脐灸联合补中益气汤加减治疗气虚型便秘疗效观察  

Observation on the therapeutic effect of Navel moxibustion combined with modified Buzhong Yiqi Decoction on qi deficiency constipation

作　　者：刘伟花 赵蓉[1] 娄艳芳[1] 秦娜 曹蓉 霍萌[1] 祁爱风 刘素芳[1] 张艳霞[1] 邢峰丽[1] 白雪艳[1] LIU Weihua;ZHAO Rong;LOU Yanfang;QIN Na;CAO Rong;HUO Meng;QI Aifeng;LIU Sufang;ZHANG Yanxia;XING Fengli;BAI Xueyan(ZHAO Zhenxing Inheritance Studio,Shijiazhuang Hospital of Traditional Chinese Medicine,Shijiazhuang 050051,China)

机构地区：[1]河北省石家庄市中医院赵振兴传承工作室,石家庄050051

出　　处：《北京中医药》2025年第2期228-232,共5页Beijing Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局科研计划项目(2019426)。

摘　　要：目的探讨脐灸联合补中益气汤加减治疗气虚型便秘的疗效。方法选取2020年1月—2022年1月本院收治的234例气虚型便秘患者,采用随机数字表法分为联合组、脐灸组、汤药组,各78例。脐灸组给予常规治疗+脐灸治疗,汤药组给予常规治疗+补中益气汤加减治疗,联合组给予常规治疗+脐灸+补中益气汤治疗。3组均以14 d为1个疗程,共治疗3个疗程。对比2组疗效,治疗前后症状评分、肛肠动力学指标及血清血管活性肠肽(VIP)、胃动素(MTL)水平,不良反应。结果联合组总有效率高于脐灸组、汤药组(P<0.05)。治疗后,3组便秘症状评分均较治疗前降低,且联合组便秘症状评分均低于脐灸组、汤药组(P<0.05)。治疗后,3组肛肠动力学指标均较治疗前降低(P<0.05),且联合组肛肠动力学指标均低于脐灸组、汤药组(P<0.05)。治疗后,3组血清VIP、MTL水平均较治疗前改善(P<0.05),且联合组血清VIP水平低于脐灸组、汤药组(P<0.05),血清MTL水平高于脐灸组、汤药组(P<0.05)。联合组、脐灸组、汤药组不良反应发生率比较差异无统计学意义(P>0.05)。结论脐灸联合补中益气汤加减治疗气虚型便秘效果良好,可显著改善便秘症状,恢复肛肠动力学状态,改善血清VIP、MTL水平,且未显著增加不良反应。Objective To explore the therapeutic effect of Navel moxibustion combined with modified Buzhong Yiqi Decoction on qi deficiency constipation.Methods 234 patients with qi deficiency constipation admitted to our hospital from January 2020 to January 2022 were selected and randomly divided into a combination group,Navel moxibustion group,and decoction group using a random number table,with 78 cases in each group.The Navel moxibustion group received conventional treatment+Navel moxibustion treatment,the decoction group received conventional treatment+modified Buzhong Yiqi Decoction treatment,and the combination group received conventional treatment+Navel moxibustion+Buzhong Yiqi Decoction treatment.All three groups were treated for a total of three courses,with 14 days as one course of treatment.The efficacy of the two groups was compared,including symptom scores before and after treatment,anorectal motility indicators,serum levels of vasoactive intestinal peptide(VIP)and motilin(MTL),and adverse reactions.Results The total effective rate of the combined group was higher than that of the Navel moxibustion group and the decoction group(P<0.05).After treatment,the constipation symptom scores of all three groups decreased compared to before treatment,and the constipation symptom scores of the combined group were lower than those of the Navel moxibustion group and the decoction group(P<0.05).After treatment,all three groups showed a decrease in anorectal motility indicators compared to before treatment(P<0.05),and the combined group had lower anorectal motility indicators than the Navel moxibustion group and the decoction group(P<0.05).After treatment,the levels of serum VIP and MTL in all three groups improved compared to before treatment(P<0.05),and the serum VIP level in the combination group was lower than that in the Navel moxibustion group and the decoction group(P<0.05),while the serum MTL level was higher than that in the Navel moxibustion group and the decoction group(P<0.05).There was no statistically significa

关 键 词：气虚型便秘 补中益气汤 脐灸 血管活性肠肽 胃动素 

分 类 号：R256.35[医药卫生—中医内科学]