健脾滋肾法治疗中老年功能性便秘43例

Strengthening the Spleen and Nourishing the Kidney Method in Treating Middle-aged and Elderly Functional Constipation for 43 Cases

目的观察健脾滋肾法治疗中老年功能性便秘的临床疗效。方法85例患者随机分为对照组(42例)和治疗组(43例)。对照组给予乳果糖口服液,治疗组给予健脾滋肾方。连用4周,比较2组治疗前后临床疗效、症状评分,并评价远期疗效及安全性。结果治疗组总有效率明显高于对照组(P<0.05)。治疗后,2组症状积分均较治疗前降低(P<0.05),治疗组降低程度大于对照组(P<0.05);2组均未发现严重不良反应。停药1个月后,对照组症状评分与治疗前比较,P>0.05;治疗组则仍低于治疗前,P<0.05。停药后治疗组的症状评分明显低于对照组,P<0.05。结论健脾滋肾法治疗中老年功能性便秘,能减轻患者症状,临床疗效确切,且不易复发。

Objective To observe the clinical effect of strengthening the spleen and nourishing the kidney method in treating functional constipation in middle-aged and elderly people.Methods Eighty-five patients were randomly divided into control group of 42 cases was treated by Lactulose oral liquid and treatment group of 43 cases was treated with self-made strengthening the spleen and nourishing the kidney prescription.After continuous use for 4 weeks,the clinical efficacy and symptom scores of the two groups were compared before and after treatment,and the long-term efficacy and safety were evaluated.Results The total effective rate of treatment group was significantly higher than that of control group(P<0.05).After treatment,symptom scores in both groups were lower than before treatment(P<0.05),and the reduction degree in treatment group was greater than that in control group(P<0.05).No serious adverse reactions were found in both groups.After 1 month,symptom score of control group was compared with that before treatment(P>0.05).The treatment group was still lower than that before treatment(P<0.05).The symptom score of the treatment group was significantly lower than that of the control group(P<0.05).Conclusion The strengthening the spleen and nourishing the kidney method in treating functional constipation in middle-aged and elderly people can reduce the symptoms of patients,has exact clinical effect,and it is not easy to relapse.