健脾和胃法治疗功能性消化不良（脾胃气虚证）的临床观察

发布时间：2018-06-16 23:41

本文选题：功能性消化不良 + 健脾和胃法　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:观察健脾和胃法治疗功能性消化不良脾胃气虚证的临床治疗效果。方法:将43例来自黑龙江中医药大学肝脾胃科门诊的功能性消化不良脾胃气虚证的患者纳入本试验中,收录时间段为2016年01月—2017年01月。均采用健脾和胃法进行治疗,疗效结果采用疗前、疗后对比观察的方法。本试验1个疗程的时长为2周,持续治疗4周,在治疗结束3个月以后对治疗有效的患者进行随访调查。若服用汤药未满4周功能性消化不良主症及中医次要症状消失即可判定为临床治愈,不再继续服用。在试验期间,于治疗第0周、4周时对患者进行功能性消化不良的主要症状、次要症状以及精神心理状况进行打分评定,从而观察患者功能性消化不良临床表现的改善情况。所收集的数据均采用SPSS17.0进行统计分析。结果:在所有43名患者中,有3名患者脱落。其余40名受试者均完成本试验,其中临床治愈患者6名,治疗显效患者18名,治疗有效患者13名,治疗无效患者3名,总体有效率为92.5%。参与试验的40名患者在疗前、疗后的中医症状总积分与主、次要症状积分以及各症状积分方面的对照结果均有显著差异,其p值小于0.01。具有焦虑及抑郁状态的患者在治疗结束时的SAS、SDS评分表中的结果显示其症状较明显低于初始治疗时的状态。后续随访患者中有5人复发,复发率为13.5%。结论:1.健脾和胃法对功能性消化不良脾胃气虚证具有一定的治疗作用,能改善患者临床症状。2.健脾和胃法治疗功能性消化不良的复发率低,远期疗效较好。
[Abstract]:Objective: to observe the clinical effect of invigorating spleen and stomach in treating functional dyspepsia with deficiency of spleen and stomach qi. Methods: 43 patients with functional dyspepsia, spleen and stomach qi deficiency syndrome were included in this experiment from January 2016 to January 2017. The therapeutic effect was observed before and after treatment. The duration of one course of treatment was 2 weeks and the duration of treatment was 4 weeks. The effective patients were followed up 3 months after the end of treatment. If the main symptoms of functional dyspepsia and the secondary symptoms of TCM disappear within 4 weeks after taking the decoction, it can be judged as clinical cure and no longer be taken. During the experiment, the main symptoms, secondary symptoms and mental and psychological status of patients with functional dyspepsia were evaluated at the end of the 4th week of treatment, so as to observe the improvement of the clinical manifestations of the patients with functional dyspepsia. All the collected data were analyzed by SPSS 17.0. Results: of the 43 patients, 3 had dropped out. All the other 40 subjects completed the experiment, of which 6 were clinically cured, 18 were effective, 13 were effective and 3 were ineffective. The overall effective rate was 92.5. Before and after treatment, the total scores of TCM symptoms were significantly different from those of the main, secondary and other symptoms, and the scores of the symptoms were significantly different from those of the patients before and after the treatment, with a p value less than 0.01. Patients with anxiety and depression showed lower symptoms at the end of treatment than at the beginning of treatment. In the follow-up, 5 patients recurred and the recurrence rate was 13. 5%. Conclusion 1. The method of invigorating spleen and stomach has certain therapeutic effect on functional dyspepsia with deficiency of spleen and stomach qi, and can improve the clinical symptoms of patients. The recurrence rate of functional dyspepsia is low and the long-term 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】：R259

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