摘要
目的:观察健脾益气汤联合针刺治疗脾气亏虚型慢性腹泻的临床疗效。方法:选取92例脾气亏虚型慢性腹泻患者,按随机数字表法分为研究组和对照组,每组46例。对照组给予蒙脱石散治疗,研究组在对照组基础上给予健脾益气汤联合针刺治疗,2组均连续治疗14 d。比较2组临床疗效及治疗前后排便次数、大便性状、尿D-木糖排泄率、尿淀粉酶水平,监测2组血、尿常规及不良反应。结果:研究组临床疗效明显优于对照组(Z=2.070,P=0.041<0.05)。治疗后,研究组排便次数明显少于对照组(P<0.01),大便性状明显优于对照组(P<0.05),尿D-木糖排泄率、尿淀粉酶水平均明显高于对照组(P<0.01)。2组治疗期间均未出现血、尿常规异常及不良反应。结论:健脾益气汤联合针刺治疗脾气亏虚型慢性腹泻,可有效改善患者的临床症状及胃肠道消化、吸收功能。
Objective:To observe the clinical effect of Jianpi Yiqi tang combined with acupuncture for chronic diarrhea of spleen qi deficiency type.Methods:A total of 92 cases of patients with chronic diarrhea of spleen qi deficiency type were divided into the study group and the control group according to the random number table method,46 cases in each group.The control group was treated with montmorillonite powder,and the study group was additionally treated with Jianpi Yiqi tang combined with acupuncture based on the treatment of the control group.Both groups were treated for 14 days.The defecation frequency,the stool traits,the excretory rate of urine D-xylose and activity of urine amylase before and after treatment and the clinical effect in the two groups were compared,and the blood routine,urine routine and adverse reactions in the two groups were monitored.Results:The clinical effect in the study group was significantly better than that in the control group(Z=2.070,P=0.041<0.05).After treatment,the defecation frequency in the study group was significantly less than that in the control group(P<0.01),stool traits were significantly better than those in the control group(P<0.05),and the excretory rate of urine D-xylose and activity of urine amylase were significantly higher than those in the control group(P<0.01).During treatment,there was no abnormal blood and urine routine and adverse reaction in the two groups.Conclusion:Jianpi Yiqi tang combined with acupuncture can effectively improve the clinical symptoms,gastrointestinal digestion and absorption function of patients with chronic diarrhea of spleen qi deficiency type.
作者
干钰颖
徐一凯
GAN Yuying;XU Yikai
出处
《新中医》
CAS
2021年第10期113-116,共4页
New Chinese Medicine
关键词
慢性腹泻
脾气亏虚型
健脾益气汤
针刺
排便次数
大便性状
尿D-木糖排泄率
尿淀粉酶
Chronic diarrhea
Spleen qi deficiency type
Jianpi Yiqi tang
Acupuncture
Defecation frequency
Stool traits
Excretory rate of urine D-xylose
Urine amylase
