CAJ | 학술논문

目的：观察安肠止痛组方联合曲美布汀治疗腹泻型肠易激综合征(irritable bowel syndrome， IBS)的临床疗效。方法：将226例腹泻型IBS患者随机分为3组。西医组77例采用曲美布汀治疗，中医组71例采用安肠止痛组方治疗，中西医结合组78例，采用安肠止痛组方联合曲美布汀治疗。3组均以4周为1个疗程。结果：总有效率中西医结合组为89.74%，中医组为74.65%，西医组为58.44%，3组比较无明显差异(P＞0.05)。BSS评分3组治疗后均明显降低(P＜0.05)，中西医结合组优于中医组及西医组(P＜0.05)，中医组优于西医组(P＜0.05)。结论：中西医结合治疗腹泻型IBS疗效优于单纯中医或单纯西医治疗。
목적：관찰안장지통조방연합곡미포정치료복사형장역격종합정(irritable bowel syndrome， IBS)적림상료효。방법：장226례복사형IBS환자수궤분위3조。서의조77례채용곡미포정치료，중의조71례채용안장지통조방치료，중서의결합조78례，채용안장지통조방연합곡미포정치료。3조균이4주위1개료정。결과：총유효솔중서의결합조위89.74%，중의조위74.65%，서의조위58.44%，3조비교무명현차이(P＞0.05)。BSS평분3조치료후균명현강저(P＜0.05)，중서의결합조우우중의조급서의조(P＜0.05)，중의조우우서의조(P＜0.05)。결론：중서의결합치료복사형IBS료효우우단순중의혹단순서의치료。
Objective: To discuss curative effects of AnChang ZhiTong prescription and trimebutine in the treatment for irritable bowel syndrome of diarrhea pattern (IBS-D). Methods:All 226 cases were randomly allocated to three groups. Seventy-seven cases of western medicine group were treated with trimebutine, 71 cases of herbs group took AnChang ZhiTong prescription, 78 cases of integrative medicine group were given with both, one course of the treatment were four weeks. Results:Total effective rates of integrative medicine group, herbs group and west-ern medicine group were 89.74%, 74.65%and 98.44%, there were insignificant differences among three groups (P>0.05). <br> BSS scales of three groups were lowered obviously after treating (P<0.05), integrative medicine group was superior to herbs group and western medicine group (P<0.05), herbs group was better than western medicine group (P<0.05). Conclusion: Therapeutic effects of integrative medicine are superior to only herbs or western medicine in treating IBS-D.