补肺健脾润肠法治疗功能性便秘肺脾气虚型的临床观察

发布时间：2018-01-31 10:14

本文关键词： 功能性便秘肺脾气虚型补肺健脾润肠法　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:观察补肺健脾润肠法治疗功能性便秘肺脾气虚型的临床疗效、三个月后复发情况,以对功能性便秘肺脾气虚型的治疗提供借鉴和参考。方法:本次临床观察收录40例患者,均来自黑龙江中医药大学附属第一医院肝脾胃病科门诊就诊患者,病例收集时间为2016年2月-2016年11月。根据导师谢晶日教授治疗经验确立补肺健脾润肠法,并且根据此法选方用药。在治疗0周及治疗4周后分别对中医主要症状、次要症状以及中医总症状积分进行记录,计算治疗前与治疗后积分的变化,并计算治疗前后焦虑抑郁改变情况,由此得出此次实验临床疗效。治疗结束后对患者进行相关检查以检验其治疗期间的安全性,并且于治疗结束后3个月后对治疗有效、显效、痊愈的患者进行电话随访,观察复发情况。此次临床观察的实验数据以SPSS17.0进行处理分析。结果:40例患者脱落3例,总共有37例患者完成本次临床观察,临床痊愈11例、显效16例、有效8例、无效2例,总有效率94.59%,主要症状积分、次要症状积分以及总症状积分在治疗前与治疗后均有非常显著性差异,患者焦虑抑郁有所改善,结束后的安全性评价未见异常,三个月后的随访中有5例复发,复发率为14.29%。结论:补肺健脾润肠法对于功能性便秘肺脾气虚型临床疗效显著,能改善功能性便秘患者的症状,3个月复发率较低,远期疗效较好。
[Abstract]:Objective: to observe the clinical effect of the method of tonifying the lung and invigorating the spleen and nourishing the intestine in the treatment of functional constipation with deficiency of lung and spleen qi. To provide reference and reference for the treatment of functional constipation with deficiency of lung and spleen qi. Methods: this clinical observation included 40 patients, all from the outpatient clinic of the Department of liver, spleen and stomach of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. The time of case collection was from February 2016 to November 2016. According to professor Xie Jingri's experience in treatment, the method of tonifying the lung and strengthening the spleen and nourishing the intestine was established. According to this method, the main symptoms, secondary symptoms and total symptom scores of TCM were recorded after 0 weeks of treatment and 4 weeks of treatment, and the changes of scores before and after treatment were calculated. The changes of anxiety and depression before and after treatment were calculated, and the clinical efficacy of the experiment was obtained. After the treatment, the patients were examined to test the safety of the patients during the treatment. And 3 months after the end of the treatment for the treatment of effective, effective, cured patients were followed up by telephone. The experimental data of this clinical observation were analyzed by SPSS17.0. Results 3 cases of 40 patients dropped off and 37 cases completed the clinical observation. There were 11 cases of clinical cure, 16 cases of remarkable effect, 8 cases of effective and 2 cases of ineffective. The total effective rate was 94.59 and the main symptom integral. Secondary symptom score and total symptom score were significantly different before and after treatment. Anxiety and depression were improved, safety evaluation was not abnormal after the end of the treatment, and 5 cases recurred after 3 months follow-up. Conclusion: the method of tonifying the lung and invigorating the spleen and nourishing the intestines is effective in treating functional constipation with deficiency of lung and spleen qi, and can improve the symptoms of the patients with functional constipation. The recurrence rate of 3 months is lower and the long-term curative effect is better.
【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】：R256.35

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