谢晶日教授治疗慢性胰腺炎的临床经验总结

发布时间：2018-01-05 22:31

  本文关键词：谢晶日教授治疗慢性胰腺炎的临床经验总结　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

  更多相关文章： 慢性胰腺炎 经验 用药规律

【摘要】：目的:通过对谢晶日教授门诊慢性胰腺炎患者病例的收集、研究,总结谢晶日教授对慢性胰腺炎病因病机的认识,分析谢晶日教授诊治慢性胰腺炎的临证思想、用药规律。方法:收集、整理2006年01月到2016年01月慢性胰腺炎患者的门诊病历,按照诊断标准、纳入标准、排除标准筛选,将符合条件的121例患者的病历建立数据库,应用Excel 2003对慢性胰腺炎的中医病名、辨证分型进行频数、频率分析,并对收集患者的病历首诊处方的中药从用药频数、药性、药味、药物功效(类别)方面进行频数、频率统计,应用SPSS19.0软件用对使用频率≥10%的中药进行系统聚类分析统计。结果:1.121例慢性胰腺炎患者的中医病名诊断分别为胁痛、腹痛、痞满、胃痛、泄泻、呃逆、吞酸、反酸,各自出现的频数为55、26、18、14、3、3、1、1。2.121例慢性胰腺炎患者的辨证分型分别为湿热蕴结证、肝郁脾胃证、瘀血阻络证、脾虚湿盛证和脾胃虚寒证,各有55例、43例、15例、5例、3例。3.121例慢性胰腺炎患者的首诊处方中共用中药129味,总的用药频数为2436次,用药频率大于50%的药物有柴胡、紫苏子、金钱草、郁金、佛手、厚朴、焦白术、白豆蔻、砂仁、乌药。4.121例慢性胰腺炎患者的首诊处方中使用频率≥10%的中药进行系统聚类分析,5≤距离≤10的药物组合有佛手、砂仁、紫苏子,金钱草、郁金,白豆蔻、草豆蔻、乌药,薏苡仁、苍术,枳实、槟榔,姜黄、白芷、威灵仙,黄芩、栀子,炒麦芽、焦山楂、焦神曲、陈皮,炒蒲黄、五灵脂、制乳香、炒没药,猪苓、泽泻,延胡索、炒九香虫,煅瓦楞子、浙贝母、海蛤粉、海螵蛸,代赭石、旋复花,石斛、北沙参、天花粉,当归、川芎,煅龙骨、煅牡蛎、灵磁石,火麻仁、郁李仁。5.121例慢性胰腺炎患者的首诊处方中,辛味药用药903次,苦味药用药771次,甘味药用药618次,咸味药用药108次,酸味药用药36次。6.121例慢性胰腺炎患者的首诊处方中,温性药用药1238次,寒性药用药850次,平性药用药340次,热性药用药7次,凉性药用药1次。7.121例慢性胰腺炎患者的首诊处方中,共用药2436次,化湿药用药337次,理气药用药323次,活血化瘀药用药290次,补虚药用药267次,利水渗湿药用药233次,清热药198次,化痰止咳平喘药用药163次,解表药用药149次,消食药用药140次,泻下药用药60次,驱虫药用药52次,安神药用药48次,收涩药用药47次,祛风湿药用药45次,平肝息风药用药40次,止血药用药26次,破血消ve药用药9次,温里药用药7次,解毒燥湿杀虫止痒药用药2次。结论:1.谢晶日教授治疗慢性胰腺炎的主要临证思想是以通调代补益,以通、调为两大法则。2.谢晶日教授治疗慢性胰腺炎常选用的药物有柴胡、紫苏子、金钱草、郁金、佛手、厚朴、焦白术、白豆蔻、砂仁、乌药。3.谢晶日教授治疗慢性胰腺炎常选用的药物组合有佛手、砂仁、紫苏子,金钱草、郁金,白豆蔻、草豆蔻、乌药,薏苡仁、苍术,枳实、槟榔,姜黄、白芷、威灵仙,黄芩、栀子,炒麦芽、焦山楂、焦神曲、陈皮,炒蒲黄、五灵脂、制乳香、炒没药,猪苓、泽泻,延胡索、炒九香虫,煅瓦楞子、浙贝母、海蛤粉、海螵蛸,代赭石、旋复花,石斛、北沙参、天花粉。4.谢晶日教授治疗慢性胰腺炎的中药药味多为辛味和苦味,药性多为温性和寒性。
[Abstract]:Objective: Based on Professor xiejingri in outpatients with chronic pancreatitis were collected, research, summary of Professor xiejingri understanding of chronic pancreatitis etiology machine, analysis of drug law professor xiejingri in diagnosis and treatment of chronic pancreatitis. Methods: clinical thoughts, collecting, finishing in 2006 2016 01 months to 01 months in patients with chronic pancreatitis outpatient medical records, according to the diagnostic criteria, inclusion criteria, exclusion criteria, will meet the conditions of the 121 patient records database, TCM application of Excel 2003 in chronic pancreatitis, differentiation frequency, frequency analysis, and traditional Chinese medicine prescription on the first diagnosis records were collected from the frequency of drug use, drug. Drugs, drug efficacy (category) of frequency, frequency statistics, application of SPSS19.0 software in the cluster analysis of statistical frequency of more than 10% of the use of traditional Chinese medicine. Results: 1.121 cases of patients with chronic pancreatitis. Disease diagnosis were chest pain, abdominal pain, fullness, stomach pain, diarrhea, hiccup, Tunsuan, acid reflux, the respective frequency differentiation of 55,26,18,14,3,3,1,1.2.121 patients of chronic pancreatitis were damp heat syndrome, liver stagnation and spleen stomach syndrome, blood stasis syndrome, spleen deficiency and dampness of spleen deficiency syndrome, each of the 55 cases, 43 cases, 15 cases, 5 cases, 3 cases of first prescription.3.121 patients of chronic pancreatitis in common Chinese medicine 129 flavor, the total medication frequency was 2436 times, medication frequency more than 50% with Radix Bupleuri, perilla seed, Herba Lysimachiae, turmeric, bergamot, Magnolia, white cardamom, coke, Amomum the use of traditional Chinese medicine, the frequency is more than 10%.4.121 cases of prescription medicine for patients with chronic pancreatitis in cluster analysis, 5 = a distance less than or equal to 10 drug combinations with bergamot, Amomum, perilla, Desmodium, turmeric, cardamom, grass cardamom, Radix Linderae, coix seed, Atractylodes, citrus aurantium, areca, Jiang Huang, angelica, 濞佺伒浠，

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