加味痛泻要方治疗肝郁脾虚型肠易激综合征临床研究-中医内科学专业论文.docxVIP

8例，有效4例，无效4例，显效以上占69．23％，总有效率84．62％；得舒特42例中， 8例，有效4例，无效4例，显效以上占69．23％，总有效率84．62％；得舒特42例中， 临床痊愈12例，显效8例，有效13例，无效9例，显效以上占47．62％，总有效率 78．57％；加味痛泻药方组同痛泻药方组及得舒特组总有效率有显著的差异。(P0．05)。 结论：加味痛泻要方对不同性别、年龄、病程、病情和症状表现的腹泻型肠易激综合 征患者均取得了满意的疗效。且加味痛泻要方组疗效明显优于痛泻要方组及得舒特 组。说明加味痛泻要方在临床治疗肠易激综合征(腹泻型)方面较痛泻要方组及得舒特 组有一定优势。加味痛泻要方可明显改善肠易激综合征患者的腹泻、腹痛、腹胀等主 要症状，并可缓解患者的粘液便、肠鸣及精神症状。加味痛泻要方在疗程内服用未发 现任何不良反应，说明其服用30天是安全可靠的。加味痛泻要方治疗肠易激综合征 的最佳疗程宜在10天至20天之间。研究表明加味痛泻要方治疗肠易激综合征作用机 制与调节自主神经功能紊乱，改善患者肠运动功能有关。 关键词：JJn味痛泻要方；肠易激综合征；疗效 CI CI inicaI study of additionaI Tong Xie Yao Fang in treati ng i rr itabIe bowe I syndrome of the type of d i arrhea Speciality：IIltemal Medicine ofTraditional Chinese Mdicine Author：Li gengcheng Tutor：Professor Liu youzhang Abstract Irritable Bowel Syndrome iS a chronic， recurrent attacking with intestinal movement dysfunction syndrome which is difficulty to be explained by anatomy,pathological and chemical examination．It is all intestinal functional disorder which excludes structural disease．It ineludes a serial of symptoms of abdominal pain，abdominal distension，ragouts，change of frequency of defecation and abnormal stool，mucous stool，and defective stool etc which related to defecation clinically． It attacks persistently or intermittently,but without structural disease through all kinds of examinations at present． The etiology and pathogenesis of mS are complicated and have not been clarified completely,but the viewpoint has been developed from“merely power disorder’’through many years to“the theory of brain-gut axis’’ suggested in recent years．Some persons thinks that 1BS is the results of following factors affected each other including functional disorder of central nervous system，abnormality of visceral sense and motion，hormonal action of alimentary canal，psychological obstacle，genetic factor,intestinal infection and other enteric cavity factors etc．It represents the mode and viewpoint of “Biological medicine—psychological medicine-social medicine’’of modem medic