健脾温肾法治疗老年功能性便秘的临床观察

Clinical Observation on Treatment of Elderly Functional Constipation with Jianpi Wenshen Method

目的观察健脾温肾法治疗老年功能性便秘的临床疗效。方法选取2017年6月～2018年6月在我院治疗的70例老年功能性便秘患者为研究对象,随机分为治疗组和观察组,各35例,观察组给予中药健脾温肾治疗,对照组给予通便灵口服治疗,观察两组临床治疗总有效率、症状(粪便干结、排便时间、排便间隔)评分情况。结果对照组总有效率为82.80%,低于观察组的91.40%,差异有统计学意义(P<0.05);治疗后,观察组粪便干结(0.46±0.31)分、排便时间(0.88±0.39)分、排便间隔(0.45±0.19)分和对照组粪便干结(0.71±0.31)分、排便时间(0.72±0.35)分、排便间隔(1.46±0.29)分评分较治疗前均降低,差异有统计学意义(P<0.05),且观察组改善优于对照组,差异具有统计学意义(P<0.05)。结论健脾温肾法治疗老年功能性便秘安全有效,能够有效的缓解老年脾肾阳虚型功能性便秘患者的排便困难症状。

Objective To observe the clinical efficacy of Jianpi Wenshen method in the treatment of functional constipation in theelderly.Methods 70 elderly patients with functional constipation who were treated in our hospital from June 2017 to June 2018 wererandomly divided into treatment group and observation group,35 cases each.The treatment group was treated with TCM forstrengthening the spleen and warming the kidney,and the control group was given the oral treatment with Tongbianling.The totaleffective rate and symptoms （fecal dryness,defecation time,and defecation interval）of the two groups were observed.Results The totaleffective rate of the control group was 82.80%,which was lower than that of the treatment group 91.40%,the difference was statisticallysignificant（ P〈0.05）.After treatment,the dry stool scove of the observation group was（0.46±0.31）points and defecation time was（0.88±0.39）points,the interval between defecation interval was （0.45±0.19）points and in the control group,the scores of stool dryness was（0.71±0.31）points,defecation time was （0.72±0.35）points,and defecation interval was （1.46±0.29）points were lower than those beforetreatment,the difference was statistically significant（ P〈0.05）.The improvement of the observation group was better than that of thecontrol group,the difference was statistically significant（ P〈0.05）. Conclusion Jianpi Wenshen method is safe and effective in thetreatment of functional constipation in the elderly,and can effectively alleviate the symptoms of defecation in elderly patients withfunctional constipation of spleen kidney yang deficiency type.