CAJ | 학술논문

　　目的观察处方式登山运动对肠易激综合征( IBS )的疗效。方法将73例IBS患者按性别、IBS分型随机分为两组，实验组37例，按运动处方进行有组织的登山活动；对照组36例，单纯使用马来酸曲美布汀进行开放式治疗，两组疗程均为6周，并禁止使用其他中西医治疗手段或干预措施；实验结束后对两组实验结果进行统计学对比。结果实验结束后，实验组的症状积分由4.70±1.12下降为1.42±1.03，下降明显(t＝5.12＞t0.01(31)，P＜0.01)，对照组的症状积分由4.75±1.23下降为1.61±1.07，差异有高度统计学意义(t＝4.22＞t0.01(27)，P＜0.01)，但实验后组间积分对比差异无统计学意义(t＝0.82＜t0.05(59)，P＞0.05)；实验组和对照组的腹痛、腹胀、腹泻3种症状的改善率差异无统计学意义(P＞0.05)，但实验组便秘的改善率高于对照组(P＜0.05)；实验组和对照组的总有效率分别为：75.76%、71.43%，两组对比差异无统计学意义(P＞0.05)。结论登山运动对IBS病情具有改善作用。
　　목적관찰처방식등산운동대장역격종합정( IBS )적료효。방법장73례IBS환자안성별、IBS분형수궤분위량조，실험조37례，안운동처방진행유조직적등산활동；대조조36례，단순사용마래산곡미포정진행개방식치료，량조료정균위6주，병금지사용기타중서의치료수단혹간예조시；실험결속후대량조실험결과진행통계학대비。결과실험결속후，실험조적증상적분유4.70±1.12하강위1.42±1.03，하강명현(t＝5.12＞t0.01(31)，P＜0.01)，대조조적증상적분유4.75±1.23하강위1.61±1.07，차이유고도통계학의의(t＝4.22＞t0.01(27)，P＜0.01)，단실험후조간적분대비차이무통계학의의(t＝0.82＜t0.05(59)，P＞0.05)；실험조화대조조적복통、복창、복사3충증상적개선솔차이무통계학의의(P＞0.05)，단실험조편비적개선솔고우대조조(P＜0.05)；실험조화대조조적총유효솔분별위：75.76%、71.43%，량조대비차이무통계학의의(P＞0.05)。결론등산운동대IBS병정구유개선작용。
Objective To observe the curative effectofprescriptive mountaineering to irritable bowelsyndrome(IBS).Methods 73 IB S patients were randomly divided into two groups by sex and type;37 cases of the experim ental group were carried out organized m ountaineering by exercise prescription ,while 36 cases of the control group were carried out open treatment simply with Trim ebutine Maleate,the treatment course of two groups was 6 weeks and prohibited to use other Chinese and Western m edicine treatments or inter-ventions.After the experim ent was over,the experim ental results of the two groups were statistically com pared .Results After the ex-perim ent,the symptom score ofthe experim entalgroup dropped from 4.70±1.12 to 1.42±1.03,the decrease was significant(t=5.12>t0.01(31), P<0 .01 ),the symptom score of the control group dropped from 4 .75 ± 1 .23 to 1 .61 ± 1 .07 ,the difference was of high statistical sig-nificance(t=4.22>t0.01(27),P<0.01).B ut after the experim ent,the contrast difference of score com parison between the two groups was not of statistical significance(t=0.82<t0.05(59),P>0.05).The improvement rate difference of 3 symptom s in terms of stom achache,ab-dom inal distension and diarrhea between the experim ental group and the control group was not of statistical significance (P>0 .05 ), however,the improvementrate of constipation in the experim ental group was higher than the control group (P<0 .05 ).Total efficiency rates of the experim ental group and the control group were respectively 75 .76% and 71 .43% ,the difference between the two groups was not of statistical significance(P>0.05).Conclusion M ountaineering can improve irritable bowel syndrome symptom s.