摘要
目的:观察腹泻型肠易激综合征(IBS-D)患者舌脉象和益生菌疗效的相关性。方法:356例IBS-D按中医辨证分型:其中肠道湿热证132例,痰湿中阻证126例,肝郁脾虚证98例。3组病例均使用双歧杆菌四联活菌片治疗,观察效果。结果:肠道湿热证组和痰湿中阻证组2周、4周显效率及总有效率与肝郁脾虚证组比较,差异有统计学意义(P<0.05)。患者主要症状大便频率异常和大便性状异常治疗前后评分值比较,痰湿中阻证组及肠道湿热证组2周时即与治疗前有差异。结论:舌脉象与益生菌疗效存在相关性,其中肠道湿热证及痰湿中阻证使用益生菌有较好的疗效,2周疗程对于IBS患者已经足够。
Objective:To observe the relationship between tongue and pulse and the effect of probiotics of patients with diarrheatype irritable bowel syndrome(IBS-D).Methods:356 cases of IBS-D were classified according to TCM syndrome differentiation,intestinal damp heat syndrome in 132 cases,stagnation of phlegm dampness in 126 cases,98 cases of liver stagnation and spleendeficiency.The 3 groups were all treated with bifidobacterium tetravaccine tablets.We observed the effect.Results:The significantefficiency and total effective rate after 2 weeks and 4 weeks of the intestinal damp heat syndrome group and the phlegm dampnesssyndrome group were significantly different compared with the liver stagnation and spleen deficiency syndrome group (P<0.05).The main symptoms of patients with abnormal stool frequency and stool characteristics before and after the evaluation of the scorevalue of phlegm dampness in the syndrome group and the damp heat syndrome group after 2 weeks were different from before thetreatment.Conclusion:There is correlation between tongue pulse and probiotics.The probiotics using in the intestinal damp heatsyndrome and phlegm dampness syndrome has a good effect,and 2 weeks course of treatment for IBS patients is enough.
作者
黄献华
凌家生
Huang Xianhua;Ling Jiasheng(Chinese Medicine Hospital of Huizhou City,Guangdong Province 516001)
出处
《中国社区医师》
2016年第34期114-115,共2页
Chinese Community Doctors
