大柴胡汤治疗中风后便秘（少阳阳明合病）的临床研究
发布时间：2018-12-11 22:00
【摘要】：目的:观察大柴胡汤治疗中风后便秘(少阳阳明合病)的临床疗效,总结导师临床经验,为中风后便秘(少阳阳明合病)的治疗提供新思路与方法。为用胡希恕六经八纲理论体系指导中风后便秘提供切实可靠的理论依据。方法:采用随机、对照的临床试验方法,观察中风后便秘患者72例,对照组给予六味安消胶囊口服以及基础治疗,治疗组给予中药颗粒剂大柴胡汤口服,疗程14天。分别于治疗后第1周、第2周进行疗效评估。结果:入组患者病例共72例,脱落3例,统计病例数共计69例。经过本方案治疗1周后,治疗组、对照组与治疗前的症状积分相比较,差异具有统计学意义(P0.05),但组间无明显差异(P0.05);治疗两周后两组与治疗前症状积分比较,差异具有统计学意义(P0.05);组间比较有显著性差异(P0.05),治疗组优于对照组。结论:在胡希恕六经八纲辨证理论体系的指导下,大柴胡汤在治疗中风后便秘(少阳阳明合病)及改善其他症状方面有显著优势。
[Abstract]:Objective: to observe the clinical effect of Dachaihu decoction in treating constipation after apoplexy (Shaoyang Yangminghe disease), summarize the clinical experience of tutor, and provide a new idea and method for the treatment of constipation after apoplexy. To provide a practical and reliable theoretical basis for the theory system of Hu Xishu's six Meridians and eight principles guiding constipation after apoplexy. Methods: a randomized, controlled clinical trial was conducted to observe 72 patients with constipation after stroke. The control group was treated with Liuwei Anxiao capsule and basic treatment. The treatment group was treated with Dachaihu decoction, a traditional Chinese medicine granule, for 14 days. The therapeutic effects were evaluated at the first week and the second week after treatment. Results: there were 72 cases in the group, 3 cases dropped out, 69 cases were counted. After one week of treatment, there were significant differences in symptom scores between the treatment group and the control group (P0.05), but there was no significant difference between the two groups (P0.05). After two weeks of treatment, the difference between the two groups and pre-treatment symptom score was statistically significant (P0.05); there was a significant difference between the two groups (P0.05), the treatment group was better than the control group. Conclusion: under the guidance of the theory system of differentiation of symptoms and symptoms, Dachaihu decoction has significant advantages in treating constipation after apoplexy (Shaoyang Yanghe disease) and improving other symptoms.
【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】：R277.7;R256.35
[Abstract]:Objective: to observe the clinical effect of Dachaihu decoction in treating constipation after apoplexy (Shaoyang Yangminghe disease), summarize the clinical experience of tutor, and provide a new idea and method for the treatment of constipation after apoplexy. To provide a practical and reliable theoretical basis for the theory system of Hu Xishu's six Meridians and eight principles guiding constipation after apoplexy. Methods: a randomized, controlled clinical trial was conducted to observe 72 patients with constipation after stroke. The control group was treated with Liuwei Anxiao capsule and basic treatment. The treatment group was treated with Dachaihu decoction, a traditional Chinese medicine granule, for 14 days. The therapeutic effects were evaluated at the first week and the second week after treatment. Results: there were 72 cases in the group, 3 cases dropped out, 69 cases were counted. After one week of treatment, there were significant differences in symptom scores between the treatment group and the control group (P0.05), but there was no significant difference between the two groups (P0.05). After two weeks of treatment, the difference between the two groups and pre-treatment symptom score was statistically significant (P0.05); there was a significant difference between the two groups (P0.05), the treatment group was better than the control group. Conclusion: under the guidance of the theory system of differentiation of symptoms and symptoms, Dachaihu decoction has significant advantages in treating constipation after apoplexy (Shaoyang Yanghe disease) and improving other symptoms.
【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】：R277.7;R256.35
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