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作 者:王永[1] 陈萌[1] WANG Yong;CHEN Meng(The Third Affiliated Hospital to Liaoning University of Traditional Chinese Medicine,Shenyang 110000,China)
机构地区:[1]辽宁中医药大学附属第三医院,辽宁沈阳110000
出 处:《西部中医药》2023年第5期94-97,共4页Western Journal of Traditional Chinese Medicine
基 金:国家自然科学基金青年科学基金(81804094)。
摘 要:目的:探讨化瘀通便汤对慢传输型便秘(slow transit constipation,STC)患者血浆胃动素及结肠动力的影响。方法:将124例STC患者根据随机数字表法分为观察组60例和对照组64例,观察组采取化瘀通便汤治疗,对照组采取麻仁润肠丸治疗,治疗1个月后比较治疗前后两组患者便秘症状、中医证候积分、胃动素(motilin,MLT)水平、结肠传输试验标志物排出情况及临床疗效。结果:治疗后两组患者便秘症状积分、中医证候积分及72 h内结肠残留标志物均低于治疗前(P<0.05),观察组低于对照组(P<0.05);两组MTL水平均高于治疗前(P<0.05),观察组高于对照组(P<0.05);总有效率观察组高于对照组(P<0.05)。结论:化瘀通便汤在改善STC患者临床症状,提高临床疗效方面优于麻仁润肠丸,其机制可能与提高患者MLT水平、改善结肠动力有关。Objective:To discuss the influence of stagnation-resolving bowel-relaxing decoction on plasma gastrin and colon dynamics in patients with slow transit constipation(STC).Methods:All 124 STC patients were allocated to 60 cases in the observation group and 64 cases in the control group according to random number table method,the observation group was treated with stagnation-resolving bowel-relaxing decoction,and the control group with Maren Runchang pills,after one month of treatment,to compare the symptoms of constipation,TCM syndrome integrals,MTL levels,the discharge of colonic transit test markers and clinical effects before and after treatment between both groups.Results:After the treatment,the scores of defecation,TCM syndrome integrals and colon residual markers within 72 h of the patients in both groups were lower than these before the treatment(P<0.05),the observation group was lower than the control group(P<0.05);the levels of MTL of both groups were higher than these before the treatment(P<0.05),the observation group was higher than the control group(P<0.05);total effective rate of the observation group was higher than that of the control group(P<0.05).Conclusion:Stagnationresolving bowel-relaxing decoction could effectively improve clinical symptoms in STC patients,and raise clinical effects,its mechanism might be related to raising the levels of MLT and improving colon dynamics.
分 类 号:R256.35[医药卫生—中医内科学]
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