酒精性肝病脉形与中医诊疗相关性的研究

发布时间：2018-12-13 16:24

【摘要】：目的:本课题依据酒精性肝病脉形特点,结合临床表现,指导组方用药,观察中药治疗酒精性肝病的临床疗效,进而深化凭脉指导临床的意义,探讨提高中医临床工作者脉诊水平可行性。方法:本研究由40名接受脉诊培训的医务人员参与完成,通过对符合条件的677例患者密切观察。治疗组患者进行脉形分析,通过脉形进行组方用药;对照组则在西医会诊后采用保肝、降酶治疗,治疗周期均为3个月。治疗完成后每位医务人员各提交病例14例,治疗组、对照组各7例,共560例。在治疗前和治疗后观察两组中医证候学指标的改善情况,并进行记录。结果:治疗3个月后,治疗组在胁痛、脘腹胀满、口干口苦、倦怠乏力方面优于对照组(P0.01),在纳差、恶心呕吐、身目黄染、肝脾肿大、肝掌、蜘蛛痣、面色晦暗、舌质方面,两组差异不明显(P0.05)。结论:酒精性肝病不同阶段,其脉形要素是有差异的,这与患者的病情严重程度是密切相关的。通过脉形要素分析,可以直观反映出患者的证候类型。研究中各种相兼脉的检出与酒精性肝病的分型是吻合的,根据治疗前后,对照组与治疗组中医证候学积分的改善情况,推论以脉诊为主导,治疗酒精性肝病是切实可行的,并且可以取得较为理想的疗效。
[Abstract]:Objective: to observe the clinical effect of traditional Chinese medicine on alcoholic liver disease according to the characteristics of vein shape of alcoholic liver disease, combined with clinical manifestations and prescriptions in the guidance group, so as to deepen the significance of guiding the clinical by pulse. To explore the feasibility of improving the level of pulse diagnosis of TCM clinical workers. Methods: the study was carried out by 40 medical personnel trained in pulse examination, and 677 patients were observed closely. The patients in the treatment group were analyzed by pulse shape and treated with prescription through vein shape. The control group was treated with liver protection and enzyme lowering after western medicine consultation. The treatment period was 3 months. After the treatment, 14 cases were submitted by each medical staff, 7 cases in the treatment group and 7 cases in the control group, a total of 560 cases. The improvement of TCM syndromes before and after treatment was observed and recorded. Results: after 3 months of treatment, the treatment group was superior to the control group in terms of hypochondriac pain, abdominal distension, dry mouth, fatigue and fatigue (P0.01), and had dark complexion in the aspects of anorexia, nausea and vomiting, yellow stain of body and eyes, hepatomegaly, hepatic palms, spider nevus. In terms of tongue quality, there was no significant difference between the two groups (P0.05). Conclusion: in different stages of alcoholic liver disease, the factors of vein shape are different, which is closely related to the severity of the disease. Through the analysis of pulse elements, the syndrome types of patients can be reflected intuitively. According to the improvement of TCM syndromes before and after treatment and the improvement of TCM syndromes in the control group and the treatment group, it is feasible to treat alcoholic liver disease with pulse diagnosis as the leading factor. And can obtain the more ideal curative effect.
【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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