理气通便汤治疗混合痔术后肠道气滞型便秘临床研究

Clinical study of Liqi Tongbian decoction in the treatment of intestinal Qi stagnation constipation after mixed hemorrhoids

目的:研究理气通便汤治疗混合痔术后肠道气滞型便秘的临床疗效。方法:选择肠道气滞证便秘患者81例,按照数字随机分为对照组与观察组,对照组患者在常规治疗方案中加用果乳糖口服液口服,观察组患者给予理气通便汤口服。观察两组治疗前后各症状积分,评价两组临床疗效及用药安全性。结果:两组患者治疗后排便间隔时间、粪便形状、排便费力情况等主要症状以及腹胀等次证较治疗前明显改善,经比较差异具有统计学意义(P<0.05),治疗后观察组患者症状积分明显低于对照组,经比较差异具有统计学意义(P<0.05)。观察组患者总有效率为95.12%,对照组总有效率为82.5%,经比较差异具有统计学意义(P<0.05)。两组患者均用药安全可靠,无不良反应发生。结论:理气通便汤对于混合痔术后患者便秘疗效确切,用药安全。

Objective：to study the clinical effect of Liqi Tongbian decoction on intestinal qi stagnation constipation after operation of mixed hemorrhoids.Methods：81 patients with intestinal qi stagnation constipation were randomly divided into control group and observation group.The symptom scores before and after treatment were observed.To evaluate the clinical efficacy and safety of the two groups.Results：the main symptoms such as defecation interval,stool shape,defecation effort and abdominal distension were compared between the two groups.The scores of symptoms in the observation group were significantly lower than those in the control group（P〈0.05）,and the difference was statistically significant（P〈0.05）.The total effective rate of the observation group was 95.12% and the total effective rate of the treatment group was 82.5%.The difference was statistically significant（P〈0.05）.Both groups of patients were safe and reliable,no adverse reactions occurred.Conclusion：Liqi Tongbian decoction is effective and safe for patients with constipation after operation of mixed hemorrhoids.