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目的:观察和胃健脾,清热祛湿法联合西药对湿热型顽固性便秘患者症候积分、生活质量的影响。方法:选取我院2014年3月至2016年3月湿热型顽固性便秘患者68例,所有患者按照就诊顺序进行编号,采用随机数字表法分为观察组与对照组两组,每组34例,给予对照组患者西药治疗,给予观察组患者和胃健脾、清热祛湿法联合西药治疗,比较两组患者临床治疗总有效率,比较两组患者治疗前后中医症候积分以及生活质量评分。结果:观察组患者临床治疗总有效率为91.18%较对照组67.65%显著较高(P<0.05);治疗后观察组各项中医症候积分及总积分较对照组均显著较低(P<0.05);观察组各项生活质量评分较对照组均显著较高(P<0.05)。结论:和胃健脾、清热祛湿法联合西药治疗湿热型顽固性便秘疗效显著,患者临床症状得到显著改善,肠道菌落恢复平衡,生活质量得到提高,值得临床应用推广。
Objective: To observe and stomach spleen, heat dampness combined with western medicine on damp-heat patients with refractory constipation symptom scores, quality of life. Methods: From March 2014 to March 2016, 68 patients with damp-heat stubborn constipation were selected in our hospital. All patients were numbered according to the order of treatment. The patients were divided into observation group and control group by random number table method, with 34 cases in each group . The patients in the control group were treated with western medicine. The patients in the observation group and stomach spleen were treated with the method of clearing away heat and dampness combined with western medicine. The total effective rate of the two groups was compared. The TCM symptom scores and quality of life scores were compared between the two groups before and after treatment. Results: The total effective rate of clinical treatment in observation group was 91.18%, which was significantly higher than 67.65% in control group (P <0.05). After treatment, the TCM symptom score and total score in observation group were significantly lower than those in control group (P <0.05 ). The scores of quality of life in the observation group were significantly higher than those in the control group (P <0.05). Conclusion: The treatment of damp-heat stubborn constipation with spleen-invigorating the stomach and invigorating the spleen, removing heat and dampness combined with western medicine has significant curative effect. The clinical symptoms of the patients are remarkably improved, the intestinal colonies are recovered and the quality of life is improved, which is worthy of clinical application.