白术附子汤联合穴位注射治疗阳虚型老年性功能性便秘42例临床观察

Clinical observation of Baizhu Fuzi Decoction joint acupoint injection with Astragalus Injection in the treatment of 42 cases with Yang Type senile functional constipation

目的探讨白术附子汤联合黄芪注射液穴位注射治疗阳虚型老年性功能性便秘病的临床疗效。方法我院收治的84例阳虚型老年性功能性便秘病患者随机分为两组:治疗组(42例),服用白术附子汤,并隔日在双侧大肠俞或足三里穴行1次黄芪注射液穴位注射治疗;对照组(42例)口服果导片每次0.1 g,每日2次,疗程均为4周,治疗后随访12个月,对两组总有效率,短、长期疗效等指标进行比较。结果经过4周的治疗,治疗组总有效率为92.9%,对照组总有效率为83.3%,差异有统计学意义(P<0.01);治疗组的复发率亦明显低于对照组,差异有统计学意义(P<0.05)。结论白术附子汤联合黄芪注射液穴位注射治疗阳虚型老年性功能性便秘病具有良好疗效。

Objective To evaluate the efficacy of Baizhu Fuzi Decoction joint acupoint injection with Astragalus Injection in the treatment of Yang Type senile functional constipation. Methods 42 cases with Yang Type senile functional constipation in our hospital were selected and divided into 2 groups,the treatment group（42 eases） was treated by Baizhu Fuzi Decoction,and the next day in bilateral Dachangyu or Zusanli were given once astragalus acupoint injection treatment;the control group（42 cases）,oral phenolphthalein tablet,each 0.1 g, 2 times a day for 4 weeks,followed up for 12 months after treatment,compared the the total effective rate,short and long-term efficacy and other metrics of the two groups. Results After 4 weeks of treatment,the total effective rate of the treatment group was 92.9%,in the control group, the total effective rate was 83.3%,the difference was statistically significant （P 〈 0.01 ） ;recurrence rate of the treatment group was significantly lower than the control group, the difference was significant （ P 〈 0.05 ）. Conclusions It has good efficacy of Baizhu Fuel Decoction joint acupoint injection with Astragalus Injection in the treatment of Yang Type senile functional constipation.