黄术灌肠液结合大肠水疗治疗老年性便秘疗效探讨

Observation on the Therapeutic Efficacies of Senile Constipation with Enema of TCM and Colon Hydropathy

目的:探讨中药自组方剂(黄术灌肠液)结合大肠水疗对老年性便秘的治疗效果。方法:96例老年性便秘患者随机分为治疗组52例及对照组44例。治疗组采用黄术灌肠液(主要成分为黄芪、大黄、黄芩、黄连、白术)保留灌肠结合大肠水疗;对照组采用口服聚乙二醇(福松)20g,每日2次,20d为1个疗程。结果:近期疗效,两组有效率比较,治疗组92.3%,对照组56.8%,差异显著(P<0.01);远期疗效:两组复发率比较,治疗组12.5%,对照组60%,差异显著(P<0.01)。结论:中药自组方剂(黄术灌肠液)结合大肠水疗治疗老年性便秘疗效确切,大肠水疗明显改善肠蠕动功能,促进排便,中药灌肠药物直接到达病灶处,疗效更佳。

Objective：To observe the therapeutic efficacies of senile constipation with enema of traditional chinese medicine（TCM） and colon hydropathy.Methods：A total of 96 the patients were randomly divided into treating group（n=52）and control group（n=44）.52 cases were treated with enema of TCM（composed of Huang-qi,Da-huang,Huang-qin,Huang-lian,Bai-zhu）after colon hydropathy,44 cases took orally medicine tablets polyethyleneglycol.Results：The effective rate of treating group was 92.3% and control group was 56.8%,treating group was significant efficacy than that of control group（P〈0.01）.The relapse rate of treating group was 12.5% and control group was 60%,treating group was significant different than that of control group（P〈0.01）.Conclusion：The efficacy of enema of traditional chinese medicine and colon hydropathy are definite for treating senile constipation.The colon hydropathy can promoted intestines peristalsis and eliminated soil.The clyster treatment with herbal medicine decoction can work on the focus directly and has better curative effect.