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辨证治疗腹泻型肠易激综合征60例临床观察 被引量:6

Clinical Observation of Syndrome Differentiation and Treatment for 60 Cases of Diarrhea-Predominant Irritable Bowel Syndrome
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摘要 目的观察中医辨证分型治疗腹泻型肠易激综合征的临床疗效。方法将60例符合罗马Ⅲ诊断标准的腹泻型肠易激综合征患者辨证分为3型,肝郁脾虚型(24例)予痛泻要方协定方治疗,脾气虚弱型(20例)予参苓白术散协定方治疗,脾肾阳虚型(16例)予四神丸合理中汤协定方治疗。3组疗程均为8周。采用目前国际公认的肠道症状尺度表和生活质量量表,观察治疗前后各组患者肠道症状及生活质量的变化情况。结果肝郁脾虚组有效率为83.3%,脾气虚弱组为85.0%,脾肾阳虚组为75.0%,组间疗效差异无统计学意义(P>0.05)。3组肠道症状、生活质量和排便情况在治疗后均显著改善(P<0.05)。结论中医辨证分型治疗腹泻型肠易激综合征疗效确切。 Objective To observe the clinical efficacy of syndrome differentiation and treatment for diarrhea-predominant irritable bowel syndrome. Methods Sixty cases were differentiated into three syndromes: liver-depression and spleen-deficiency syndrome with 24 cases treated with "Tongxie Yaofang Decoction", spleen-qi deficiency syndrome with 20 cases treated with "Shenling Baizhu Powder" and spleen-kidney yang-deficiency syndrome with 16 cases treated with "Sishen Pill" and "Lizhong Decoction", all with a course of 8 weeks. Gastrointestinal scale and life quality scale were used to assess the gastrointestinal symptoms and quality of life. Results The effective rate was 83.3% in the liver-depression and spleen-deficiency syndrome, 85.0% in the spleen-qi deficiency syndrome and 75.0% in the spleen-kidney yang-deficiency syndrome, with no difference among the three rates(P 〉0.05 ) ; the gastrointestinal symptoms, quality of life and defecation were all improved in the three syndromes(P 〈0.05). Conclusion Syndrome differentiation and treatment has positive effects on diarrhear-predominant irritable bowel syndrome.
出处 《上海中医药杂志》 2009年第12期31-33,共3页 Shanghai Journal of Traditional Chinese Medicine
关键词 腹泻型肠易激综合征 中医药疗法 辨证论治 Diarrbear-predominant irritable bowel syndrome Chinese medicine syndrome differentiation and treatment
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  • 1-.黄帝内经素问·卷十一·举痛论[M].北京:人民卫生出版社,1963.38,221.
  • 2河北中医学院点校.灵枢·邪气脏腑病形[M].北京:人民卫生出版社,1982.111.
  • 3吴·李广.难经集注·卷四·五十五难[M].北京:人民卫生出版社,1963.131.
  • 4明·戴思恭.证治要诀·大便秘[M].北京:人民卫生出版社,1982.148.
  • 5清·叶天土.临证指南医案·卷二·木乘土[M].上海:科学技术出版社,1959.205.
  • 6明·张景岳.景岳全书·泄泻·诸泄论治[M].上海:上海科学技术出版社,1959.427.
  • 7元·朱震亨.丹溪医集·丹溪心法·卷二[M].北京:人民卫生出版社,1993.238.
  • 8明·刘纯.医经小学·卷五·辨证用药例略[M].北京:中国中医药出版社,1999.252.
  • 9清·吴尚先.理瀹骈文·略言[M].北京:中国中医药出版社,1995.18.
  • 10Wong H C,JAMA,1999年,282卷,11期,1036页

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