疏补温肾固肠方治疗腹泻型肠易激综合征的疗效观察-论文.pdf

《疏补温肾固肠方治疗腹泻型肠易激综合征的疗效观察-论文.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、疏补温肾固肠方治疗腹泻型肠易激综合征的疗效观察张琼，陈定玉(重庆市中医院，重庆400011)中图分类号R272．1；R574．62文献标志码A文章编号1001．0408(2014)35．3338．03DOI10．6039~．issn．1001—0408．2014．35．24摘要目的：研究疏补温肾固肠方治疗腹泻型肠易激综合征(IBS)的临床疗效。方法：6O例患者随机均分为治疗组和对照组，治疗组使用疏补温肾固肠方，对照组使用匹维溴铵片联合马来酸曲美布汀胶囊。治疗4周后，根据结肠问卷表、大便性状表(IBS．DSQ)、生活质量量表(IB

2、S．QOL)判定疗效。结果：两组患者治疗前后中医症状积分比较，差异均具有统计学意义(P<0．O5)，且治疗组优于对照组(P

3、固肠方；腹泻型；肠易激综合征；临床疗效EficacyObservationofShubuWenshenGuchangDecoctionintheTreatmentofDiarrhea-predominantIrri-tableBowelSyndromeZHANGQiong，CHENDing—yu(ChongqingHospitalofTCM，Chongqing400011，China)ABSTRACTOBJECTIVE：TostudytheelinicaleficacyofShubuwenshenguchangdecoction

4、inthetreatmentofdiarrheapre。dominantirritablebowelsyndrome(IBS)．METHODS：60patientswererandomlydividedintotreatmentgroupandcontrolgroup．刚TreatmentgroupreceivedShubuwenshenguchangdecoction，whilecontrolgroupwasgivenPinaveriumbromidetabletsandTrime—butinemaleatecapsules．

5、Therapeuticeficacywasevaluatedafter4cycleoftreatmentaccordingtocolonquestionnaire，IBS—DSQandIBS—QOL．RESULTS：TheTCMsymptomscoreof2groupshadstatisticalsignificancebeforeandaftertreatment(P

6、ficacyofstoolprofertywas76％intreat—mentgroupand56％incontrolgroup；therewasstatisticalsignificance(P<0．05)．Thedefecationtimesandanalbearing—downtimeofIBS—DSQhadstatisticalsignificancebetween2groupsbeforeandaftertreatment(P<0．05)，andthoseoftreatmentgroupwerebeRerthantho

7、seofcontrolgroup(尸<0．05)．TherewasstatisticalsignificanceinIBS-QOLdiference，emotionalstate，mentalstate，dailysocialityandefectsofwork(尸<0．05)．CONCLUSIONS：Shubuwenshenguehangdecoctionhasagoodefectondiar-rhea-predominantIBS．KEYWORDSShubuwenshenguchangdecoction；Diarrhea-p

8、redominant；Irritablebowelsyndrome；Clinicaleficacy肠易激综合征(IBS)是以腹痛或腹部不适，伴大便性状和大便量≥25％，硬便或块状便占大便量<25％。IBS的发病机排便习惯改变的功能性肠道疾病，是临床最常见的功能性