疏肝理气化瘀止痛法治疗慢性胆囊炎气滞血瘀型的临床观察

发布时间：2018-05-21 09:29

本文选题：疏肝理气化瘀止痛法 + 慢性胆囊炎　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:通过对慢性胆囊炎相关理论的探讨与临床研究,观察疏肝理气化瘀止痛法治疗慢性胆囊炎(气滞血瘀型)的疗效。方法:依据病例的选择标准选入40例慢性胆囊炎气滞血瘀型患者施行临床观察,按就诊的时间对患者进行1-40编号,应用治疗前与治疗后自身对照的方法进行研究,给予患者疏肝理气化瘀止痛法治疗,药物采用天江中药配方免煎颗粒,每日1剂,日两次早晚饭前温服,4周为1个疗程,治疗1个疗程。记录治疗前后的各项指标,进行数据处理和统计分析。结果:纳入38名患者经治疗后其总疗效的总有效率为94.74%;其中医证候疗效的有效率为94.74%;治疗前与治疗后的证候积分分别为18.42±2.62,5.79±4.79,经统计学分析,Z=-5.376,P0.01,有显著性差异,具有统计学意义;治疗后主症的有效率分别为81.58%,94.74%;治疗前后的主次症的积分比较(P0.01),有显著差异,具有统计学意义;治疗后彩超总有效率为89.47%,治疗前、后积分分别是4.05±1.21,1.87±1.30经统计学分析,Z=-5.350,P0.01,治疗前后的彩超影像学有明显差异,具有统计学意义。结论:1.疏肝理气化瘀止痛法能显著改善慢性胆囊炎气滞血瘀型患者的临床症状。2.疏肝理气化瘀止痛法能有效改善慢性胆囊炎气滞血瘀型患者的彩超影像学表现。
[Abstract]:Objective: to investigate the related theory and clinical study of chronic cholecystitis, to observe the curative effect of the method of soothing liver, regulating qi, removing blood stasis and relieving pain in treating chronic cholecystitis (qi stagnation and blood stasis type). Methods: 40 cases of chronic cholecystitis with Qi stagnation and blood stasis were selected according to the selection criteria of the patients. The patients were numbered 1-40 according to the time of treatment and compared with those before and after treatment. The patients were treated with the method of soothing liver, regulating qi, removing blood stasis and relieving pain. The medicine was treated with Tianjiang traditional Chinese medicine formula, one dose per day, and two times a day before meals for 4 weeks as a course of treatment, one course of treatment. The indexes before and after treatment were recorded, data processing and statistical analysis were carried out. Results: the total effective rate of 38 patients was 94.74, the effective rate of TCM syndromes was 94.74, the score of syndrome before treatment and after treatment was 18.42 卤2.62 卤5.79 卤4.79, respectively. The effective rates of the main symptoms after treatment were 81.58 and 94.74.The scores of the primary and secondary symptoms before and after treatment were significantly different and statistically significant. The total effective rate of color Doppler ultrasound after treatment was 89.47, before and after treatment. The posterior integral was 4.05 卤1.21 and 1.87 卤1.30 respectively. After statistical analysis, there was significant difference in color Doppler imaging before and after treatment. Conclusion 1. The method of soothing liver, regulating qi, removing blood stasis and relieving pain can significantly improve the clinical symptoms of chronic cholecystitis with qi stagnation and blood stasis. The method of soothing liver, regulating qi and removing stasis and relieving pain can effectively improve the imaging manifestations of chronic cholecystitis with qi stagnation and blood stasis.
【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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