???깦???Ա??ز???????ҽ????Ʒ???Ч??,????ҽ???????_ѧ????
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ѧ????רҵ????ѧϰƽ̨????ǰ??λ?ã?ѧ???? > ҽѧ???? > ??ҽѧ???? > ????ҽ???????

???깦???Ա??ز???????ҽ????Ʒ???Ч??

ʱ?䣺2019-06-12 ??Դ????????ҽ ???ߣ???? ??????????4119??

????ժ    Ҫ????Ŀ?? ??????ҽ??????????깦???Ա??ص???Ч?Ͱ?ȫ?Խ??з???, Ϊ?ٴ????Ʒ?????ѡ???ṩ?ο??????? ???о?????ɸѡ?ı?׼??2016??9??—2018??9?????Ƶ????깦???Ա??ز???????ɸѡ, ѡȡ168??Ϊ?о????󡣲?????????ֱ????о??????Ϊ?۲???Ͷ????顣???????????ҩ??̪Ƭ????, ?۲????ڶ????????????ô???Ӽ????ơ?????????2??3???Ƴ̺????Ч????ȫ?Ե????ݽ??????ۺ????Ƚϡ???? ?۲???Ͷ??????????Ч?ʷֱ?Ϊ90. 6%??78. 3%, ?۲?????ڶ?????, ?Ҿ??????Ų??? (P <0. 05) ; 2?鲻????Ӧ?????ʷֱ?Ϊ17. 6%??19. 3%, ?۲?????ڶ?????, ???????Ų????? (P> 0. 05) ??????????ҽ??????????깦???Ա??ص??????ܹ??????ٴ???Ч?Ͱ?ȫ??, ?????ٴ?Ӧ?ú??ƹ??ֵ??

?????ؼ??ʣ???????ҽ????Ʒ?; ?ô???; ???깦???Ա???;

????Abstract????Objective To analyze the efficacy and safety of integrated traditional Chinese and Western medicine in the treatment of senile functional constipation, so as to provide reference for the selection of clinical treatment methods. Methods According to the screening criteria, 168 elderly patients with functional constipation treated in our hospital from September 2016 to September 2018 were selected as the research subjects. The subjects were divided into observation group and control group by random number table. The observation group was treated with Jichuan decoction on the basis of the control group, while the control group was treated with phenolphthalein tablets. After 2-3 courses of continuous treatment, the efficacy and safety data were evaluated and compared between groups. Results The total effective rates of the observation group and the control group were 90. 6% and 78. 3%, respectively. The total effective rate of the observation group was higher than that of the control group, and there had significant difference (P < 0. 05) . The incidence of adverse reactions of the two groups was 17. 6% and 19. 3%, respectively. The incidence of adverse reaction of the observation group was lower than that of the control group, but there was no significant difference (P > 0. 05) . Conclusion The combination of traditional Chinese and Western medicine in the treatment of senile functional constipation can improve the clinical efficacy and safety, and has clinical application and promotion value.

????Keyword????therapy of integrated medicine; Jichuan decoction; elderly functional constipation;

???????깦???Ա?????һ?????????Բ???, ?????ַ??ɽ?, ?ű????ѡ??????ʹ??????ٵ?֢״?ļ?????????Ӱ?컼?ߵĽ?????????????, ???һ??????Գ?Ѫ???ļ???????????Ѫ?ܼ???, ????Σ??????????[1]???????ҹ????仯?????̵ķ?չ????ʳ?ṹ?ı仯, ???깦???Ա??صķ?????????????, ?ѳ?Ϊ?ٴ???????ע?Ŀ??⡣??Ȼ?????о??????Ӻ?ҩ??ĸĽ?, ʹ?????깦???Ա??ص???Ч?õ???????????, ???????깦???Ա??صIJ????????????????, ?????Ʒ????????????ٴ?ҽ????????[2]????Ժ????????ҽ??϶????깦???Ա??ؽ??????ƻ???????????Ч, ???????ƹ??̺ͽ????ͬ????ҩ???ƵIJ??????бȽ????о?, ?ֽ??о????̼?????㱨????, ּ??Ϊ???깦???Ա??????Ʒ?????ѡ???ṩ?ο???

???깦???Ա??ز???????ҽ????Ʒ???Ч??

????1?? ?????뷽??

????1.1?? һ??????

??????????ͳ????ѡ?????Ļ???????, ????????????:?۲??? (85??) :??52??, Ů33??;????60??79??, ƽ?? (68.6±5.8) ??;????6??24????, ƽ?? (15.2±3.6) ???¡??????? (83??) :??51??, Ů32??;????60??78??, ƽ?? (68.5±5.6) ??;????6??22????, ƽ?? (14.8±3.7) ???¡?2???о???????Ա????䡢???̵????ϱȽ?, ???????Ų??? (P>0.05) ??

