补脾益肠联合肠泰合剂经结肠途径治疗腹泻型肠易激综合征对照观察

Bupiyichang Combined Intestinal Thai Mixture by Colon Treating Diarrhea Type Irritable Bowel Syndrome Controlled Observation

[目的]观察补脾益肠联合肠泰合剂经结肠途径治疗腹泻型肠易激综合征的临床疗效。[方法]将80例患者分为治疗组和对照组。对照组40例口服匹维溴铵片,每次50mg,3次/d。腹痛明显者口服颠茄每次10～20mg,3次/d;腹泻严重者加洛哌丁胺(易蒙停),每次2～4mg,最多4次/d。治疗组40例口服补脾益肠汤(药用党参、砂仁、白芍、柴胡等),1剂/d,并给予肠泰合剂灌肠,隔日1次,连续用10次。两组均治疗4周后判定疗效。[结果]两组患者治疗后主要症状积分均较治疗前降低,治疗组优于对照组(P<0.01);治疗组总有效率92.50%,对照组总有效率75.00%,治疗组优于对照组(P<0.05)。[结论]补脾益肠联合肠泰合剂经结肠途径治疗腹泻型肠易激综合征有较好的临床疗效。

[Objective]To observe Bupiyichang combined intestinal Thai mixture by colon treating diarrhea type irritable bowel syndrome.[Methods]80 cases were divided into treatment group and control group.40 cases of the control group oral pinaverium bromide tablets each time,3 times 50mg,/d.Abdominal pain was oral belladonna every time 10 ～ 20mg,3 /d;diarrhea severe Gallo loperamide(imodium),every time 2 ～ 4mg,up to a maximum of 4 times /d.The treatment group of 40 cases of oral Bupiyichang Decoction(Radix Codonopsis,Radix Paeoniae Alba,Radix Bupleuri,Amomum villosum,etc.),1 doses of /d,,and give the intestines peaceful mixture enema,tertian 1,continuous use of 10 times.Two groups were treated for 4 weeks after the curative effect.[Results]Two group patients after major symptom scores were lower than those before therapy,the treatment group than in control group(P< 0.01);total effective rate of treatment group and control group 92.50%,the total efficiency of 75.00%,in treatment group than in control group(P< 0.05)[.Conclusion] Bupiyichang combined intestinal Thai mixture by colon treating diarrhea type irritable bowel syndrome has better clinical curative effect.