研究组52例。对照组采用常规西药治疗,研究组采用补中益气汤联合艾灸治疗。治疗14 d后,比较2组临床疗效及复发情况,以及治疗前后便秘主要症状评分、中医证候评分、首次排便时间。结果:研究组临床总有效率为96.15%,对照组为75.00%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组排便间隔、时长、难度以及便意等主要症状评分比较,差异无统计学意义(P>0.05)。治疗后,2组上述各项症状评分均较治疗前降低(P<0.05),且研究组各项评分均低于对照组(P<0.05)。治疗前,2组汗出短气、腹部胀满、便后乏力、肠鸣矢气、面白神疲等中医证候评分比较,差异无统计学意义(P>0.05)。治疗后,2组上述各项中医证候评分均较治疗前降低(P<0.05),且研究组各评分均低于对照组(P<0.05)。治疗后,研究组首次排便时间短于对照组,2组比较,差异有统计学意义(P<0.05)。研究组复发率为10.42%,对照组为40.00%,2组比较,差异有统计学意义(P<0.05)。结论:基于“清浊相干”理论应用补中益气汤联合循经穴位艾灸治疗功能性便秘,可有效提高临床疗效,改善患者排便状态,降低复发率。Objective:To observe the clinical effect of the therapy of Buzhong Yiqi Tang combined with moxibustion at points along channels based on the theory of "abnormal ascent-descent between clear yang and turbid yin". Methods:A total of 92 patients with functional constipation were retrospectively studied and divided into the control group and the study group according to different treatment methods,with 40 and52 cases in each group. The control group was treated with conventional western medicine,and the study group was treated with Buzhong Yiqi Tang combined with moxibustion. After 14 days of treatment, the clinical effects and recurrence, and the scores of constipation symptoms, traditional Chinese medicine(TCM) syndrome scores and the first defecation time before and after treatment were compared between the two groups. Results:The total clinical effective rate was 96.15% in the study group and 75.00% in the control group, the difference being significant(P<0.05). Before treatment, there was no significant difference in the scores of major symptoms such as defecation interval,defecation duration,defecation difficulty and defecation intention between the two groups(P>0.05). After treatment, the scores of the above symptoms were decreased when compared with those before treatment(P<0.05),and the above scores in the study group were lower than those in the control group(P<0.05). Before treatment, there was no significant difference in TCM syndrome scores of sweating and shortness of breath, abdominal distention,fatigue after defecation,bowel sounds and flatus,pale face and mental fatigue(P>0.05). After treatment,the scores of the above TCM syndromes in both groups were decreased when compared with those before treatment(P<0.05),and the above scores in the study group were lower than those in the control group(P<0.05). After treatment,the first defecation time in the study group was shorter than that in the control group,the difference being significant(P<0.05). The recurrence rate was 10.42% in the study group and 40.

关 键 词：功能性便秘 清浊相干 补中益气汤 艾灸 复发率 

分 类 号：R256.35[医药卫生—中医内科学]