中医“从肝论治”法治疗便秘型肠易激综合征肝郁气滞证的临床研究

罗莎; $2; 陈春华; 陈姗; 梁彩虹

文章摘要

罗莎方誉陈春华陈姗梁彩虹.中医“从肝论治”法治疗便秘型肠易激综合征肝郁气滞证的临床研究[J].实用中西医结合临床,2016,16(1):1-3

中医“从肝论治”法治疗便秘型肠易激综合征肝郁气滞证的临床研究

Clinical Research of “Treatment by Regulating Liver” of TCM Treating the Syndrome with the Stagnation of Hepatic Qi of the Constipation Type of Irritable Bowel Syndrome

DOI：

中文关键词: 便秘型肠易激综合征从肝论治临床研究

英文关键词: Constipation type of irritable bowel syndrome Treatment by regulating liver Clinical study

基金项目:广西南宁市科学研究与技术开发计划科技攻关课题（编号：20143178）

作者	单位
罗莎方誉陈春华陈姗梁彩虹	广西南宁市中医医院

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中文摘要:

目的：研究“从肝论治”疗法对便秘型肠易激综合征（IBS-C）肝气郁滞证患者的临床疗效。方法：将60例患者随机均分为两组各30例，其中对照组给予乳果糖及枸橼酸莫沙必利片治疗；治疗组30例患者在对照组治疗基础上给予中医“从肝论治”法治疗，两组患者疗程均为4周，疗程结束后随访6个月，比较两组治疗前后及随访后中医证候评分、汉密尔顿焦虑量表（HAMA）评分、疗效及证候复发率的差异。结果：两组患者治疗后及随访后的中医证候评分及HAMA积分均较治疗前显著改善（P＜0.01），其中治疗组优于对照组（P＜0.01、P＜0.05）。治疗组总有效率优于对照组（86.7% vs 70.0%），随访后对照组证候复发率高于治疗组（56.7% vs 26.7%）。结论：“从肝论治”疗法可改善IBS-C肝郁气滞证患者的临床疗效及焦虑情况。

英文摘要:

Objective: To study the clinical effect of “Treatment by Regulating Liver” of TCM treating the syndrome with the stagnation of hepatic Qi of the constipation type of irritable bowel syndrome. Methods: 60 Cases who suffered the constipation type of irritable bowel syndrome were randomly divided into two groups, namely 30 cases in the control group (treated by Lactulose and Mosapride citrate tablets), 30 cases in the treatment group (treated by “Treatment by Regulating Liver” based on the control group). A course of observation was 4-weeks for treatment and 6-months for follow-up period. TCM syndrome scale and Hamilton anxiety scale (HAMA) were tested before and after the treatment; recurrence rates were observed in follow-up period. Results: TCM syndrome scale and HAMA scale were decreased remarkably after the treatment of two groups (P＜0.01), and the treatment group was superior to control group in lowering TCM syndrome scale and HAMA scale (P＜0.01, P＜0.05), and in the effective rate (86.7% vs 70.0%). Symptom recurrence rate of the control group was lower than the treatment group (56.7% vs 26.7%). Conclusion: “Treatment by Regulating Liver” of TCM has better effects to constipation type of irritable bowel syndrome with the syndrome with the stagnation of hepatic Qi.

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