目的 探讨济川煎联合艾灸治疗脾肾阳虚型老年功能性便秘的临床疗效.方法 采取对照研究方法对90例脾肾阳虚型老年功能性便秘患者进行观察.其中对照组患者进行常规西医治疗,试验组患者使用济川煎联合艾灸治疗,2组患者均治疗1个月.治疗结束后比较2组临床总有效率、治疗前后各项症状.结果 2组患者临床疗效显著,对照组临床总有效率为66.67％(30/45),试验组临床总有效率为93.33％(42/45),试验组总有效率较高(P<0.05);2组患者经过治疗后,其各项症状均有改善,但试验组效果明显优于对照组(P<0.05).结论 济川煎联合艾灸治疗脾肾阳虚型老年功能性便秘具有很好的疗效,临床上值得应用.%Objective To investigate the clinical effect of Jichuanjian decoction combined with moxibustion in the treatment of elderly functional constipation with yang deficiency of both spleen and kidney. Methods A case control study was used to study the 90 cases of patients with functional constipation with yang deficiency of both spleen and kidney. The patients in the control group were given the conventional Western medicine treatment, and patients in the experimental group used Jichuanjian decoction combined with moxibustion treatment. Two groups of patients were treated one month. At the end of the treatment, the clinical total effective rate, the two groups of treatment before and after the symptom comparison and the traditional Chinese medicine symptom score was compared. Results The clinical curative effect of the two groups was distinct. The clinical total effective rate in the control group was 66.67％, the clinical total effective rate in the experimental group was 93.33％, the total effective rate in the experimental group was higher, and the difference was statistically significant (P <0.05). After treatment, the symptoms of both groups were improved, but the experimental group was significantly better than the control group (P <0.05). Conclusion Jichuanjian decoction combined with moxibustion in treating elderly functional constipation of yang deficiency of both spleen and kidney is very effective. It is worthy of application in clinic.
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