马兆哲,于永铎
MA Zhaozhe,YU Yongduo

• 1:辽宁中医药大学附属第三医院

摘要(Abstract)：

目的:观察生物反馈联合针刺加化瘀通便汤治疗盆底失弛缓型便秘的临床疗效。方法:97例盆底失弛缓型便秘的患者随机分为生物反馈组(n=34,采用生物反馈治疗)、针灸方剂治疗组(n=32,针灸联合化瘀通便汤治疗)及中西医结合组(n=31,采用生物反馈联合针灸及化瘀通便汤治疗),15 d为1疗程;记录治疗结束时和半年后患者的治疗效果,比较治疗前和治疗结束时3组患者的便秘评分。结果:治疗结束时,中西医结合组患者的总有效率高于生物反馈组和针灸方剂治疗组(P<0.05);治疗后6个月时,3组患者治疗总有效率均有降低,中西医结合组总有效率仍高于针灸方剂治疗组和生物反馈组(P<0.05);治疗结束时,3组患者便秘评分低于治疗前,中西医结合组评分明显低于生物反馈组和针灸方剂治疗组(P<0.05)。结论:中西医结合治疗盆底失弛缓型便秘的疗效好于生物反馈治疗和针灸方剂治疗。
Objective:To investigate the clinical efficacy of combining traditional Chinese medicine and western medicine on pelvic achalasia constipation. Methods:97 patients with pelvic achalasia constipation were divided into biofeedback group( n = 34,biofeedback therapy),acupuncture treatment group( n = 32,acupuncture combining with Huayu Tongbian Decoction) and combined therapy group( n = 31,biofeedback combining Huayu Tongbian Decoction therapy). 15 days as a therapy treatment. Recording efficacy after treatment and half year later of all groups,comparing constipation score of three groups before and after treatment. Results:By the end of treatment,overall response rate( ORR) of combined therapy group was higher than the other two groups( P < 0. 05); half year after treatment,ORR of three groups decreased,ORR of combined therapy group was still higher than the other two groups( P < 0. 05); by the end of the treatment,constipation score of three groups were lower than before treatment,combined therapy group was obviously lower than the other two groups( P< 0. 05). Conclusion:Combined therapy is more effective for treating pelvic achalasia constipation.

关键词(KeyWords)： 便秘,盆底失弛缓型;生物反馈;中医疗法;中西医结合;临床疗效
constipation,pelvic achalasia;biological feedback;traditional Chinese medicine;combination of traditional Chinese medicine and western medicine;clinical efficiency

Abstract:

Keywords:

基金项目(Foundation): 辽宁省科技厅省自然基金项目(201602502)

作者(Author): 马兆哲,于永铎
MA Zhaozhe,YU Yongduo

DOI: 10.19367/j.cnki.1000-2707.2017.03.021

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