瓜蒌通便汤口服联合脐疗治疗气秘30例疗效观察

Oral Administration of Gualoutongbian Tang Combined with Umbilical Therapy in the Treatment of Qi-constipation:Effect Observation on 30 Cases

为观察瓜蒌通便汤口服联合脐疗治疗气秘的临床疗效和安全性。将60例气秘患者按随机数字表法分为治疗组和对照组,每组各30例。治疗组应用瓜蒌通便汤口服联合脐疗治疗,对照组应用四磨汤联合益生菌口服治疗,治疗周期为28d。治疗结束后,比较治疗前后患者便秘症状评分(排便间隔时间、排便时间、大便性状、排便难度、便意),首次排便时间,3个月及半年后便秘症状评分。结果显示,治疗组在排便间隔时间、排便时间、大便性状、排便难度、便意评分均低于对照组,差异有统计学意义(P <0.05);治疗组首次排便时间短于对照组,差异有统计学意义(P <0.05);治疗后3个月及半年,2组便秘症状评分比较,治疗组优于对照组,差异有统计学意义(P <0.05)。结果表明,瓜蒌通便汤口服联合脐疗治疗气秘,能明显改善便秘症状及胃肠道功能,值得临床应用及进一步研究。

This study was to observe the clinical effect and safety of oral administration of Gualou Tongbian Tang (a TCM formula, shortly named:Tang) plus umbilical therapy for treating qi-constipation, randomly divided 60 cases into treatment group (30 cases, adopted above combined therapy) and control one (30 cases, oral Simo Tang plus probiotics), after treatment of 28 days (a medical cycle) compared both groups' following indexes such as the score on constipation symptoms (defecation interval time, defecation lasting time, faeces characters, dyschesia degree, and awareness for defecation) between before and after treatment, the time for first-time defecation, and the score on constipation symptoms at 3, 6 months after treatment.As results, the former was all lower than the latter in all above constipation symptoms' score, there was statistical difference between them (P <0.05), and in the time for first-time defecation also shorter than the latter, there was statistical difference between them (P <0.05);as for the score on constipation symptoms at 3, 6 months after treatment the former was superior to the latter, there was statistical difference between them (P <0.05).Results show that Tang plus umbilical therapy for constipation can improve constipation symptoms and gastroenterological function.It is worthy of clinical application and further study.