麻子仁散腹部膏摩联合西沙必利治疗胃肠积热型功能性便秘临床研究
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R574

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河南省中医药拔尖人才项目(豫卫中医函〔2021〕15号);河南省科技攻关项目(222102310417);河南省中医药科学研究专项课题 项目(20-21ZY2076)


Clinical Study on Abdominal Rubbing with Maziren Powder Combined with Cisapride for Functional Constipation of Accumulated Heat in Stomach and Intestines Type
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    摘要:

    目的:观察麻子仁散腹部膏摩联合西沙必利治疗胃肠积热型功能性便秘的临床疗效。方法:采用随机数字表法将88 例胃肠积热型功能性便秘患者分为对照组与治疗组各44 例。对照组采用西沙必利治疗,治疗组在对照组基础上加用麻子仁散腹部膏摩治疗。比较2 组治疗前后便秘主要症状评分、生活质量量表(SF-36)评分及血清胃动素(MTL)、胃泌素(GAS) 水平;比较2 组临床疗效、复发率及不良反应发生情况。结果:治疗组总有效率为90.91%, 高于对照组75.00% (P<0.05); 治疗组复发率为5.00%, 低于对照组27.27%(P<0.05)。治疗后,2 组便秘主要症状评分均较治疗前降低(P<0.05),且治疗组治疗后便秘主要症状评分低于对照组(P<0.05)。治疗后,2 组SF-36 评分及血清MTL、GAS 水平较治疗前升高(P<0.05),且治疗组治疗后上述指标高于对照组(P<0.05)。2 组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:麻子仁散腹部膏摩联合西沙必利治疗胃肠积热型功能性便秘疗效明显,能够有效缓解患者便秘相关症状,改善胃肠活动功能,提高生活质量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the therapy of abdominal massage with Maziren Powder combined with cisapride on functional constipation of accumulated heat in stomach and intestines type. Methods: A total of 88 patients with functional constipation of accumulated heat in stomach and intestines type were selected and divided into the control group and the treatment group according to the random number table method,with 44 cases in each group. The control group was treated with cisapride, and the treatment group was additionally treated with abdominal massage with Maziren Powder based on the treatment of the control group. Before and after treatment,the main symptom scores of constipation, scores of 36- Item Short Form Health Survey(SF- 36) and levels of serum motilin(MTL) and gastrin(GAS) were compared between the two groups. The clinical effects, recurrence rates and incidence of adverse reactions were compared between the two groups. Results: The total effective rate was 90.91% in the treatment group,higher than that of 75.00% in the control group(P<0.05);the recurrence rate was 5.00% in the treatment group,lower than that of 27.27% in the control group(P<0.05). After treatment,the main symptom scores of constipation in the two groups were decreased when compared with those before treatment(P<0.05),and the above scores in the treatment group were lower than those in the control group (P<0.05). After treatment,the scores of SF-36 and levels of serum MTL and GAS in the two groups were increased when compared with those before treatment(P<0.05),and the above indexes in the treatment group were higher than those in the control group(P<0.05). There was no significant difference being found in the comparison of incidence of adverse reactions between the two groups(P>0.05). Conclusion: The therapy of abdominal massage with Maziren Powder made cream combined with cisapride has an obvious curative effect on functional constipation of accumulated heat in stomach and intestines type,which can effectively relieve the constipation-related symptoms of patients,improve the activity function of stomach and intestines,and enhance the quality of life.

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杨新玉,杨会举,崔世超,李敏,姜亚欣,卢玉阳.麻子仁散腹部膏摩联合西沙必利治疗胃肠积热型功能性便秘临床研究[J].新中医,2022,54(23):188-192

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  • 在线发布日期: 2022-12-11
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