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食疗联合加减黄芪汤治疗老年功能性便秘的疗效分析
廖颖婴1, 陈浩洋1, 李伟林1, 魏志军1, 张朝斌1, 张悦1, 黄志芳2, 张婧茹2, 李静林1
1.深圳市中医院肛肠科, 深圳 518033;2.广州中医药大学第四临床医学院, 深圳 518033
摘要:
[目的]探讨食疗联合中药加减黄芪汤治疗老年功能性便秘的临床疗效。[方法]选取深圳市中医院2015年4月—2017年8月收治的92例老年功能性便秘(FC)患者作为研究对象,并根据随机数字表法分为观察组、对照组各46例。对照组给予加减黄芪汤治疗,观察组在对照组基础上联合食疗方法,比较两组患者疗效及治疗前后便秘相关临床症状及生活质量量表(PAC-QOL)评分。[结果]观察组的治疗总有效率为91.30%,明显高于对照组的76.09%(P<0.05);治疗后两组患者排便频率及排便时间、粪便性状、腹胀、排便困难评分和PAC-QOL评分均低于治疗前(P<0.05),且观察组排便频率及排便时间、粪便性状、腹胀、排便困难评分和PAL-QOL量表心各维度评分较对照组改善明显(P<0.05)。[结论]食疗联合加减黄芪汤治疗老年FC患者临床疗效显著,可有效的改善便秘临床症状,提高患者生活质量。
关键词:  食疗  加减黄芪汤  老年功能性便秘  临床疗效
DOI:10.11656/j.issn.1672-1519.2019.02.14
分类号:
基金项目:深圳市科技计划项目(JCYJ20160428175517213)。
Therapeutic effect of food therapy combined with Jiajian Huangqi Decoction on senile functional constipation
LIAO Yingying1, CHEN Haoyang1, LI Weilin1, WEI Zhijun1, ZHANG Chaobin1, ZHANG Yue1, HUANG Zhifang2, ZHANG Jingru2, LI Jinglin1
1.Department of Anorectal, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518033, China;2.The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen 518033, China
Abstract:
[Objective] To investigate the therapeutic effect of food therapy combined with traditional Chinese medicine of Jianian Huangqi Decoction on senile functional constipation (FC).[Methods] The 92 elderly FC patients admitted to Shenzhen Traditional Chinese Medicine Hospital from April 2015 to August 2017 were selected, and were divided into observation group and control group according to random number table (46 cases in each group). The control group was treated with Jiajian Huangqi Decoction, and based on this, the observation group received food therapy. The curative effect, constipation-related clinical symptoms and PCA-QOL scores before and after treatment were compared between two groups.[Results] The total effective rate of observation group was significantly higher than that of control group (91.30% vs 76.09%, P<0.05). In the two groups after treatment in patients with defecation frequency and time defecate, excrement character, abdominal distension and difficult defecation score and PAC-QOL scores are lower than before treatment (P<0.05), and the observation group of defecation frequency and defecation time, excrement character, abdominal distension and difficult defecation score and PAC-QOL score than the control group improved significantly (P<0.05).[Conclusion] The food therapy combined with Jiajian Huangqi Decoction is an effective treatment method to ameliorate the constipation-related clinical symptoms and improve the quality of life for senile FC.
Key words:  food therapy  Jiajian Huangqi Decoction  senile functional constipation  clinical effect
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