河北中医
河北中醫
하북중의
HEBEI JORNAL OF TRADITIONAL CHINESE MEDICINE
2014年
2期
219-221
,共3页
腹泻%并发症%结肠疾病,功能性%中药疗法
腹瀉%併髮癥%結腸疾病,功能性%中藥療法
복사%병발증%결장질병,공능성%중약요법
Diarrhea%Complications%Colonic diseases,Functional%Traditional Chinese medicine therapy
目的：观察黄芪补胃汤加减联合贴脐散治疗脾胃虚弱型腹泻型肠易激综合征的临床疗效。方法将60例脾胃虚弱型腹泻型肠易激综合征患者随机分为3组。对照组20例予蒙脱石散治疗，中药组20例予黄芪补胃汤加减治疗，联合组20例予芪补胃汤加减联合贴脐散治疗。3组均7 d为1个疗程，4个疗程后统计疗效，并比较治疗前后证候积分。结果对照组总有效率70．0％，中药组总有效率85．0％，联合组总有效率95．0％，联合组、中药组总有效率高于对照组（P＜0．05），联合组总有效率高于中药组（P＜0．05）。3组治疗后证候积分均降低（P＜0．05，P＜0．01），中药组治疗后证候积分较对照组治疗后降低明显（P＜0．05），联合组治疗后证候积分较对照组治疗后降低明显（P＜0．05），联合组治疗后证候积分较中药组治疗后降低明显（P＜0．05）。结论黄芪补胃汤加减联合贴脐散治疗脾胃虚弱型腹泻型肠易激综合征疗效确切。
目的：觀察黃芪補胃湯加減聯閤貼臍散治療脾胃虛弱型腹瀉型腸易激綜閤徵的臨床療效。方法將60例脾胃虛弱型腹瀉型腸易激綜閤徵患者隨機分為3組。對照組20例予矇脫石散治療，中藥組20例予黃芪補胃湯加減治療，聯閤組20例予芪補胃湯加減聯閤貼臍散治療。3組均7 d為1箇療程，4箇療程後統計療效，併比較治療前後證候積分。結果對照組總有效率70．0％，中藥組總有效率85．0％，聯閤組總有效率95．0％，聯閤組、中藥組總有效率高于對照組（P＜0．05），聯閤組總有效率高于中藥組（P＜0．05）。3組治療後證候積分均降低（P＜0．05，P＜0．01），中藥組治療後證候積分較對照組治療後降低明顯（P＜0．05），聯閤組治療後證候積分較對照組治療後降低明顯（P＜0．05），聯閤組治療後證候積分較中藥組治療後降低明顯（P＜0．05）。結論黃芪補胃湯加減聯閤貼臍散治療脾胃虛弱型腹瀉型腸易激綜閤徵療效確切。
목적：관찰황기보위탕가감연합첩제산치료비위허약형복사형장역격종합정적림상료효。방법장60례비위허약형복사형장역격종합정환자수궤분위3조。대조조20례여몽탈석산치료，중약조20례여황기보위탕가감치료，연합조20례여기보위탕가감연합첩제산치료。3조균7 d위1개료정，4개료정후통계료효，병비교치료전후증후적분。결과대조조총유효솔70．0％，중약조총유효솔85．0％，연합조총유효솔95．0％，연합조、중약조총유효솔고우대조조（P＜0．05），연합조총유효솔고우중약조（P＜0．05）。3조치료후증후적분균강저（P＜0．05，P＜0．01），중약조치료후증후적분교대조조치료후강저명현（P＜0．05），연합조치료후증후적분교대조조치료후강저명현（P＜0．05），연합조치료후증후적분교중약조치료후강저명현（P＜0．05）。결론황기보위탕가감연합첩제산치료비위허약형복사형장역격종합정료효학절。
Objective To observe the effect of Huangqibuwei decoction combined with Tieqisan powder on the treatment of diarrehea -predominant pattern irritable bowel syndrome .Methods 60 patients with weakness of the spleen and the stomach and diarrehea -predominant pattern irritable bowel syndrome were randomly divided into three groups .20 patients in control group were treated Montmorillonite powder .20 cases in traditional Chinese medi-cine group were treated by Huangqibuwei decoction .20 patients in combined group were treated by Huangqibuwei de-coction combined with Tieqisan powder .The course was seven days in three groups .The changes of symptoms score before and after treatment and effect were observed after four courses .Results The total effective rate in combined group and traditional Chinese medicine group (95.0%, 85.0%) was higher than that in control group (70.0%, P<0.05).The total effective rate in combined group was higher than that in traditional Chinese medicine group (P<0.05).The symptoms score after treatment was decreased in three groups (P<0.05, P<0.01).The symptoms score after treatment in combined group and traditional Chinese medicine group was lower than that in control group ( P<0.05).The symptoms score after treatment was higher in combined group than that in traditional Chinese medicine group (P<0.05).Conclusion Huangqibuwei decoction combined with Tieqisan powder has definite effect on the treatment of weakness of the spleen and the stomach and diarrehea -predominant pattern irritable bowel syndrome .
