夏连养胃汤治疗慢性非萎缩性胃炎寒热错杂证的临床观察

发布时间：2018-02-15 07:18

本文关键词： 慢性非萎缩性胃炎寒热错杂证夏连养胃汤　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:探讨谢晶日教授自拟方夏连养胃汤治疗慢性非萎缩性胃炎寒热错杂证的临床疗效。方法:选择2016年2月至2017年1月期间就诊于黑龙江中医药大学附属第一医院国医馆545且病属慢性非萎缩性胃炎寒热错杂证的患者43例,给予以夏连养胃汤治疗,药品由黑龙江中医药大学附属第一医院中草药饮片药局统一抓取煎煮,每日1剂,分两次早晚饭前30分钟口服,4周为1个疗程,连服8周。观察患者治疗前后的临床疗效、症状积分、胃镜积分及胃肠疾病PRO量表评分的变化,并对以上结果进行统计学分析。结果:临床治疗中脱落4例,剩余39例患者服用夏连养胃汤治疗慢性非萎缩性胃炎中医证候总有效率89.74%,内镜表现的总有效率92.31%。治疗后中医证候总积分较治疗前显著下降(P0.01)。治疗后在中医证候各单项积分方面均较治疗前有所下降,且有统计学意义(P0.01)。结论:1、夏连养胃汤能够改善慢性非萎缩性胃炎寒热错杂证患者的中医证候表现。2、夏连养胃汤能够改善慢性非萎缩性胃炎寒热错杂证患者的内镜下炎症病变。3、夏连养胃汤能够改善慢性非萎缩性胃炎寒热错杂证患者的胃肠疾病PRO量表情况。
[Abstract]:Objective: to investigate the clinical effect of Professor Xie Jingri's prescription Xialianyangwei decoction on the treatment of chronic non-atrophic gastritis with mixed cold and heat. Methods: from February 2016 to January 2017, the first affiliated doctor of Heilongjiang University of traditional Chinese Medicine was selected. There were 43 patients with chronic non-atrophic gastritis with cold and heat disorder syndrome. They were treated with Xialian Yangwei decoction. The medicine was seized and boiled by the Chinese Herbal Medicine and Medicine Bureau of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. Once a day, it was divided into two morning and evening, 30 minutes before meals, oral administration for 4 weeks as a course of treatment. The clinical efficacy, symptom score, gastroscopy score and PRO score of gastrointestinal diseases were observed before and after treatment for 8 weeks, and the above results were statistically analyzed. The total effective rate of TCM syndromes in treating chronic non-atrophic gastritis was 89.74 and the total effective rate of endoscopy was 92.31.The total score of TCM syndromes after treatment was significantly lower than that before treatment. The single score was lower than that before treatment. Conclusion: 1: 1, Xialianyangwei decoction can improve the symptoms of TCM syndrome of chronic non-atrophic gastritis with mixed cold and heat syndrome, and Xia Lian Yangwei decoction can improve the endoscopy of patients with chronic non-atrophic gastritis with cold and heat disorder syndrome, and Xilian Yangwei decoction can improve the symptoms of TCM syndromes of chronic non-atrophic gastritis with mixed cold and heat syndrome. Xiadian Yangwei decoction can improve the PRO scale of gastrointestinal diseases in patients with chronic non-atrophic gastritis with mixed cold and heat.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R259

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