| 摘要: |
| 目的：观察中药穴位贴敷联合芪蓉润肠口服液治疗老年慢性功能性便秘（FC） 的疗效。方法：将120 例老年慢性FC 患者随机分为对照组和观察组各60 例。2 组均口服芪蓉润肠口服液，观察组加用中药穴位贴敷，5 d 为1 个疗程，视情况进行3～4 个疗程。2 组均予调整生活方式指导和心理指导。治疗前后评定便秘主要症状评分、便秘患者生活质量量表（PAC-QOL）评分，统计平均每周自发完全排便次数（SCBM），比较2 组的临床疗效。结果：治疗后，观察组临床疗效优于对照组（P＜0.05）。2 组粪便性状、排便费力、排便时间、下坠不尽胀感、排便频率、腹胀评分均较治疗前下降（P＜0.01），观察组各项症状评分均低于对照组（P＜0.01）。观察组治疗第1 周及第2 周的SCBM 均多于对照组（P＜0.01）；治疗第3 周及第4 周的SCBM 组间比较，差异均无统计学意义（P＞0.05）。2 组PAC-QOL 的生理、社会心理、担忧、满意度评分及总分均较治疗前降低（P＜0.01），观察组各因子评分及总分均低于对照组（P＜0.05）。结论：中药穴位贴敷联合芪蓉润肠口服液能显著减轻老年慢性FC 患者的症状，较快增加排便次数，并提高了患者的生活质量，有着较好的临床疗效。 |
| 关键词: 慢性功能性便秘 气阴两虚证 中药穴位贴敷 芪蓉润肠口服液 生活质量 |
| DOI： |
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| 基金项目: |
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| Clinical Study on Point Application with Chinese Herbal Medicine Combined withQirong Runchang Oral Liquid for Senile Patients with Chronic Functional Constipation |
| MA Yufen,HU Hongyan,LIAO Zhouying,CHEN Lu |
| (单篇PDF全文查阅请上中国知网下载阅读（中国知网电子版刊出时间：纸刊刊出日期一个月左右）) |
| Abstract: |
| Abstract： Objective： To observe the curative effect of point application with Chinese herbal medicine combined with
Qirong Runchang oral liquid for senile patients with chronic functional constipation. Methods：A total of 120 cases of senile
patients with chronic functional constipation of deficiency of both qi and yin type were randomly divided into the control group
and the observation group， 60 cases in each group. Both groups were treated with Qirong Runchang oral liquid， and the
observation group was additionally treated with point application with Chinese herbal medicine based on the treatment of the
control group. Both groups were treated for three to four courses according to the condition，five days being one course. Both
groups were given lifestyle modification guidance and psychological guidance. The scores of main symptoms of constipation
and Patient Assessment of Constipation Quality of Life(PAC- QOL) were evaluated before and after treatment；the average
times of weekly spontaneous complete bowel movement(SCBM) were counted； the clinical effect in the two groups was
compared. Results：After treatment，the clinical effect in the observation group was better than that in the control group(P＜
0.05). The scores of fecal character， difficulty of defecation， defecation time， distending sensation of incomplete
defecation， defecation frequency and abdominal distension in the two groups were decreased when compared with those
before treatment(P＜0.01)， and the above scores in the observation group were lower than those in the control group(P＜
0.01). On the first and second week of treatment，the SCBM in the observation group were more than those in the control
group(P＜0.01). There was no significant difference being found in the comparison of SCBM on the third and fourth weeks
between the two groups(P＞0.05). The scores of physiology，social psychology，worry，satisfaction of PAC-QOL and the
total scores in the two groups were decreased when compared with those before treatment(P＜0.01)，and the above scores
in the observation group were lower than those in the control group(P＞0.05). Conclusion： Point application with Chinese
herbal medicine combined with Qirong Runchang oral liquid in treating senile FC patients can significantly relieve their symptoms of constipation，quickly increase defecation times and improve quality of life，with good clinical effect. |
| Key words: Keywords： Chronic functional constipation Deficiency of both qi and yin syndrome Point application with Chinese
herbal medicine Qirong Runchang oral liquid Quality of life |
