摘要
目的:探讨桂枝汤合痛泻要方加减治疗肝郁脾虚型肠易激综合征(IBS)的效果及对预后的影响。方法:选取笔者所在医院2016年8月-2018年8月收治的120例肝郁脾虚型肠易激综合征患者为研究对象,采用随机数字表法分为治疗组(60例)和对照组(60例)。对照组予以常规西医治疗,治疗组在对照组的基础上服用桂枝汤合痛泻要方加减,1个月为1疗程,两组均治疗2个疗程。比较两组的临床疗效、治疗期间的不良反应及复发情况。结果:治疗组的临床总有效率(91.67%)显著高于对照组(76.67%),差异有统计学意义(P<0.05);治疗组的复发率(5.00%)显著低于对照组(16.67%),差异有统计学意义(P<0.05);两组的不良反应发生率比较,差异无统计学意义(P>0.05)。结论:肝郁脾虚型IBS患者运用桂枝汤合痛泻要方加减治疗效果肯定,显著提高临床效果,降低复发率,明显改善患者预后。
Objective:To investigate the curative effect Guizhi Decoction combined with modified Tongxie Yaofang on irritable bowel syndrome(IBS)of liver-stagnation and spleen deficiency type and the influence on prognosis.Method:A total of 120 patients with IBS of liver-stagnation and spleen deficiency type who were admitted to the hospital from August 2017 to August 2018 were enrolled.They were divided into treatment group(60 cases)and control group(60 cases)by random number table method.The control group was treated with routine western medicine.On this basis,the treatment group was treated with Guizhi Decoction combined with modified Tongxie Yaofang.Selected one month as one course of treatment,and both groups were treated for two courses of treatment.The clinical curative effect,adverse reactions and recurrence during the treatment were compared between the two groups.Result:The clinical total efficacy rate of the treatment group(91.67%)was significantly higher than that of the control group(76.67%),the difference was statistically significant(P<0.05).The recurrence rate of the treatment group(5.00%)was significantly lower than that of the control group(16.67%),the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The curative effect of Guizhi Decoction combined with modified Tongxie Yaofang is positive on patients with IBS of liver-stagnation and spleen deficiency type,which can significantly improve clinical effect,reduce recurrence rate,and significantly improve the prognosis of patients.
作者
刘星磊
LIU Xinglei(Wanmizhai Hospital of Luotian County,Luotian 438600,China)
出处
《中外医学研究》
2019年第13期26-28,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
桂枝汤
痛泻要方
肝郁脾虚型
肠易激综合征
Guizhi Decoction
Tongxie Yaofang
Liver-stagnation and spleen deficiency type
Irritable bowel syndrome
