中西医结合治疗慢传输型便秘临床观察.DOCVIP

临床医学论文-中西医结合治疗慢传输型便秘临床观察 ?????????????? 作者：卢红明，孙福堂，王万民，何玉峰，易知华 【摘要】? ??? 目的? 探讨中西医结合治疗慢传输型便秘的疗效。 ??? 方法? 120例患者随机分为两组，治疗组采用自拟中药方“润肠通便汤”，辅以肠动力药及植物神经调节剂；对照组服用麻仁丸治疗慢传输型(结肠无力性)便秘。7天为1个疗程，2疗程后评价疗效。 ??? 结果? 治疗组50例获得治愈，治愈率83%(50/60)，10例获好转，好转率17%(10/60)，总有效率100%。对照组治愈13例，治愈率22%(13/60)，好转33例，好转率55%(33/60)，总有效率77%。两组治愈率及总有效率均差异有显著性(P＜0.01)。 ??? 结论? 以润肠通便汤为主的中西医结合疗法对于慢传输型便秘具有良好的治疗作用。 ??? 【关键词】? 便秘；慢传输型；中西医结合治疗；疗效 ???? Clinical analysis on the treatment of slow transit constipation by integrated traditional Chinese and western medicine ??? 【Abstract】? ??? Objective? To study the curative effect of treating slow transit constipation with integrated traditional Chinese and western medicine. ??? Methods? 120 patients have been divided into two groups on a random basis.The treatment group adopts the self-designed Chinese herbal medicine empirical prescription-揜un Chang Tong Bian Decoction?assisted with strointestinal prokinetic drugs and drugs for modulating vegetative nervous system;and the control group takes the Ma Ren pill.The treatment period is seven days,and evaluation of the curative effect is made after two treatment period. 牋?Results?In the treatment group,CR 83%(50/60),PR 17%(10/60),TR 100%,and in the control group,CR 22%(13/60),PR 55%(33/60),TR 77%.Significant differences(P＜0.01)in cure rates and total effective rates are shown in the two groups. ??? Conclusion? The integrated traditional Chinese and western medicine highlighted by “Run Chang Tong Bian Decoction”is very effective for the treatment of slow transit constipation. ??? 【Key words】? constipation;slow transit;integrated traditional Chinese and western medicine;curative effect ???? 便秘是影响人们健康的现代“时髦病”，其中近一半属于慢传输型便秘。我院应用自拟中药方“润肠通便汤”，辅以肠动力药及植物神经调节剂治疗结肠无力性便秘，取得了良好的效果，现将治疗体会总结报告如下。 ??? 1? 资料与方法 ??? 1.1? 一般资料? ??? 全组120例均为本院肛肠科就诊患者，根据临床症状、体征，结合特殊检查：如结肠运输功能试验、排粪造影、肛门测压、球囊逼出试验等确诊。男46例，女74例；年龄16～76岁，平均46岁。均以无便意为主诉就诊，患者合并有不同程度的腹胀、腹痛、排便不尽、肛门疼痛、恶心、烦躁、面部色斑等。随机分为治疗组60例，对照组60例。两组在年龄及病程与治疗组统计学上差异无显著性(P＞0.05)。 ??? 1.2?