处方式登山运动治疗肠易激综合征疗效观察

Curative effect observation on prescriptive mountaineering for irritable bowel syndrome

目的观察处方式登山运动对肠易激综合征(IBS)的疗效。方法将73例IBS患者按性别、IBS分型随机分为两组,实验组37例,按运动处方进行有组织的登山活动;对照组36例,单纯使用马来酸曲美布汀进行开放式治疗,两组疗程均为6周,并禁止使用其他中西医治疗手段或干预措施;实验结束后对两组实验结果进行统计学对比。结果实验结束后,实验组的症状积分由4.70±1.12下降为1.42±1.03,下降明显(t=5.12>t0.01(31),P<0.01),对照组的症状积分由4.75±1.23下降为1.61±1.07,差异有高度统计学意义(t=4.22>t0.01(27),P<0.01),但实验后组间积分对比差异无统计学意义(t=0.82<t0.05(59),P>0.05);实验组和对照组的腹痛、腹胀、腹泻3种症状的改善率差异无统计学意义(P>0.05),但实验组便秘的改善率高于对照组(P<0.05);实验组和对照组的总有效率分别为:75.76%、71.43%,两组对比差异无统计学意义(P>0.05)。结论登山运动对IBS病情具有改善作用。

Objective To observe the curative effect of prescriptive mountaineering to irritable bowel syndrome（IBS）.Methods 73 IBS patients were randomly divided into two groups by sex and type;37 cases of the experimental group were carried out organized mountaineering by exercise prescription,while 36 cases of the control group were carried out open treatment simply with Trimebutine Maleate,the treatment course of two groups was 6 weeks and prohibited to use other Chinese and Western medicine treatments or interventions.After the experiment was over,the experimental results of the two groups were statistically compared. Results After the experiment,the symptom score of the experimental group dropped from 4.70±1.12 to 1.42±1.03,the decrease was significant（t=5.12t 0.01（31） , P0.01）,the symptom score of the control group dropped from 4.75 ±1.23 to 1.61 ±1.07,the difference was of high statistical significance（t=4.22t 0. 01 （27） ,P0.01）.But after the experiment,the contrast difference of score comparison between the two groups was not of statistical significance（t =0.82 t 0. 05 （59） ,P0.05）.The improvement rate difference of 3 symptoms in terms of stomachache,abdominal distension and diarrhea between the experimental group and the control group was not of statistical significance （ P 0.05）, however,the improvement rate of constipation in the experimental group was higher than the control group （ P 0.05）.Total efficiency rates of the experimental group and the control group were respectively 75.76% and 71.43% ,the difference between the two groups was not of statistical significance（P0.05）.Conclusion Mountaineering can improve irritable bowel syndrome symptoms.