附子理中汤联合逍遥散穴位敷贴治疗慢性结肠炎的疗效分析.docxVIP

附子理中汤联合逍遥散穴位敷贴治疗慢性结肠炎的疗效分析 　　【摘要】目的探讨附子理中汤联合逍遥散穴位敷贴治疗慢性结肠炎的临床疗效。方法40例慢性结肠炎患者，按照就诊号尾号单双分为联合组和单药组，各20例。单药组患者采用附子理中汤治疗，联合组患者在单药组基础上给予逍遥散治疗，比较两组患者治疗前后症状证候评分及临床疗效。结果治疗前，两组患者腹痛、腹泻及里急后重症状证候评分比较，差异无统计学意义（p0.05）;治疗21d后，两组患者腹痛、腹泻及里急后重症状证候评分均显著低于治疗前，且联合组患者腹痛、腹泻及里急后重症状证候评分均显著低于单药组，差异具有统计学意义（p0.05）。联合组患者治疗总有效率为95.00%，显著高于单药组的65.00%，差异具有统计学意义（p0.05）。结论附子理中汤内服联合逍遥散敷贴治疗慢性结肠炎，可有效改善患者临床症状，具有显著临床疗效。 　　【關键词】附子理中汤;逍遥散;脐部;慢性结肠炎 　　doi：10.14163/ki.11-5547/r.2019.11.075 　　【abstract】objectivetodiscusstheclinicalefficacyoffuzilizhongdecoctioncombinedwithacupointapplicationofxiaoyaosanonthetreatmentofchroniccolitis.methodsatotalof40chroniccolitispatientsweredividedbyvisitingnumberintocombinedgroupandsinglegroup，with20casesineachgroup.singlegroupwastreatedwithfuzilizhongdecoction，andcombinedgroupwastreatedwithfuzilizhongdecoctioncombinedwithacupointapplicationofxiaoyaosan.thesymptomsandsyndromesscorebeforeandaftertreatmentandclinicalefficacywascomparedbetweenthetwogroups.resultsbeforetreatment，bothgroupshadnostatisticallysignificantdifferenceinsymptomsandsyndromesscoreofabdominalpain，diarrheaandtenesmus（p0.05）.after21doftreatment，bothgroupshadsignificantlylowersymptomsandsyndromesscoreofabdominalpain，diarrheaandtenesmusthanthosebeforetreatment，andthecombinedgroupshadsignificantlylowersymptomsandsyndromesscoreofabdominalpain，diarrheaandtenesmusthansinglegroup.theirdifferencewasstatisticallysignificant（p0.05）.combinedgrouphadsignificantlyhighertotaltreatmenteffectiverateas95.00%than65.00%inthecontrolgroup，andthedifferencewasstatisticallysignificant（p0.05）.conclusionoraladministrationoffuzilizhongdecoctioncombinedwithacupointapplicationofxiaoyaosancaneffectivelyimprovetheclinicalsymptomofpatientswithchroniccolitis，anditcontainssignificantlyclinicalefficacy. 　　【keywords】fuzilizhongdecoction;xiaoyaosan;umbilicalcord;chroniccolitis 　　慢性结肠炎为消化系统常见慢性非感染性炎症疾病，病理改变为肠黏膜出血、水肿、溃疡，其疾病病史较长，治疗过程中易反复发作并急性加重，对患者生活和健康造成严重影响[1]。祖国医学辨证治疗慢性结肠炎有特殊疗效，采用中医内服、穴位敷贴等特殊治疗措施，具有一定治疗优势[2]。作者选取2016年1月～2