【摘要】 目的:探讨肠易激综合征直肠肛门压力变化情况以及与中医证型的关系。方法:对56例肠易激综合征患者进行辨证分型和直肠肛门压力测定。结果:肝郁型27例,脾虚型8例,肝郁脾虚型21例,肝气郁结是本病的重要病机。有大便溏烂症状的患者较多见直肠肛门压力测定指标的异常。腹泻、便结腹泻交替的患者可出现肛门括约肌静息压、直肠感觉阈值、直肠最大耐受量等指标的改变。脾虚患者有直肠感觉阈值的改变。结论:肠易激综合征患者直肠肛门压力检测结果与患者大便异常的类型关系较大,中医证型间的差异相对较小。更多还原

【Abstract】 Objective:To explore the relationship between the change of anorectal pressure(AP)in irritable bowel syndrome (IBS)and TCM syndrome patterns.Methods:56 cases of IBS were subjected to TCM syndrome differentiation and determination of anorectal pressure.Results:TCM syndrome differentiation showed that 27 cases were differentiated as stagnation of liver-qi,8 cases as deficiency of spleen and 21 cases as stagnation of liver-qi with deficiency of spleen.Stagnation of liver-qi is the important pathogenesis of the disease.Most of the cases with loose stools showed abnormal AP.Alternations of rectal maximal tolerance,rectal sensation threshold and resting pressure of sphincter ani may occur in those with diarrhea and alternate occurrence of diarrhea and constipation;the rectal sensation threshold may alter in those with spleen deficiency.Conclusion:The AP of IBS is related with disorder of bowel movement and less with TCM syndrome patterns.更多还原