加减黄芪汤联合耳穴贴压治疗便秘的临床疗效

Clinical effect of the Huangqi decoction plus auricular point sticking pressure on constipation

目的:探究加减黄芪汤联合耳穴贴压治疗气虚失运型便秘中临床效果及对血清胃肠激素水平的影响。方法:选取2019年6月-2020年6月收治的气虚失运型便秘患者72例,采用随机数字表法分为两组各36例。对照组服用乳果糖口服液,研究组采用加减黄芪汤联合耳穴贴压治疗。对比两组临床疗效、治疗前后中医证候积分、胃肠激素水平(血清胃泌素、胃动素及血管活性肠肽)及复发率。结果:研究组治疗总有效率显著高于对照组,差异有统计学意义(P<0.05);研究组治疗后中医证候积分低于对照组(P<0.05);研究组胃泌素、胃动素及活性肠肽水平均高于对照组,差异有统计学意义(P<0.05);研究组复发率低于对照组,差异有统计学意义(P<0.05)。结论:对气虚失运型便秘患者采用黄芪汤加减联合耳穴贴压治疗可获得确切的临床效果,能够有效改善各个中医证候,调节胃肠激素水平,降低疾病复发率,促进预后恢复,值得推广应用。

Objective:To explore the clinical effect of the Huangqi decoction(黄芪汤)plus auricular point sticking pressure on constipation of the Qi(气)deficiency and dysfunction type and its influence on serum gastrointestinal hormone levels.Methods:A total of 72 cases from June 2019 to June 2020 were selected and divided into two groups by the random number table method,with 36 cases in each group.The control group took lactulose oral liquid,and the study group was treated with the Huangqi decoction plus auricular point sticking pressure.Results:The total efficiency in the study group was higher than the control group,and the difference was statistically significant(P<0.05).The TCM syndrome score in the study group after treatment was significant lower than the control group(P<0.05).The gastrin,motilin,and vasoactive intestinal peptide levels in the study group were higher than the control group(P<0.05).The recurrence rate in the study group was lower than the control group,and P<0.05.Conclusion:The Huangqi decoction plus auricular point sticking pressure on constipation of the Qi deficiency and dysfunction type can obtain definite clinical effects,effectively ameliorate various TCM syndromes,regulate gastrointestinal hormone levels,reduce disease recurrence rate,and promote the recovery.It is worthy of promotion and application.