????1.2?? ???????ų???׼

???????л???ҽҩѧ?ᷢ???ġ??????Ա???????ָ?ϡ?Ϊ????[3], ?ƶ??о?????????뼰?ų???׼, ????????:?????׼:1) ??????֢״????ؼ??????Ϲ????Ա??ص???ϱ?׼, ȷ??Ϊ?????Ա???;2) ??????60??????;3) ?˽??о???ȫ????, ???Ʒ????IJ?????????, ????Ը?????о????ų???׼:1) ???????ص?????Ѫ?ܼ???;2) ??֪?ϰ????񼲲?;3) ʹ???о?????ҩ??֮???ҩ????Ʒ????Ƶ?[4];4) ?о????????ݲ?ȫ??

????1.3?? ???Ʒ???

?????????鲡????????ҩ??̪Ƭ????, ????2Ƭ/??, 3??/d?ļ????ڷ???̪Ƭ (??ͬ???Ƹ???ҩ???޹?˾????, ??ҩ׼??H20083852, ???Ϊ50 mg/s) ????????ҩ7 dΪһ???Ƴ?, ???ݻ??߲????ҩ2??3???Ƴ̡??۲??鲡????????????ҽ???????, ????ҽ???ƿڷ???̪Ƭ, ????ҩ????????Ƴ̾?ͬ??????, ????ִ?С???ҽ?????Լô???Ϊ??????, ?????ҽ??֤?Ӽ?, ???巽ҩ????ҩ??ʽ???Ƴ?????:??ҩ:1) ??????:??????30 g, ????15 g, ţϥ9 g, ?׿?10 g, ɣ??Ƥ5 g, ????9 g, ????6 g, ???ڽ?12 g, ?????ɸ?10 g??2) ??֤?Ӽ?:?????????9 g, ???ػ?9 g;????ӵ???12 g, ????30 g;????ʧ???߼?ҹ????9 g;?????????߼ӷ???12 g????ҩ??ʽ??????:1??/d, ???뵽500 mlˮ??, ????30 min, ˮ????300 ml, ??????2?η????·?????ҩ15 dΪһ???Ƴ?, ????????2??3???Ƴ̡?

????1.4 ???۲?ָ??

????1) ??Ч:???й?????ҽ???ѧ??????ϵͳ????רҵίԱ???ƶ??ġ??????Ա???????ҽ??????ƹ?ʶ?????[5]???йع????Ա?????Ч???۱?׼??????Ϊ????, ?ƶ??о?????Ч???۱?׼, ????????:??Ч:?ű??????????1??/2 d, ????ʪ??, ?ű?ͨ??, ?????30 d?޸???;??Ч:?ű??????????1??/3 d, ???ʡ??ű?ͨ???Ƚ?????ǰ??ת, ??δ?ﵽ??Чˮƽ;??Ч:?ű?????????ʡ??ű?ͨ???Ⱦ??????Ը??ƻ??һ???񻯡?????Ч??= (??Ч+??Ч) ????/??????×100%, ????Ч??Խ??, ??ЧԽ??[6]??2) ??ȫ??:????ͳ???о??????г???????ҩ??صIJ?????Ӧ??????, ???ղ?????Ӧ??????=???ֲ?????Ӧ????/??????×100%, ??????Ӧ??????Խ??, ??ȫ??Խ??[7]??

????1.5?? ͳ??ѧ????

?????о????ݾ?????SPSS 22.1ͳ??ѧ???????з???, ???????????? (%) ??ʾ, ????χ2????;?????????Ա?ʾ, ????t????, ??P<0.05ʱ, ???????ͳ??ѧ???塣

????2?? ???

????2.1?? ??Ч?Ƚ?

?????۲???Ͷ??????????Ч?ʷֱ?Ϊ90.6%??78.3%, ?۲?????ڶ?????, ?Ҿ??????Ų??? (P<0.05) ???????????1??

??????1 2?黼???ٴ???Ч?Ƚ?
??1 2?黼???ٴ???Ч?Ƚ?

????2.2 ????ȫ??

???????о???????δ???????ز?????Ӧ????????Ӧ?˳??о??IJ???, ????һС???ֲ?????????΢?IJ?????Ӧ, ????֢??????ָ?????, δӰ???о????̡?2?鲻????Ӧ?????ʷֱ?Ϊ17.6%??19.3%, ?۲?????ڶ?????, ?????????Բ??? (P>0.05) ???????????2??

??????2 2?黼?߲?????Ӧ?Ƚ?
??2 2?黼?߲?????Ӧ?Ƚ?

????3?? ????

