加味越鞠丸配合耳穴贴压治疗气郁湿阻型功能性消化不良的临床研究

发布时间：2018-11-22 16:39

【摘要】：目的:本课题针对气郁湿阻型功能性消化不良,通过观察比较加味越鞠丸配合耳穴贴压与西药莫沙必利的临床疗效,为探索功能性消化不良的中医综合疗法提供临床经验与依据。方法:将符合纳入标准的60例患者随机分为试验组和对照组各30例。试验组给予加味越鞠丸方水煎300ml,分早晚餐前半小时各温服150ml,日1剂,并每日按揉耳穴4-6次,每次2min,5天后换至对侧耳穴。对照组给予莫沙必利5mg,三餐前15-30min口服。疗程为1个月,1疗程后观察临床疗效。结果:试验组总有效率达到93.33%,对照组总有效率为83.33%,两组相比具有统计学差异(P0.05),可以看出,中医治疗在临床综合疗效上明显优于莫沙必利。治疗前后,两组患者症状总积分均有明显降低(P0.01),且试验组胃脘胀满疼痛、恶心呕吐、烦躁太息、神疲乏力、大便稀溏、口苦黏腻等症状的改善情况优于对照组。结论:加味越鞠丸配合耳穴贴压治疗气郁湿阻型功能性消化不良,临床症状改善明显,总体疗效显著,且优于对照组。
[Abstract]:Objective: in view of functional dyspepsia with qi stagnation and dampness obstruction, the clinical effect of Jiawei Yueju pills combined with auricular acupoint plaster and western medicine mosapride was observed and compared. To explore the functional dyspepsia of traditional Chinese medicine comprehensive therapy to provide clinical experience and basis. Methods: 60 patients who met the inclusion criteria were randomly divided into two groups: the experimental group (n = 30) and the control group (n = 30). In the experimental group, 300ml decoction of modified Yueju pill was given, 150 ml / d was taken half an hour before meal, 1 dose per day, and changed to contralateral ear point after 2 mins and 5 days by rubbing auricular acupoints 4-6 times a day. The control group was treated with mosapride 5 mg and 15-30min three times before meal. The course of treatment was 1 month and the clinical effect was observed after one course of treatment. Results: the total effective rate was 93.33 in the experimental group and 83.33 in the control group. There was statistical difference between the two groups (P0.05). Before and after treatment, the total scores of symptoms in both groups were significantly decreased (P0.01), and the improvement of stomachache, nausea and vomiting, irritability, fatigue, loose stool and sticky mouth in the experimental group was better than that in the control group. Conclusion: the modified Yueju pill combined with auricular point plaster is superior to the control group in the treatment of functional dyspepsia with qi stagnation and dampness obstruction.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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