越鞠汤加味治疗气滞湿阻型功能性便秘的临床观察  

Clinical observation of modified Yueju Decoction in treating functional constipation with qi stagnation and dampness obstruction

作　　者：李博聿 张春花 LI Bo-yu;ZHANG Chun-hua(Dongxiaokou Community Health Service Center,Beijing 100192,China)

机构地区：[1]北京市昌平区东小口社区卫生服务中心,100192

出　　处：《中国实用医药》2024年第11期133-136,共4页China Practical Medicine

摘　　要：目的 观察越鞠汤加味治疗气滞湿阻型功能性便秘的临床疗效。方法 96例滞湿阻型功能性便秘患者,随机分为对照组和中药组,各48例。对照组采用枸缘酸莫沙必利片治疗,中药组采用越鞠汤加味治疗。比较两组患者治疗前后的便秘症状评分以及临床疗效。结果 治疗后,两组粪便性状、下坠/不尽/胀感、排便费力、排便频率、排便时间、腹胀评分均低于治疗前,且中药组患者粪便性状评分(0.35±0.48)分、下坠/不尽/胀感评分(0.27±0.45)分、排便费力评分(0.52±0.68)分、排便频率评分0分、排便时间评分(0.04±0.20)分、腹胀评分(0.23±0.42)分均低于对照组的(1.52±0.54)、(1.50±0.48)、(1.15±0.77)、(0.94±0.63)、(0.73±0.68)、(1.17±0.56)分,差异均有统计学意义(P<0.05)。中药组治疗总有效率100.00%高于对照组的77.08%,差异有统计学意义(P<0.05)。结论 越鞠汤加味治疗气滞湿阻型功能性便秘可有效改善患者便秘症状,临床疗效显著。Objective To observe the clinical efficacy of modified Yueju Decoction in treating functional constipation with qi stagnation and dampness obstruction.Methods 96 patients with functional constipation of qi stagnation and dampness obstruction were randomly divided into a control group and a traditional Chinese medicine group,with 48 cases in each group.The control group was treated with mosapride citrate tablets,while the traditional Chinese medicine group was treated with modified Yuegju Decoction.The scores of constipation symptoms before and after treatment and clinical efficacy of the two groups were compared.Results After treatment,the scores of fecal traits,fall/tenesmus/distension,defecation effort,defecation frequency,defecation time and abdominal distension in both groups were all lower than those before treatment;in the traditional Chinese medicine group,the score of fecal traits was(0.35±0.48)points,the score of fall/tenesmus/distension was(0.27±0.45)points,the score of defecation effort was(0.52±0.68)points,the score of defecation frequency was 0 points,the score of defecation time was(0.04±0.20)points,and the score of abdominal distension was(0.23±0.42)points,which were lower than(1.52±0.54),(1.50±0.48),(1.15±0.77),(0.94±0.63),(0.73±0.68),and(1.17±0.56)points in the control group;the difference was statistically significant(P<0.05).The total effective rate of traditional Chinese medicine group was 100.00%,which was higher than the control group's 77.08%,and the difference was statistically significant(P<0.05).Conclusion Modified Yueju Decoction can effectively improve the symptoms of patients with functional constipation of qi stagnation and dampness obstruction,and the clinical effect is significant.

关 键 词：功能性便秘 气滞湿阻型 越鞠汤 中医疗效 

分 类 号：R256.35[医药卫生—中医内科学]