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健脾补肾法治疗慢性功能性便秘临床疗效观察

Observing the Clinic Curative Effect of the Principle of Invigorating the Stomach and Tonifying the Kidney According to Chronic Functionality Constipation

【作者】 王钰婷

【导师】 周福生;

【作者基本信息】 广州中医药大学 , 中西医结合临床, 2005, 硕士

【摘要】 研究目的:观察以健脾补肾法组方的中药对慢性功能性便秘患者的临床症状改善情况及治疗疗效并予以分析说明。 研究方法:1、取广州中医药大学第一附属医院消化内科门诊病人或消化内科住院病人,诊断为慢性功能性便秘辨证为脾肾两虚证的患者50人。2、予病人口服健脾补肾之中药,疗程四周。3、观察在治疗后第一周、第二周、第三周、第四周之症状变化。4、应SPSS统计软件包进行统计分析,作治疗6前后t检验。 结果:1、采用健脾补肾法治疗慢性功能性便秘脾肾两虚证患者总有效率为88%,说明健脾补肾法组方的中药对慢性功能性便秘脾肾两虛证有确切的临床效果。2、经治疗前后症状积分的比较表明,健脾补肾、润肠通便中药能明显改善临床症状,尤其缓解腹胀症状有效率100%、缓解大便干结症状有效率98%、缓解排便间隔延长症状有效率94%、缓解排便困难症状总有效率92%。 结论:以健脾补肾、润肠通便法组方的中药可以明显改善功能性便祕脾肾两虚证患者的临床症状,总有效率达88%,表明该方法是治疗功能性便祕脾肾两虚证的有效方法。

【Abstract】 Purpose: In order to analyze and explain the clinic curative effect of the TCM, which has the function of invigorating the stomach and tonifying the kidney and loosing the bowel and relieving constipation, we observed the TCM how to cure chronic functionality constipation. Methods:1. We selected 50 cases of chronic functionality constipation sufferers that were outpatient or in-patients of internal medicine of digestive system in the first hospital pertained to GuangZhou University of TCM. 2. The sufferers had been cured by the TCM of invigorating the stomach and tonifying the kidney for four weeks. 3. The changes of symptoms which were the first and second and third and forth week after curing was kept. 4. The scores were inputted the software of SPSS and done the test of "t" . Results:l.We found that the TCM of invigorating the stomach and tonifying the kidney can cure chronic functional ity constipation, its’ efficient ratio achieved 88 percents. 2. According to the analyzing the integral of the symptoms it indicated that the TCM of invigorating the stomach and tonifying the kidney and loosing the bowel and relieving constipation can improve the clinic symptom obviously, especially the mam symptoms such as the efficient ratio of fullness in the abdomen were 100 percents , the ratio of dry and hard stool were 98 percents, prolonging the alternation of defecating were 94 percents, the ratio of the difficulty of defecating were 92 percents.

【关键词】 便秘脾肾两虚中医药
【Key words】 constipationdeficiency of spleen and kidneyTCM
  • 【分类号】R256.35
  • 【被引频次】1
  • 【下载频次】250
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