摘要
目的分析中西医结合治疗肝郁脾虚型腹泻型肠易激综合征的临床疗效。方法选取2019年8月—2020年12月金湖县中医院收治的85例肝郁脾虚型腹泻型肠易激综合征患者为研究对象,采用随机数表法进行分组,对照组(42例)接受凝结芽孢杆菌治疗、治疗组(43例)中药加用凝结芽孢杆菌治疗,疗程均为两周,比较两组中医症候评分、肠易激综合征病情严重程度(irritable bowel syndrome-symptom severity scale,IBS-SSS)。结果治疗后,治疗组的中医主要症候评分(腹痛、腹泻次数、大便性状)低于对照组,中医次要症状评分(胁肋胀满、乏力、纳差)低于对照组,中医证候总积分低于对照组,差异有统计学意义(P<0.05)。治疗组IBS-SSS的评分为(148.26±49.57)分,低于对照组的(178.10±60.26)分,差异有统计学意义(t=2.478,P=0.015)。结论中西医结合治疗肝郁脾虚型腹泻型肠易激综合征在临床症状改善方面有一定优势。
Objective To analyze the clinical efficacy of combining traditional Chinese and western medicine in the treatment of diarrhea type irritable bowel syndrome with liver depression and spleen deficiency.Methods A total of 85 patients with diarrhea-predominant irritable bowel syndrome of liver stagnation and spleen deficiency type admitted to Jinhu County Hospital of Traditional Chinese Medicine from August 2019 to December 2020 were selected as the research objects.They were divided into two groups by random number table method.The control group(42 cases)was treated with Bacillus coagulans,and the treatment group(43 cases)was treated with Bacillus coagulans combined with traditional Chinese medicine.The course of treatment was two weeks.The TCM symptom scores and irritable bowel syndrome-symptom severity scale(IBS-SSS)were compared between the two groups.Results After treatment,the main symptom scores of traditional Chinese medicine(abdominal pain,number of diarrhea,stool characteristics)in the treatment group were lower than those in the control group,and the secondary symptom scores of traditional Chinese medicine(rib fullness,fatigue,and poor appetite)were lower than those in the control group.The total score of traditional Chinese medicine syndromes was lower than that in the control group,and the differences were statistically significant(P<0.05).The IBS-SSS score in the treatment group was(148.26±49.57)points,lower than the control group's(178.10±60.26)points,and the difference was statistically significant(t=2.478,P=0.015).Conclusion The combination of traditional Chinese and western medicine in the treatment of liver-stagnation and spleen-deficiency diarrhea-predominant irritable bowel syndrome has certain advantages in the improvement of clinical symptoms.
作者
祖宝宏
ZU Baohong(Department of Gastroenterology,Jinhu County Hospital of Traditional Chinese Medicine,Jinhu,Jiangsu Province,211600 China)
出处
《世界复合医学》
2023年第9期99-102,共4页
World Journal of Complex Medicine
关键词
中西医结合
腹泻型肠易激综合征
肠易激综合征
Integration of traditional Chinese and Western medicine
Diarrhea-predominant irritable bowel syndrome
