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目的:观察益气健脾通便汤联合生物反馈对老年气虚型功能性便秘的疗效。方法:将t90例符合纳入标准的气虚型功能性便秘患者随机分为实验组和对照组,实验组以健脾益气通便汤联合生物反馈治疗;对照组仅用生物反馈治疗,疗程均为4周。观察2组有效率、症状积分及血浆胃动素和β-内啡肽水平的变化。结果:治疗4t周后,2组有效率比较,实验组优于对照组,2组临床症状、体征均有显著好转,症状评分2组对比,差异显著;实验组的血浆胃动素比对照组明显升高;2t组患者治疗第4周血浆胃动素经统计学处理;2组患者β-内啡肽同比治疗前均有所下降;实验组的β-内啡肽比对照组明显减低。结论:自拟健脾益气通便汤联合生物反馈对老年气虚型便秘较单独运用生物反馈疗效显著。
Objective: To observe the curative effect of Yiqi Jianpi Tongbi Decoction combined with biofeedback on functional constipation of the elderly. Methods: Ninety patients with functional constipation who were included in the standard were randomly divided into experimental group and control group. The experimental group was treated with Jianpi Yiqi Tongbutang combined with biofeedback. The control group was treated with biofeedback only. For 4 weeks. The effective rate, symptom score, plasma motilin and β-endorphin levels in the two groups were observed. Results: Compared with the control group, the experimental group was superior to the control group after 4 weeks of treatment, the clinical symptoms and signs of the two groups were significantly improved, and the symptom score was significant difference between the two groups. The plasma motilin The control group was significantly increased; 2 t group of patients treated by the 4th week of plasma motilin by statistical analysis; 2 groups of patients with β-endorphin decreased compared with the same period before; experimental group β-endorphin than the control Group significantly reduced. CONCLUSION: Self-made Jianpi Yiqi Lvtang decoction combined with biofeedback has a significant curative effect on elderly constipation with qi deficiency as compared with the single use of biofeedback alone.