世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2014年
11期
1500-1502
,共3页
肠易激综合征腹泻型%抑肝法%扶脾法%心理因素
腸易激綜閤徵腹瀉型%抑肝法%扶脾法%心理因素
장역격종합정복사형%억간법%부비법%심리인소
Irritable bowel syndrome with diarrhea%Inhibiting liver%Strengthening spleen%Psychological factors
目的：探讨抑肝法及扶脾法治疗肠易激综合征腹泻型（IBS －D）的临床疗效及对心理因素的影响。方法：纳入 IBS －D 患者49例，采用随机对照观察，治疗组（30例）口服痛泻要方合二术煎，对照组（19例）口服参苓白术散，疗程1个月，患者治疗前后填写 IBS 病情尺度调查表（IBS －SSS）及焦虑自评量表（SAS）、抑郁自评量表（SDS）。治疗后比较2组患者的病情尺度积分、焦虑情绪、抑郁情绪变化情况，比较2组疗效。结果：2组患者治疗前后 IBS －SSS 积分、SAS 评分、SDS 评分方面均有不同程度的改善，2组总有效率比较，差异无统计学意义（P ＞0.05）；治疗前后组内及组间 SAS、SDS 标准值比较无统计学意义（P ＞0.05）。结论：抑肝法、扶脾法两种治法在改善肠易激综合征腹泻型临床症状方面有相近的效果，两种治法治疗后患者焦虑、抑郁感受均较治疗前有所下降，但抑肝法在改善患者心理状态方面并未显示出更优越的作用。
目的：探討抑肝法及扶脾法治療腸易激綜閤徵腹瀉型（IBS －D）的臨床療效及對心理因素的影響。方法：納入 IBS －D 患者49例，採用隨機對照觀察，治療組（30例）口服痛瀉要方閤二術煎，對照組（19例）口服參苓白術散，療程1箇月，患者治療前後填寫 IBS 病情呎度調查錶（IBS －SSS）及焦慮自評量錶（SAS）、抑鬱自評量錶（SDS）。治療後比較2組患者的病情呎度積分、焦慮情緒、抑鬱情緒變化情況，比較2組療效。結果：2組患者治療前後 IBS －SSS 積分、SAS 評分、SDS 評分方麵均有不同程度的改善，2組總有效率比較，差異無統計學意義（P ＞0.05）；治療前後組內及組間 SAS、SDS 標準值比較無統計學意義（P ＞0.05）。結論：抑肝法、扶脾法兩種治法在改善腸易激綜閤徵腹瀉型臨床癥狀方麵有相近的效果，兩種治法治療後患者焦慮、抑鬱感受均較治療前有所下降，但抑肝法在改善患者心理狀態方麵併未顯示齣更優越的作用。
목적：탐토억간법급부비법치료장역격종합정복사형（IBS －D）적림상료효급대심리인소적영향。방법：납입 IBS －D 환자49례，채용수궤대조관찰，치료조（30례）구복통사요방합이술전，대조조（19례）구복삼령백술산，료정1개월，환자치료전후전사 IBS 병정척도조사표（IBS －SSS）급초필자평량표（SAS）、억욱자평량표（SDS）。치료후비교2조환자적병정척도적분、초필정서、억욱정서변화정황，비교2조료효。결과：2조환자치료전후 IBS －SSS 적분、SAS 평분、SDS 평분방면균유불동정도적개선，2조총유효솔비교，차이무통계학의의（P ＞0.05）；치료전후조내급조간 SAS、SDS 표준치비교무통계학의의（P ＞0.05）。결론：억간법、부비법량충치법재개선장역격종합정복사형림상증상방면유상근적효과，량충치법치료후환자초필、억욱감수균교치료전유소하강，단억간법재개선환자심리상태방면병미현시출경우월적작용。
Objective:To investigate the effects and the influences of methods of inhibiting liver and strengthening spleen on psychologi-cal factors of patients with irritable bowel syndrome of diarrhea type(IBS-D).Methods:Forty nine patients with IBS-D were randomly divided into treatment group (n =30)and control group (n =19).Patients in the treatment group were given modified Tongxie Yaofang accompanied with Erzhu Jian.The control group gave patients Shenling Baizhu powder.The course of treatment was 1 month.Every pa-tient filled the irritable bowel severity scoring system (IBS-SSS),self-rating anxiety scale (SAS)and self-rating depression scale (SDS).The curative effect of the two groups was compared.Results:No statistical significances were noted in the effective rate be-tween two groups(P >0.05).The scores of SAS and SDS were significantly decreased at the end of the treatment in both groups(P <0.05),and no statistical significances were noted in the scores of SAS and SDS between two groups before and at the end of the treat-ment(P >0.05).Conclusion:The two methods of inhibiting liver and strengthening spleen can alleviate the symptoms of IBS-D.The depressive and anxious emotions were improved at the end of the treatment in each group,but the therapeutic method of inhibiting liver doesnt show better effects on improving the psychological status.
