针灸联合黛力新治疗功能性便秘（肝郁气滞型）的临床探究.pdfVIP

提 要 目的：观察针灸联合黛力新治疗功能性便秘（中医辨证为肝郁气滞型）的临床疗 效，并初步从理论和临床研究两个方面探讨其作用机理。方法：将符合纳入标准的 60 例患者按随机数字表法完全随机设计分为两组，治疗组30例给予针灸配合黛力新 口服治疗，对照组 30 例给予麻仁丸配合逍遥丸口服治疗。两组均以 4 周为一疗程。 观察两组的临床疗效，并对治愈患者随访6个月，观察远期疗效。结果：临床研究表 明，试验组对排便频率、粪便的形状及排便困难程度的改善明显优于对照组，存在显 著差异(p0.05)。两组病例综合疗效分析两组间显著差异(P0.05)，且治疗组明显优 于对照组。治疗组总有效率为 93.33%。结论：本次临床试验结果表明，针灸与黛力 新联用不仅可调节胃肠植物神经功能紊乱，促进肠道排空，还可调节中枢神经系统、 缓解患者焦虑抑郁状态，从根本上治疗便秘的病因，起到标本兼治的作用。与对照组 对比有明显的优势，且对肝肾功能及血、尿、大便常规无明显影响，是一种安全的用 药途径，值得在临床上推广使用。 关键词 针灸；黛力新；功能性便秘；肝郁气滞型；临床研究 Clinical and contrast study on treating functional constipation with deanxit and acupuncture Speciality: Surgery of TCM Author: gao lian gang Tutor: Prof.Mei Xiaoling Abstract Objectives: To observe the clinical effects in treating functional constipation caused by stagnation of qi due to depression of the liver with having taken deanxit and acupuncture ，and to analyze the mechanism of this therapy in treating functional constipation from two aspects of theory and clinical study. Method ：Choose 60 patients who are accord with the diagnosis standard and separate them into treatment group(30 patients) and control group(30 patients),the former had taken deanxit orally and acupuncture; the latter had taken maren pill and xiaoyao pill orally.Both groups to 4 weeks for one period of treatment. To observe the clinical curative effect of two groups, and followe up healed patients for 6 months to observe the long-term outcome. Results: Clinical studies show that amelioration about of frequency of defecation,excrementitious shapes and difficult degree of defecation in the treatment group better than control group, there was significant difference (p0.05). Two groups of cases com