中药敷脐疗法治疗功能性腹泻的临床疗效观察重点解读.docVIP

中药敷脐疗法治疗功能性腹泻的临床疗效观察 张晓燕 （）: 观察中药敷脐疗法治疗功能性腹泻的临床疗效。方法: 将121例功能性腹泻患者随机分组，分为试验组61例及对照组各60例，试验组给予中药敷脐治疗，每日２次，每次20min；对照组给予西药思密达治疗，每日2次，每次3g，两组均治疗4周。观察两组治疗前后主要症状评分并判定临床疗效。结果: 试验组临床疗效总有效率为91.80％，对照组为76.67％，两组比较差异无统计学意义（P＞0.05）。结论　中药脐疗治疗临床疗效确切。 关键词: 中药敷脐疗法；功能性腹泻；疗效观察 Clinical Observation on Treatment of the Functional Diarrhea by the Umbilical Therapy Applying Traditional Chinese Medicine Zang Xiaoyan, Yueyang Hospital of Integrated Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine Abstract: Objective: Observe the clinical curative effect of traditional Chinese medicine apply umbilical therapy to treat functional diarrhea. Methods: 121 patients with functional diarrhea were randomized, divided into the treatment group 61 cases and the control group (n = 60), treatment group given Chinese medicine apply umbilical treatment, 2 times a day, every time 20 min; The control group gives the western medicine smecta treatment, 2 times a day, every time 3 g, two groups of treatment 4 weeks. Observe two groups before and after treatment the main symptom scores and determine the clinical curative effect.Results: Patients clinical efficacy of the total effective rate was 91.80%, control group was 76.67%, two groups there was no statistical significance (P 0.05) difference comparing.Conclusion: TCM umbilical therapy treatment clinical curative effect. Kewords: TCM apply the umbilical treatment;?functional diarrhea;?clinical observation 功能性腹泻（functional diarrhea，FD)是临床最常见的慢性胃肠道疾病之一，其症状具有慢性反复发作的特点。临床诊断标准包括：至少75%的排便为不伴腹痛的松软（糊状）或水样便，症状出现至少6个月，近3个月症状符合以上标准[1]，而实验室及结肠镜、腹部彩超等相关物理检查均无器质性病变。其病因病机尚未明确，根据目前临床研究认为可能与精神情志因素、社会因素、饮食结构改变、肠道微生态系统、胃肠动力及内脏感觉异常、个体免疫、植物神经功能异常等有关[2-3]。现代医学对此病尚无确切疗效, 主要是对症处理, 包括改善胃肠动力、保护益生菌、抗焦虑、抗抑郁等, 这些治疗往往可短时见效，但不易治愈[4]，停药后多复发，需长期服药，导致药物依赖且用量逐渐增大，最终产生机体菌群失调，影响患者的生活质量。中药制剂治疗本病具有一定的效果，但亦需较长时间规律服药，病人依从性较差，且口服中药制剂仍存在不可避免的毒副作用。中药敷脐疗法作为一种祖国医学传统的自然疗法，具有方法简便，疗效肯定，起效迅速，依从性好，安全可靠，副作用较少等诸多