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目的:辨证对腹泻型肠易激综合征的治疗效果,为中医治疗肠易激综合征提供参考资料.方法:选取2014年10月～2016年10月在黄骅市人民医院接受治疗80例腹泻型肠易激综合征患者,并将他们分为两组:治疗组40例和对照组40例.按照临床治疗方式的不同,随机的将分为治疗组(采用辨证治疗)和对照组(采用常规治疗).结果:治疗组共40例患者,其中痊愈的患者有21例,占总例数的52.5％;治疗显效的患者有12例,占总例数的30.0％;治疗有效的患者有3例,占总例数的7.5％;治疗无效的患者有4例,占总例数的10.0％.对照组共40例患者,其中痊愈的患者有12例,占总例数的30％;治疗显效的患者有10例,占总例数的25.0％;治疗有效的患者有9例,占总例数的22.5％,治疗无效的患者有9例,占总例数的22.5％,其差异均有统计学的意义.两组患者经过治疗后中医证候积分均有不同程度的降低,治疗组比对照组减低的更多,治疗后两组对比差异显著(P＜0.05);治疗后两组患者IBS症状积分都有明显的下降,治疗组比对照组降低的更多,治疗后两组对比差异有统计学意义(P＜0.05);患者治疗后的一个月对其进行随访,填写中医证候的积分表,积分大于10分者判定为复发.治疗组复发率为7.5％,明显低于对照组的20.0％,两组对比差异显著(P＜0.05);患者的生活质量包含精神状况、情绪状态、精力是否旺盛、睡眠情况、日常的社交行为、饮食是否正常、工作是否正常及日常的运动情况8个项目,治疗组在以上8个项目中的得分均高于对照组,其差异均有统计学的意义.结论:无论是患者病情的改善、复发率还是患者的生活质量辨证中医治疗组均比西医治疗取取得了更好的效果.“,”Objective:.To study the therapeutic effect of Jiawei Sini Powder on diarrhea-predominant irritable bowel syndrome (IBS) by comparing traditional Chinese medicine mnd western medicine,and to provide references for the treatment of irritable bowel syndrome.Methods:From October 2014 to October 2016,80 cases of diarrhea predominant irritable bowel syndrome were treated in our hospital,and they were divided into two groups:40 cases in controlled group and 40 cases in treatment group.According to the different clinical treatment methods,patients were randomly divided into treatment group (using dialectical treatment) and controlled group (using conventional treatment).Results:The treatment group of 40 patients,of which 21 patients were cured,the total number of 52.5％;treatment markedly in 12 patients,accounting for 30.0％ of the total number of cases;effective treatment of patients in 3 cases,7.5％ of the total number;treatment ineffective patients in 4 cases,10.0％ of the total number of cases.The controlled group of 40 patients,of which 12 patients were cured,accounting for 30％ of the total number of cases;10 cases of markedly effective treatment,accounting for 25.0％ of the total number of cases;9 cases of effective treatment,the number of 22.5％,9 cases of ineffective treatment of patients,accounting for 22.5％ of the total number of cases,the difference was statistically significant.After treatment,the scores of TCM syndromes of the two groups were all reduced in different degrees,the treatment group was much more than the controlled group,the difference was significant (P ＜ 0.05).After treatment,the IBS symptom scores (P ＜ 0.05).After the treatment,the patients were followed up for one month after the treatment,and the integral table of the TCM syndrome and the score of the score of the TCM syndromes were collected.The scores of the treatment group were significantly lower than those of the controlled group.More than 10 points were judged as relapse (P ＜0.05).The quality of life of the patients included mental status,emotional status,energy intensity,sleep status,daily social behavior (P ＜ 0.05).The relapse rate of the treatment group was 7.5％,significantly lower than the controlled group which was 20.0％.The diet was normal,the work was normal and the daily movement of 8 projects,the treatment group in the above 8 projects were higher than the controlled group,the difference was statistically significant.Conclusion:Whether the patients ' condition improve,the recurrence rate or the quality of life of patients with dialectical Chinese medicine treatment group is better than Western medicine to get a better effect.