分析消化内科患者的肠易激综合征的发病原因以及临床治疗对策

Analysis of the Causes of Irritable Bowel Syndrome in Patients with Diges-tive Internal Medicine and its Clinical Treatment

目的分析肠易激综合征患者的发病原因,观察综合疗法的临床应用价值。方法方便选取2010年4月—2014年3月入住该院消化内科的肠易激综合征患者260例,按随机数字表法将其分成实验组130例,对照组130例,对照组患者应用培菲康、莫沙必利治疗,实验组在对照组基础上应用黛力新治疗,并给予心理安慰及运动指导,比较两组治疗效果。结果治疗后实验组症状程度评分、症状频率评分、肠易激综合征治疗有效率分别为(1.53±0.42)分、(1.42±0.52)分、96.2%,均优于对照组的(2.86±0.51)分、(2.75±0.55)分、84.6%,组间差异具有统计学意义(P<0.05)。结论心理、分泌功能异常、肠道功能异常均是肠易激综合征的相关因素,综合疗法在肠易激综合征患者中具有较高的应用价值,值得在临床应用、推广。

Objective To analyze the causes of the patients with irritable bowel syndrome, and to observe the clinical application value of the comprehensive therapy. Methods Convenient select April 2010 to March 2014 admitted in our hospital,Department of Gastroenterology, the intestinal irritable bowel syndrome patients 260 cases, divided into experimental group（130 cases） according to the random number table method, control group（130 cases）, control group were treated with probiotic Kang, mosapride treatment, experimental group in the control group on the basis of the application of Deanxit in the treatment of and give psychological comfort and exercise instruction, compared two groups of therapeutic effect. Results After treatment the symptom scores and the frequency of symptoms score, irritable bowel syndrome treatment efficiency respectively（1.53±0.42）points,（1.42±0.52）points, 96.2% were better than those of the control group（2.86±0.51）points,（2.75±0.55）points and 84.6%, the difference between the two groups is significant（P 0.05）. Conclusion Psychological, endocrine dysfunction, intestinal function abnormalities are related factors of syndrome of irritable bowel syndrome, comprehensive therapy in irritable bowel syndrome patients with high application value, it is worth in clinical application and promotion.