| 摘要: |
| 目的：观察补气润肠汤联合腹针治疗气虚型慢性便秘的临床疗效。方法：将90例气虚型慢性便秘患者随机分为治疗组和对照组，每组各45例。对照组予以腹针治疗，治疗组在对照组基础上加用补气润肠汤口服治疗，2组疗程均为3周。观察2组治疗前后中医证候积分、排便频率、粪便性状、排便困难过度用力评分、肠鸣音次数、不良反应发生情况，并评价临床疗效。结果：总有效率治疗组为84.44%（38/45），对照组为62.22%（28/45），2组比较，差异有统计学意义（P<0.05）；2组患者中医证候积分、排便频率、粪便性状、排便困难过度用力评分、肠鸣音次数治疗前后组内比较及治疗后组间比较，差异均有统计学意义（P<0.05）；不良反应发生率治疗组与对照组均为2.22%（1/45），差异无统计学意义（P>0.05）。结论：补气润肠汤联合腹针疗法能改善气虚型慢性便秘患者的气虚证候及排便相关症状，且安全性良好，可显著提升患者的生活质量。 |
| 关键词: 慢性便秘 气虚型 补气润肠汤 腹针 中医证候积分 排便频率 粪便性状 肠鸣音次数 |
| DOI： |
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| Clinical effect of Buqi Runchang decoction combined with abdominal acupuncture in treatment of chronic constipation with Qi deficiency: An analysis of 45 cases |
| CAI Ge,ZENG Songlin,YANG Liu,TANG Zihua |
| (Changping Maternal and Child Health Hospital, Beijing 102200, China;Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Changsha 410006, Hunan, China;Nankou Hospital of Changping District, Beijing 102200, China) |
| Abstract: |
| Objective: To investigate the clinical effect of Buqi Runchang decoction combined with abdominal acupuncture in the treatment of chronic constipation with Qi deficiency. Methods: A total of 90 patients with chronic constipation with Qi deficiency were randomly divided into treatment group and control group, with 45 patients in each group. The patients in the control group were given abdominal acupuncture （three times a week）, while those in the treatment group were given oral administration of Buqi Runchang decoction （one dose a day） in addition to the treatment in the control group, and the course of treatment was 3 weeks for both groups. The two groups were observed in terms of traditional Chinese medicine （TCM） syndrome score, defecation frequency, stool form, score for straining during defecation, number of bowel sound, and adverse reactions, and clinical outcome was assessed for both groups. Results: There was a significant difference in overall response rate between the treatment group and the control group ［84.44% （38/45） vs. 62.22% （28/45）, P < 0.05］. After treatment, both groups had significant changes in TCM syndrome score, defecation frequency, stool form, score for straining during defecation, and number of bowel sound, and there were significant differences in these indicators between the two groups after treatment （P < 0.05）. The incidence rate of adverse reactions was 2.22% （1/45） for both groups, with no significant difference between the two groups （P > 0.05）. Conclusion: Buqi Runchang decoction combined with abdominal acupuncture can improve the syndrome of Qi deficiency and defecation-related symptoms in patients with chronic constipation with Qi deficiency, with a favorable safety profile, and it can also significantly improve the quality of life of such patients. |
| Key words: chronic constipation Qi deficiency Buqi Runchang decoction abdominal acupuncture traditional Chinese medicine syndrome score defecation frequency stool form number of bowel sound |