?????????Ա??????ٴ???????????ϵͳ????, ?????ߵĽ???????????????????޴??Ӱ??, ?????????껼??, ??????????????Ѫ?ܼ???????Σ???????????ŷ????ʵ?????, ?й????깦???Ա??ص??о??ѳ?Ϊ????ԵĿ???[8]????Ȼ?ٴ????õ???ҩ????????һ???̶??ϸ????ٴ?֢״, ??????Ч?ʵ͡????????ô󡢸????ʸߵ????ص?????, ?????????ٴ???????????ҽ?????????Ȼ???????Ƶ????ۻ????????ŵ???Ч, ???ٴ?Ӧ?ú??ƹ???ȱ??????֧??[9]????˶?????ҽ??????????깦???Ա??ص??о????п?????, ???ٴ????ƾ??вο???ֵ??

???????깦???Ա?????????ҽ“?????”“ƢԼ”“????”“????”?ķ???[10], ??ҽҩ???ƾ??????Ƶ????ۻ????ͷḻ???ٴ?????, ?ô??塢??????????????Һ????һϵ?еľ??䷽???????ٴ??????????ŵ???Ч, ??ϱ?֤???????????Ƶ?????Ժ͸?????, ??һ????ǿ??Ч, ???͸?????, ???ƻ??ߵ???????????????ҩ??????Ч????, ?????????ٴ?Ӧ?ú??ƹ㡣????ҽ????????ۺ?????ҩ??Ч?????ҩ?β??󱾵?????, ʹ???ٴ???Ч????ȫ?Լ??????ʾ??õ??????Ÿ???, ???ֽ׶??ٴ????????깦???Ա??ص???Ч????, ?õ????ٴ?ҽ?????Ͽɡ?????????о?????ȱ??, ????ҽ????Ʒ????ٴ?Ӧ???????о?????֧?֡?

???????о????????Թ????Ա??ػ???Ϊ?о?????, ?Ծ??䷽???ô???Ӽ???????ɳ??????????ҽ????Ʒ??ͷ?̪Ƭ??ҩ???Ƶ???Ч????ȫ?Ե????ݽ??бȽ????о?, ּ??Ϊ????ҽ????Ʒ????????Թ????Ա????????е?Ӧ?ú??ƹ??ṩ????֧?֡??о??????ʾ, ?????깦???Ա??ص???????, ?ô???Ӽ???????ɳ?????????????Ч???????ڷ?̪Ƭ??ҩ??????, ??2?鰲ȫ???????Բ??졣?Ӷ?֤ʵ??????ҽ????Ʒ????ٴ???ֵ, Ϊ???ٴ?Ӧ???ṩ????֧?֡?ͬʱ???о???????ҽ??????ƵIJ?????Ӧ???????Ե?????ҩ????, ????????ҩ????????????ֿ??????й?, Ϊ??һ??ϸ???о??ṩ?˷???

????????????, ????ҽ??????????깦???Ա??ؾ?????Ч????, ??ȫ?Ըߵ?????, ????Ӧ?ú??ƹ??ֵ??

?????ο?????

????[1] ??????, ????.????ҽ??????????깦???Ա???96????Ч????[J].??ҽ?ٴ??о?, 2010, 2 (7) :58, 60.
????[2]??ӳƽ, ʷ????.????ҽ??????????????Թ????Ա????ٴ???Ч????[J].??̫??ͳҽҩ, 2015, 11 (11) :98-99.
????[3]???, ??????, ֣????, ??.???ﷴ??ѵ???Ʒ??????깦???Ա??ػ????е?Ӧ??Ч??[J].?л?????ҽѧ??־, 2017, 36 (12) :1318-1322.
????[4]??????, ??????.???깦???Ա???Ӧ?ò?ͬ????ͨ??ҩ?????Ƶ???Ч????[J].ʵ???ٴ?ҽҩ??־, 2018, 22 (1) :111-113.
????[5]??ѧ??, ??־??, ????, ??.???깦???Ա?????ҽ֤?ͼ???????ط???[J].?ִ???ҽ?ٴ?, 2017, 24 (6) :36-38.
????[6]?ηỪ, ??????, ????, ??.?Ӽ????????????????????깦???Ա??ص??ٴ??о?[J].??ҩ??, 2015, 38 (2) :410-412.
????[7]???, ????, ???, ??.?ۺϻ?????Ԥ???????ﷴ?????ƶ????깦???Ա??ػ?????Ч?۲?[J].ʵ???ٴ?ҽҩ??־, 2018, 22 (4) :72-75
????[8]ɳ??Դ, ??????, ??????, ??.??Ԫ??Ӽ???????????????깦???Ա???40????Ч?۲?[J].?й?ҩҵ, 2017, 26 (21) :58-60.
????[9]??־??, Ф??.????ҽ??????????깦???Ա??ص???Ч?۲?[J].?в?ҩ, 2015, 46 (10) :1503-1505
????[10] ??????, ??ǿ, ??Խ, ??.Īɳ??????????????С????ά?????????깦???Ա??ص???Ч????[J].?㽭?ٴ?ҽѧ, 2017, 19 (10) :1862-1863.

    ???.????ҽ??????????깦???Ա????ٴ??۲?[J].??????ҽ,2019,34(10):1572-1574.
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