基础医学与临床 ›› 2008, Vol. 28 ›› Issue (4): 387-390.

• 临床园地 • 上一篇    下一篇

难治性便秘综合治疗及影响因素的评价

许琳 宋志强 王智凤 柯美云   

  1. 青岛市立医院消化内科 北京协和医院消化内科 北京协和医院消化内科 北京协和医院消化内科
  • 收稿日期:2007-04-10 修回日期:2007-07-16 出版日期:2008-04-25 发布日期:2008-04-25
  • 通讯作者: 柯美云

Evaluation of the Effect of Integrative Therapy and Influencing Factors in Patients with Intractable Constipation

Lin XU, Zhi-qiang SONG, Zhi-feng WANG, Mei-yun KE   

  1. Qingdao City Hospital PUMC Hospital,CAMS & PUMC
  • Received:2007-04-10 Revised:2007-07-16 Online:2008-04-25 Published:2008-04-25
  • Contact: Mei-yun KE

摘要: 目的 评价综合治疗对难治性便秘的疗效及影因素。方法 将84例难治性便秘分为非重叠组和重叠组。应用个体化综合治疗4周,观察便秘症状评分变化及总有效率,分析IC患者的重叠症状和心理障碍状态对疗效的影响。结果 (1) 84例便秘患者中,重叠组和非重叠组分别占40.5%和59.5%。 (2)重叠组和非重叠组的总有效率分别为50.0%和78.0%(P<0.05)。(3)对37例IC患者的心理测试调查显示,59.4%(22/37)有心理障碍状态,重叠组和非重叠组伴有心理障碍状态对治疗的总有效率分别为4.8%和31.5% (p<0.05)。结论 适合个体化的综合治疗使多数难治性便秘缓解症状,但伴有重叠症状,尤其心理障碍状态则影响治疗疗效。

Abstract: Objective: To evaluate the effect of Integrative therapy and influencing factors in patients with intractable constipation (IC). Methods: Eighty-four consecutive IC patients were divided into non overlap and overlap groups. All patients received individualized integrative therapeutic regimen for 4 weeks. The symptom scores of constipation and total effective rates were evaluated. And influencing factors of therapeutic effect in IC were analyzed. Results: (1) IC of overlap group and non overlap group accounted for 40.5% (34/84) and 59.5% (50/84) respectively. (2)The total effective rates were 50.0% and 78.0% in overlap and non-overlap group, respectively (P<0.05). (3) Thirty-seven patients received psychological assessment and 59.4% (22/37) of them had psychological dysfunctions. The total effective rates were 4.8% and 31.5% in overlap and non overlap group with psychological dysfunctions, respectively (P<0.05). Conclusions: The integrative individualized therapies were effective to relieve symptoms in patients with IC. However, overlap symptoms, and psychological dysfunction influenced the efficacy of treatment.