生肌汤促进下肢静脉性溃疡（气虚血瘀证）愈合的临床疗效观察

发布时间：2018-02-01 20:00

本文关键词： 下肢静脉性溃疡气虚血瘀证生肌汤临床疗效观察　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：观察生肌汤治疗下肢静脉性溃疡(气虚血瘀证)的临床疗效。方法：按照纳入标准及排除标准,选取60例患者,采用随机分配的方法,分为治疗组和对照组,每组各30例。治疗组给予中药汤剂生肌汤口服治疗,并结合基本清创处理。对照组给予中成药通塞脉片口服治疗,结合基本清创处理。观察时间为8周,试验结束后,通过比较治疗前后两组患者溃疡创面的愈合情况,以及中医证候改善情况,对生肌汤的临床疗效做出客观评价。结果：治疗前,对两组患者的年龄、性别、病程,溃疡面积以及中医证候积分等,进行统计学分析比较,两组具有可比性(P0.05)。结束8周治疗后,两组患者溃疡愈合情况为：治疗组痊愈8例、显效11例、有效3例、无效8例,总有效率为73.33%；对照组痊愈4例、显效6例、有效10例、无效10例,总有效率为66.67%。对两组疗效进行统计学分析,差异具有统计学意义(P0.05)。中医证候改善情况为：治疗组痊愈8例、显效12例、有效4例、无效6例,有效率为80%；对照组痊愈4例、显效7例、有效9例、无效10例,有效率仅为66.67%,对两组疗效进行统计学分析,差异具有统计学意义(P0.05)。结论：1.生肌汤是促进下肢静脉性溃疡(气虚血瘀证)愈合的有效方剂。2.生肌汤治疗下肢静脉性溃疡(气虚血瘀证)疗效安全,适于临床推广。
[Abstract]:Objective: to observe the clinical effect of Shengji decoction on venous ulcer of lower extremity (Qi deficiency and blood stasis syndrome). Methods: according to the inclusive standard and exclusion standard, 60 patients were selected and randomly assigned. Treatment group and control group, each group of 30 cases. The treatment group was treated with traditional Chinese medicine decoction Shengji decoction oral treatment, combined with basic debridement treatment. The control group was given traditional Chinese patent medicine Tongsai Mai tablet oral treatment. Combined with basic debridement treatment. The observation time was 8 weeks. After the experiment, the healing of ulcer wound was compared between the two groups before and after treatment, and the TCM syndromes were improved. Objective evaluation of the clinical efficacy of Shengji decoction. Results: before treatment, the two groups of patients' age, sex, course of disease, ulcer area and TCM syndromes score were statistically analyzed and compared. After 8 weeks of treatment, the healing of ulcers in the two groups was as follows: 8 cases were cured, 11 cases were markedly effective, 3 cases were effective, and 8 cases were ineffective. The total effective rate was 73.33; In the control group, 4 cases were cured, 6 cases were markedly effective, 10 cases were effective and 10 cases were ineffective. The total effective rate was 66.67. The curative effect of the two groups was statistically analyzed. The improvement of TCM syndromes was as follows: in the treatment group, 8 cases were cured, 12 cases were effective, 4 cases were effective, 6 cases were ineffective, and the effective rate was 80%. In the control group, 4 cases were cured, 7 cases were markedly effective, 9 cases were effective and 10 cases were ineffective. The effective rate was only 66.67. The curative effect of the two groups was statistically analyzed. Conclusion 1. Shengji decoction is an effective prescription for promoting the healing of venous ulcer of lower extremity (Qi deficiency and blood stasis syndrome). Qi deficiency and blood stasis syndrome) the curative effect is safe. It is suitable for clinical popularization.
【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】：R259

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