疏肝和胃汤治疗胃脘痛（肝气犯胃证）的临床观察

发布时间：2018-06-05 23:33

本文选题：胃脘痛 + 消化性溃疡　；参考：《长春中医药大学》2016年硕士论文

【摘要】：目的:通过观察疏肝和胃汤治疗胃脘痛(肝气犯胃证),对其中医证候改变、临床疗效的变化情况进行临床观察,肯定中医中药在治疗胃脘痛方面的先进性和创新性,丰富胃脘痛的临床研究与治疗。方法:采用随机对照方法,选取来自长春中医药大学附属医院的72个病例,将入选病例随机分为2组,治疗组36例,对照组36例。将患者按照就诊先后顺序编号,治疗组给予中药疏肝和胃汤,对照组给予舒肝丸(6丸/次,日3次口服)治疗,连续服用4周为1疗程,观察1个疗程,治疗过程中密切观察两组病人症状及体征的变化。记录自身前后症候积分及舌脉等指标。结果:治疗组36例总有效率为85.593%,无效2例,有效21例,显效5例,痊愈8例,对照组36例总有效率为70.549%,其中无效6例,有效15例,显效12例,痊愈3例,经分析统计,治疗后两组患者综合疗效有明显差异(P0.05),证明疏肝和胃汤和中成药口服两种治疗方法皆能有效的改善患者的症状,在改善中医症状方面,疏肝和胃汤效果优于中成药口服。结论:在临床上两组方法取得的疗效都比较好。经过临床观察和对比分析后我们发现治疗组在临床症状的改善方面要优于对照组。说明疏肝和胃汤治疗胃脘痛有确切疗效又安全可靠,具有一定的临床推广价值。
[Abstract]:Objective: to observe the effect of Shugan Hewei decoction on the treatment of epigastric pain, to observe the changes of TCM syndromes and clinical efficacy, and to confirm the advancement and innovation of TCM in the treatment of epigastric pain. Abundant clinical study and treatment of epigastric pain. Methods: 72 cases from affiliated hospital of Changchun University of traditional Chinese Medicine were randomly divided into two groups: treatment group (36 cases) and control group (36 cases). The patients were numbered according to the order of visit. The treatment group was given traditional Chinese medicine Shugan Hewei decoction, the control group was treated with Shugan Pill No. 6 pills every time, three times a day). The patients were treated continuously for 4 weeks as a course of treatment, and a course of treatment was observed. During the course of treatment, the changes of symptoms and signs of the two groups were observed closely. The index of syndromes and tongue vein were recorded. Results: in the treatment group, the total effective rate was 85.593 cases, ineffective in 2 cases, effective in 21 cases, marked effect in 5 cases, cure in 8 cases. In the control group, the total effective rate of 36 cases was 70.549, of which 6 cases were ineffective, 15 cases were effective, 12 cases were marked effect and 3 cases were cured. After treatment, there was significant difference in the comprehensive curative effect between the two groups, which proved that both Shugan and Wei decoction and oral Chinese patent medicine could effectively improve the symptoms of patients, and the effect of soothing liver and stomach decoction was better than that of traditional Chinese patent medicine in improving the symptoms of traditional Chinese medicine. Conclusion: the two groups have better curative effect in clinic. After clinical observation and comparative analysis, we found that the treatment group was superior to the control group in the improvement of clinical symptoms. It shows that Shugan Hewei decoction is effective and safe in the treatment of epigastric pain.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R256.33

【参考文献】