中药免煎颗粒与传统中药汤剂治疗老年功能性便秘的临床效果分析  

Clinical Efficacy Analysis of Traditional Chinese Medicine Decoction-Free Granules versus Traditional Decoction in Treating Elderly Functional Constipation

作　　者：刘凤 Liu Feng(Department of Pharmacy,Beijing Huairou Hospital of Traditional Chinese Medicine,Beijing 101400,China)

机构地区：[1]北京市怀柔区中医医院药学部,北京101400

出　　处：《中外医药研究》2025年第5期75-77,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:观察中药免煎颗粒与传统中药汤剂治疗老年功能性便秘的效果。方法:选取2023年11月—2024年11月北京市怀柔区中医医院收治的150例老年功能性便秘患者,随机分为观察组和对照组,每组75例。对照组应用传统中药汤剂治疗,观察组应用中药免煎颗粒治疗。比较两组临床指标、便秘症状、中医症状积分、生活质量以及依从性。结果:两组首次排便时间、每次排便时间、排便间隔时间比较,差异无统计学意义(P>0.05);干预后,两组粪便形状、腹部症状、直肠症状评分及总分降低(P<0.05);干预后,两组排便困难、食少纳呆、烦躁易怒、脘胁胀痛评分降低(P<0.05);干预后,两组心理社会不适、躯体不适、担心焦虑、满意度评分降低,观察组低于对照组(P<0.05);观察组依从性高于对照组(P=0.001)。结论:传统中药汤剂、中药免煎颗粒均能够缓解老年功能性便秘患者的便秘症状,而中药免煎颗粒用药方便,有利于提高患者的依从性及生活质量。Objective:To observe the efficacy of traditional Chinese medicine(TCM)decoction-free granules and traditional decoction in treating elderly functional constipation.Methods:A total of 150 elderly patients with functional constipation admitted to Beijing Huairou Hospital of Traditional Chinese Medicine from November 2023 to November 2024 were selected and randomly divided into an observation group and a control group,with 75 patients in each group.The control group was treated with traditional TCM decoction,while the observation group was treated with TCM decoction-free granules.Clinical indicators,constipation symptoms,TCM symptom scores,quality of life,and compliance were compared between the two groups.Results:There was no statistically significant difference in the first defecation time,defecation duration,and defecation interval between the two groups(P>0.05).After intervention,the scores for stool shape,abdominal symptoms,rectal symptoms,and total scores decreased in both groups(P<0.05).Post-intervention,the scores for defecation difficulty,poor appetite,irritability,and epigastric and hypochondriac pain decreased in both groups(P<0.05).After intervention,the scores for psychosocial discomfort,physical discomfort,worry and anxiety,and satisfaction decreased in both groups,with the observation group showing lower scores than the control group(P<0.05).The compliance rate in the observation group was higher than that in the control group(P=0.001).Conclusion:Both traditional TCM decoction and decoction-free granules can alleviate constipation symptoms in elderly patients with functional constipation.However,TCM decoction-free granules are more convenient to use,which helps improve patient compliance and quality of life.

关 键 词：中药免煎颗粒 传统中药汤剂 老年功能性便秘 生活质量 便秘症状 依从性 

分 类 号：R256.35[医药卫生—中医内科学]