中药方剂黄土汤治疗肠易激综合征的临床观察  

Clinical observation of traditional Chinese medicine formula Huangtu Tang in the treatment of irritable bowel syndrome

作　　者：陈希 CHEN Xi(Department of Gastroenterology,Huishan District Hospital of Traditional Chinese Medicine,Wuxi 214100,China)

机构地区：[1]江苏省无锡市惠山区中医医院消化内科,214100

出　　处：《中国实用医药》2024年第4期149-152,共4页China Practical Medicine

摘　　要：目的探究在肠易激综合征(IBS)治疗中运用中药方剂黄土汤的临床效果。方法筛选肠易激综合征患者78例作为课题研究对象,并以随机抽取的方式作为分组标准,将其分成西医组和中医组,各39例。西医组应用常规西医治疗,中医组选用中药方剂黄土汤治疗。比较两组患者的临床疗效,治疗前后的中医证候积分、不良情绪评分。结果中医组治疗总有效率(94.87%)明显高于西医组(76.92%)(P<0.05)。治疗前,两组患者的大便异常、腰膝酸软、畏寒肢冷、腹痛绵绵、神疲懒言、夜尿频多、体倦乏力积分未见显著差异(P>0.05)。治疗后,两组患者的大便异常、腰膝酸软、畏寒肢冷、腹痛绵绵、神疲懒言、夜尿频多、体倦乏力积分均低于本组治疗前,中医组各项积分明显低于西医组(P<0.05)。西医组治疗前后焦虑自评量表(SAS)评分分别为(53.27±2.59)、(24.76±15.21)分,抑郁自评量表(SDS)评分分别为(54.13±2.48)、(27.12±16.08)分;中医组治疗前后SAS评分分别为(52.98±2.72)、(15.39±12.14)分,SDS评分分别为(53.87±2.62)、(16.13±12.26)分。治疗前,两组患者的SAS、SDS评分未见显著差异(P>0.05);治疗后,两组患者的SAS、SDS评分均低于本组治疗前,中医组各项评分明显优于西医组(P<0.05)。结论在肠易激综合征的临床治疗中运用中药方剂黄土汤治疗,可在尽快为患者缓解不适症状的同时,改善不良情绪,是一种集较高应用价值与安全性为一体的可靠疗法,可在今后的临床中作为肠易激综合征治疗的首选方式。Objective To explore the clinical effect of traditional Chinese medicine formula Huangtu Tang in the treatment of irritable bowel syndrome(IBS).Methods A total of 78 patients with IBS were selected as research subjects,and were randomly divided into Western medicine group and Chinese medicine group,with 39 cases in each group.The Western medicine group was treated by conventional Western medicine,and the Chinese medicine group was treated by traditional Chinese medicine formula Huangtu Tang.The clinical efficacy,traditional Chinese medicine syndrome score before and after treatment and negative emotion score were compared between the two groups.Results The total effective rate of Chinese medicine group(94.87%)was significantly higher than that of Western medicine group(76.92%)(P<0.05).Before treatment,there were no significant differences between the two groups in the scores of abnormal stool,sore waist and knees,cold limbs,continuous abdominal pain,exhaustion and lazy speech,frequent urination at night,fatigue and fatigue(P>0.05).After treatment,the scores of abnormal stool,sore waist and knees,cold limbs,continuous abdominal pain,fatigue and lazy speech,frequent urination at night,fatigue and fatigue of the two groups were lower than those before treatment,and the scores of the Chinese medicine group were significantly lower than those of the Western medicine group(P<0.05).In the Western medicine group,the scores of self-rating anxiety scale(SAS)before and after treatment were(53.27±2.59)and(24.76±15.21)points,and the self-rating depression scale(SDS)scores were(54.13±2.48)and(27.12±16.08)points.In the Chinese medicine group,SAS scores before and after treatment were(52.98±2.72)and(15.39±12.14)points,and SDS scores were(53.87±2.62)and(16.13±12.26)points.Before treatment,there were no significant differences in scores of SAS and SDS between the two groups(P>0.05).After treatment,the scores of SAS and SDS in the two groups were lower than those before treatment in this group,and the scores in the Chinese

关 键 词：中药方剂 黄土汤 肠易激综合征 临床效果 

分 类 号：R259[医药卫生—中西医结合]