加味三香汤治疗肠道气滞兼脾虚型功能性便秘的临床疗效观察

摘要

Objective: To observe the effect of Jiawei Sanxiang Decoction in treating intestinal qi stagnation and spleen deficiencytype of functional constipation.Methods: Eighty cases of patients with intestinal qi stagnation and spleen deficiency type of func -tional constipation were randomly divided into treatment group and control group , with 40 cases in each group.The treatment groupwas given Jiawei Sanxiang Decoction , while the control group was given orally taken polyethylene glycol 4000 powder.The durationof treatment had lasted for 14 days.Records was taken in regard to Traditional Chinese Medicine symptoms , specifically, defecationintervals, defecating time, stool characters, distending pain in the lower abdomen, chest and hypochondrium distension stuffypain, belching, lassitude and disinclination to words, and fatigue symptom, and assessed by SAS integral.Results: There are nosignificant difference in curative effect on functional constipation and improvement on stool character between the two groups .(P >0.05) However, after the treatment, TCM syndrome integral and SAS integral in the treatment group were significantly lower thanthose of the control group, and the difference was of statistical significance (P <0.05).Conclusion: Jiawei Sanxiang Decoctioncan effectively treat intestinal qi stagnation and spleen deficiency type of functional constipation and can improve the TCM syn -dromes and relieve anxiety of patients .%目的：观察加味三香汤治疗肠道气滞兼脾虚型功能性便秘的临床疗效。方法：将80例肠道气滞兼脾虚型功能性便秘的患者随机分为治疗组和对照组，每组40例，治疗组给予加味三香汤口服，对照组给予聚乙二醇4000散剂口服，共治疗14 d，观察患者排便间隔时间、每次排便所需时间、大便的性状，以及少腹胀痛、嗳气、胸胁胀闷疼痛、神疲懒言、体倦乏力的中医症状，记录SAS积分。结果：2组治疗功能性便秘的疗效比较，差异无统计学意义（ P＞0．05﹚。2组治疗后大便性状的比较，差异无统计学意义。治疗后治疗组中医证候积分及SAS积分明显低于对照组，差异有统计学意义（ P＜0．05﹚。结论：加味三香汤能够有效治疗肠道气滞兼脾虚型功能性便秘，并且能改善患者的中医证候及焦虑状态。