益气养血润肠汤联合莫沙必利治疗气血两虚型功能性便秘临床研究
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R256.35

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Clinical Study on Yiqi Yangxue Runchang Decoction Combined with Mosapril for Functional Constipation of Dual Deficiency of Qi and Blood Type
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    摘要:

    目的:观察益气养血润肠汤联合莫沙必利治疗气血两虚型功能性便秘(FC) 的临床疗效。方法: 将70 例气血两虚型FC 患者按随机数字表法分为对照组和治疗组各35 例。对照组给予莫沙必利治疗,治疗组 在对照组基础上给予益气养血润肠汤治疗,2 组均治疗4 周。比较2 组临床疗效、复发率,以及治疗前后中医 证候积分、便秘程度、生活质量。结果: 治疗后, 治疗组临床疗效总有效率97.14%, 高于对照组 77.14% (P<0.05)。治疗后,2 组中医证候积分均较治疗前降低(P<0.05),治疗组中医证候积分低于对照 组(P<0.05)。治疗后,2 组Wexner 便秘评分均较治疗前降低(P<0.05),胃肠道生活质量指数(GIQLI) 评 分均较治疗前升高(P<0.05);治疗组Wexner 便秘评分低于对照组(P<0.05),GIQLI 评分高于对照组(P< 0.05)。随访3 个月,治疗组复发率5.88%,对照组复发率25.93%,2 组比较,差异有统计学意义(P<0.05)。 结论:在莫沙必利治疗气血两虚型FC 基础上加用益气养血润肠汤可提高临床疗效,有效缓解患者的临床症 状,提高其生活质量,降低复发率。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Yiqi Yangxue Runchang Decoction combined with Mosapril for functional constipation (FC) of dual deficiency of qi and blood type. Methods : A total of 70 cases of patients with FC of dual deficiency of qi and blood type were divided into the control group and the treatment group according to the random number table method, with 35 cases in each group. The control group was treated with Mosapril, and the treatment group was additionally treated with Yiqi Yangxue Runchang Decoction based on the treatment of the control group. Both groups were treated for 4 weeks. Traditional Chinese medicine (TCM) syndrome scores, constipation degree and quality of life before and after treatment as well as the clinical effects and the recurrence rates were compared between the two groups. Results: After treatment, the total effective rate was 97.14% in the treatment group, higher than that of 77.14% in the control group (P<0.05). After treatment,the TCM syndrome scores in the two groups were decreased when compared with those before treatment (P<0.05), and the TCM syndrome scores in the treatment group was lower than that in the control group (P<0.05). After treatment,the Wexner constipation scores in the two groups were decreased when compared with those before treatment (P<0.05), and the Gastrointestinal Quality of Life Index (GIQLI) scores were increased when compared with those before treatment (P<0.05); the Wexner constipation score in the treatment group was lower than that in the control group (P<0.05),and the GIQLI score was higher than that in the control group (P<0.05). After 3 months of follow- up, the recurrence rate was 5.88% in the treatment group, and 25.93% in the control group, the difference between the two groups being significant (P< 0.05). Conclusion:Based on the treatment of Mosapril,the additional treatment of Yiqi Yangxue Runchang Decoction for FC of dual deficiency of qi and blood type can improve the clinical effect,effectively relieve the clinical symptoms of patients,enhance their quality of life,and reduce the recurrence rate.

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顾梅红,黄宠强,徐俊.益气养血润肠汤联合莫沙必利治疗气血两虚型功能性便秘临床研究[J].新中医,2023,55(10):48-52

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  • 在线发布日期: 2023-05-25
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