加味枳术丸配合腹部拔罐穴贴治疗慢传输型便秘

毛湄，周晓平

(广州医学院荔湾医院，广州 510170)

摘要:目的观察“加味枳术丸配合腹部拔罐穴贴法”治疗慢传输型便秘的临床疗效。方法将60例慢传输型便秘患者随机分成中医治疗组30例和西药对照组30例，治疗组采用“加味枳术丸配合腹部拔罐穴贴”治疗,西药对照组采用乳果糖口服液治疗；2周为1疗程。采用便秘患者临床评分系统在1个疗程治疗前后进行评分，观察患者症状及体征的缓解情况。结果中医治疗组总有效率为86.7%,优于西药对照组的70.0%(P<0.05)。2组便秘患者临床评分系统(CCS评分)与同组治疗前相比均有明显降低(P<0.05),但中医治疗组降低的更加明显(P<0.05)，表明2组治疗均有效果，但加味枳术丸配合腹部拔罐穴贴治疗能缓解便秘症状。结论“加味枳术丸配合腹部拔罐穴贴法”治疗慢传输型便秘临床疗效显著。

关键词：慢传输型便秘;加味枳术丸;拔罐;穴位贴敷;乳果糖口服液

DOI:10.13463/j.cnki.jlzyy.2015.04.017

中图分类号：R256.35文献标志码： A

文章编号：1003-5699(2015)04-0370-04

基金项目:广州市医药卫生科技项目(20142A011026)。

作者简介:毛湄(1982-)，女，硕士研究生，主治医师，主要从事中药内服配合中医外治法治疗内科疾病疾病。

Effect of Jiawei Zhizhuwan,cupping and acupoint application therapy for slow transit constipation

MAO Mei,ZHOU Xiaoping

(Liwan Hospital of Guangzhou Medical College,Guangzhou 510170,China)

Abstract:ObjectiveTo observe the clinical effect of “Jiawei Zhizhuwan,cupping and acupoint application” in the treatment of slow transit constipation.MethodsThe 60 cases of slow transit constipation patients were randomly divided into the TCM treatment group (30 cases,with Jiawei Zhizhuwan,cupping and acupoint application),and the drug group (30 cases,with oral lactulose).It’s 2 weeks a course.We record the level and clinic score before and after a course of treatment,and observe the remission of symptoms and signs.ResultsThe total effective rate in the TCM treatment group was 86.7%,better than in the drug group 70.0% (P<0.05).In the 2 groups the score was improved after the treatment(P<0.05).The “Jiawei Zhizhuwan，cupping and acupoint application” group compared with the drug group (P<0.05).The long-term clinical efficacy and safety of the TCM treatment group was better than the drug group.ConclusionsIt was effective to use “Jiawei Zhizhuwan,cupping and acupoint application” for slow transit constipation.It can guide the clinical treatment of slow transit constipation.

Keywords:slow transit constipation;Jiawei Zhizhuwan;cupping;acupoint application;Oral Lactulose

慢传输型便秘(slow transit constipation，STC)是一种以结肠通过时间延长和结肠动力下降为特征的顽固型便秘，是功能性便秘(functional constipation，FC)中常见的一种类型。功能性便秘在我国的发病率为10%～15%,而慢传输型便秘占其中的45.5%[1]。随着现代生活节奏的加快，慢传输型便秘的发病率逐年增高，便秘症状的反复出现，严重影响了患者的生活及工作，进而产生心理负担及睡眠障碍，极大的降低了生活质量。笔者于2008年起采用加味枳术丸内服，配合腹部拔罐及穴位中药贴敷治疗慢传输型便秘，取得较好疗效，现报道如下。

1临床资料

1.1一般资料观察病例均为2014年1月—6月广州医学院荔湾医院中医科门诊患者，均符合慢传输型便秘的诊断，共60例，按随机数字表法随机分为中医治疗组和西药对照组各30例,观察期间无脱落及剔除病例。……