理气健脾汤治疗功能性便秘肝郁脾虚型的临床疗效观察

发布时间：2018-03-14 20:27

本文选题：功能性便秘　切入点：临床观察　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：观察理气健脾汤治疗功能性便秘肝郁脾虚证候的临床治疗效果方法：将38例来自黑龙江中医药大学肝脾胃科门诊的功能性便秘肝郁脾虚证的患者纳入本试验中,收录时间段为2015.04—2015.12。采用谢晶日教授自拟的理气健脾汤方对所有患者进行治疗前后的疗效对比观察。本试验以2周为1个疗程,治疗4周后结束。若服用理气健脾汤未满4周便秘主症及中医次要症状消失即可判定为病情痊愈,不再继续服用。试验期间将在治疗0周、治疗4周时对患者进行便秘主要症状、次要症状以及精神心理状况的打分评定,以观察患者便秘的改善情况。所有数据采用SPSS20.0进行统计分析。结果：38名患者中,3例患者脱落。其余35名受试者完成本试验,其中临床治愈14人,显效12人,有效7人,无效2人,总有效率为94.3%。35名患者在治疗前、治疗后的中医症状总积分、主次要症状积分、以及各症状积分方面对照均有显著差异,P0.01。处于焦虑及抑郁状态的患者治疗结束时的SAS、SDS评分较治疗初始明显降低。后续随访患者中有4人复发,复发率为12.1%。结论：理气健脾汤对于功能性便秘肝郁脾虚证候有着显著疗效,很大程度地改善了便秘的症状。远期疗效较好,值得临床借鉴和推广。
[Abstract]:Objective: to observe the clinical effect of Liqi Jianpi decoction in treating functional constipation, liver stagnation and spleen deficiency syndrome. Methods: 38 patients with functional constipation and liver-stagnation spleen deficiency syndrome from the outpatient clinic of liver, spleen and stomach of Heilongjiang University of traditional Chinese Medicine were included in this experiment. The time period included was 2015.04-2015.The therapeutic effect of Professor Xie Jingri's prescription of Liqi Jianpi decoction before and after treatment was compared and observed. Two weeks was used as a course of treatment in this experiment. The treatment ends after 4 weeks. If the main symptoms of constipation and the secondary symptoms of TCM disappear within 4 weeks of taking Liqi Jianpi decoction, it can be determined that the patient is cured and will not continue to take it. During the trial period, it will be treated for 0 weeks. After 4 weeks of treatment, the patients were evaluated for the main symptoms, secondary symptoms and mental and psychological status of constipation. In order to observe the improvement of constipation, all the data were statistically analyzed by SPSS20.0. Results 3 of 38 patients fell off. The remaining 35 subjects completed the experiment, of which 14 were clinically cured, 12 were effective, and 7 were effective. The total effective rate was 94.3%. The total score of TCM symptoms before and after treatment was 94.3%. There were significant differences in the scores of symptoms and symptoms between the two groups (P0.01). The SASU SDS scores at the end of treatment in patients with anxiety and depression were significantly lower than those at the beginning of treatment. In the follow-up follow-up, 4 patients recurred. The recurrence rate is 12.1.Conclusion: Liqi Jianpi decoction has remarkable curative effect on functional constipation, liver stagnation and spleen deficiency syndrome, and improves the symptoms of constipation to a great extent.
【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】：R256.35

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