加味黄芪建中汤治疗功能性便秘（脾肾阳虚型）的临床观察-中西医结合临床(脾胃)专业论文.docxVIP

万方数据 万方数据 中文摘要 目的: 通过使用加味黄芪建中汤治疗 60 例功能性便秘（脾肾阳虚型）患者的临床观察， 探讨该法治疗脾肾阳虚型功能性便秘的安全性及有效性。 方法： 搜集2013年1月—2013年8月就诊于成都中医药大学附属中医院老年科门诊的60 例病例。所有病例都经过临床确诊，中医辨证分型为脾肾阳虚型。将60例病例随 机分为治疗组和对照组，治疗组给予中药汤剂加味黄芪建中汤的治疗。对照组给 予口服福松（聚乙二醇4000 散剂，博福-益普生工业公司 批号治疗， 两组疗程均为4周，治疗4周后分别对两组患者进行安全性观察(一般体检项目， 血液、尿液、大便三大常规，心电图、肝、肾功能，以及记录出现的不良反应) 和疗效性观察(症状和体征等)。治疗结束后对两组痊愈患者进行1个月随访，统 计其复发率。 结果： ①经过4周治疗后，两组患者的症状总积分比治疗前均有显著性差异（p0.05）， 治疗组症状总积分的改善明显优于对照组。②治疗组的有效率为96.7%，对照组 的有效率为70%，治疗组总有效率明显优于对照组。③治疗组在改善脾肾阳虚型 症状如畏寒肢冷、食少纳呆、脘腹冷痛、腰膝酸软、腰背部冷痛、夜尿频、神疲 乏力等明显优于对照组。说明加味黄芪建中汤在治疗脾肾阳虚型功能性便秘方面 明显优于对照组。体现了中医辨证论治，整体调节的优势。 结论： 加味黄芪建中汤治疗脾肾阳虚型功能性便秘能明显改善患者症状，具有疗效好、 无明显副作用等优点，是治疗脾肾阳虚型功能性便秘的安全有效方药。 关键词： 加味黄芪建中汤 功能性便秘 脾肾阳虚型 临床观察 1 ABSTRACT Objective: By using jia wei huang qi jian zhong tang treatment of 60 patients with functional constipation (spleen kidney Yang deficiency type) of clinical observation, to explore the treatment of spleen and kidney Yang deficiency model to assess the efficacy and safety of functional constipation. Methods: Collect in April 2013 - June 2013 in chengdu university of traditional Chinese medicine affiliated hospital of elderly outpatient service of 60 cases. All cases by clinical diagnosis, type of traditional Chinese medicine for the spleen and kidney Yang deficiency. 60 cases were randomly divided into experimental group and control group in medical order, two groups of patients were treated for a basis of the experimental group on the basis of foundation treatment combined with traditional Chinese medicine medicinal broth flavored jia wei huang qi jian zhong decoction treatment. Control group on the basis of foundation treatment, combined with the loose (polyethylene glycol 4000 powder, Po blessing - good quality industrial company) treatment, two groups of a course of 4 weeks, 4 weeks after treatment respectively on two groups of patients with safety observation (general physical examination project, blood, urine, three conventional, heart, liver, kidney, and record adverse reactions)