芪术健脾汤治疗脾胃虚弱型泄泻临床观察

发布时间：2018-01-29 06:01

本文关键词： 芪术健脾汤参苓白术散脾胃虚弱型泄泻　出处：《黑龙江中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:运用芪术健脾汤与参苓白术散进行临床比较,观察芪术健脾汤治疗脾胃虚弱型泄泻的临床疗效,分析芪术健脾汤治疗脾胃虚弱型泄泻优点和不足。从而为祖国医学治疗泄泻提供可靠的临床依据。方法:将符合纳入标准的64例患者,按照随机数字表法分为治疗组和对照组各32例。治疗组患者予中药汤剂芪术健脾汤,对照组患者予参苓白术散。疗程两组均为四周。观察患者治疗前后中医症状变化(腹泻、脘腹痞满、倦怠乏力、食欲不振、肠鸣矢气、神疲懒言、腹痛、舌苔脉象),同时观察芪术健脾汤治疗期间患者不良反应的发生情况。疗程结束后随访3个月,观察该病复发率。结果:①总疗效评价方面:治疗组总有效率93.33%;对照组总有效率76.67%。两组差异经检验有统计学意义(P0.05)。②总证候积分比较:治疗组证候总积分改善方面优与对照组,两组差异具有统计学意义(P0.05)。③证候积分比较:治疗组:治疗组症状积分改善明显高于对照组,两组差异具有统计学意义(P0.05)。④复发率比较,治疗组复发率10.00%;对照组复发率16.67%,两组差异经检验无统计学意义(P0.05),说明两组在复发率差异无统计学意义。⑤两组患者的血常规、肝功、肾功治疗前后比较,经统计学分析,差异无统计学意义(P0.05)。结论:芪术健脾汤可明显改善脾胃虚弱型泄泻患者的临床症状。
[Abstract]:Objective: to compare the clinical effect of Qizhu Jianpi decoction and Shenling Baizhu Powder in treating diarrhea of asthenia of spleen and stomach. To analyze the advantages and disadvantages of Qizhu Jianpi decoction in treating diarrhea of asthenia of spleen and stomach so as to provide a reliable clinical basis for the treatment of diarrhea in traditional Chinese medicine. Methods: 64 patients who met the inclusion criteria were included. The patients in the treatment group were divided into two groups: the treatment group (n = 32) and the control group (n = 32). The patients in the treatment group were given traditional Chinese medicine decoction Qizhujianpi decoction. The patients in the control group were treated with Shenling Atractylodes Powder for four weeks. The changes of TCM symptoms before and after treatment (diarrhea, epigastric fullness, fatigue, anorexia, sagittal qi, fatigue, laziness, abdominal pain) were observed. At the same time, observe the occurrence of adverse reactions during the treatment of Qizhu Jianpi decoction. Follow up for 3 months after the end of the course of treatment. Results: the total effective rate of the treatment group was 93.33; The total effective rate of the control group 76.67.The difference between the two groups was statistically significant P0.05.2 total syndrome integral comparison: the treatment group total syndrome integral improvement was better than the control group. The difference between the two groups was statistically significant P0.05.3 syndrome score comparison: treatment group: the treatment group symptom score improved significantly higher than the control group. The difference between the two groups was statistically significant (P 0.054.The recurrence rate in the treatment group was 10.00). The recurrence rate of the control group was 16.67 and the difference between the two groups was not statistically significant (P 0.05), indicating that there was no significant difference in the recurrence rate between the two groups. 5. The blood routine and liver function of the two groups were not statistically significant. Before and after treatment, there was no significant difference between the two groups before and after treatment. Conclusion: Qizhu Jianpi decoction can obviously improve the clinical symptoms of diarrhea patients with deficiency of spleen and stomach.
【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】：2016
【分类号】：R256.34

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