清热化湿和胃法治疗功能性消化不良湿热滞胃证的临床观察

发布时间：2019-04-13 15:54

【摘要】：目的:观察清热化湿和胃法治疗功能性消化不良湿热滞胃证的临床治疗效果。方法:将48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湿热滞胃证的患者纳入本试验中,收录时间段为2016年01月-2017年01月。均采用清热化湿和胃法进行治疗。治疗疗程为4周。在治疗前后分别对患者进行功能性消化不良中医主、次症状以及精神心理状况的积分评定,以观察患者症状的改善情况。三个月后,对治疗有效的患者进行症状评分,观察复发情况。结果:入组本临床观察的48名患者中,有4名患者出现脱落。其余44名完成本试验,其中临床治愈7人,显效24人,有效10人,无效3人,总有效率为93.2%。44名患者的中医单项症状积分、中医症状总积分、主要症状积分、次要症状积分前后对照有统计学差异,p0.01。存在心理障碍的患者,经治疗后SAS、SDS评分有较明显好转。后续随访治疗有效的患者中有5人复发,复发率为12.5%。结论:1.清热化湿和胃法治疗功能性消化不良湿热滞胃证疗效肯定,可显著改善患者症状。2.清热化湿和胃法治疗功能性消化不良复发率低,远期疗效较好。
[Abstract]:Objective: to observe the clinical effect of clearing heat and removing dampness and treating functional dyspepsia with dampness-heat stagnation syndrome. Methods: 48 patients with functional dyspepsia and dampness-heat stagnation syndrome from the Department of liver, spleen and stomach of Heilongjiang University of traditional Chinese Medicine were included in this study. The period of collection was from January 2016 to January 2017. All the patients were treated by clearing away heat and dehumidifying dampness and stomach. The course of treatment was 4 weeks. Patients with functional dyspepsia before and after treatment were assessed with scores of main symptoms, sub-symptoms and psycho-psychological status to observe the improvement of symptoms. Three months later, symptom scores were given to patients who had been treated effectively, and recurrence was observed. Results: of the 48 patients enrolled in the clinical observation, 4 patients showed shedding. The remaining 44 patients completed the experiment, of which 7 were clinically cured, 24 were effective, 10 were effective, 3 were ineffective, and the total effective rate was 93.2%. The scores of single symptom, total score and main symptom of TCM were obtained in 44 patients. There was statistical difference between pre-and post-score of secondary symptoms, p0.01. After treatment, the SAS,SDS scores of the patients with psychological disorders improved significantly. The recurrence rate was 12.5% in 5 patients with effective follow-up treatment. Conclusions: 1. The treatment of functional dyspepsia with dampness-heat stagnation syndrome by clearing heat and removing dampness and stomach therapy has positive curative effect, and can significantly improve the symptoms of the patients. 2. The method of clearing heat and removing dampness and stomach for functional dyspepsia has a low recurrence rate and a good long-term effect.
【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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