本文關(guān)鍵詞： 芪術(shù)健脾湯 參苓白術(shù)散 脾胃虛弱型 泄瀉　出處：《黑龍江中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:運(yùn)用芪術(shù)健脾湯與參苓白術(shù)散進(jìn)行臨床比較,觀察芪術(shù)健脾湯治療脾胃虛弱型泄瀉的臨床療效,分析芪術(shù)健脾湯治療脾胃虛弱型泄瀉優(yōu)點(diǎn)和不足。從而為祖國(guó)醫(yī)學(xué)治療泄瀉提供可靠的臨床依據(jù)。方法:將符合納入標(biāo)準(zhǔn)的64例患者,按照隨機(jī)數(shù)字表法分為治療組和對(duì)照組各32例。治療組患者予中藥湯劑芪術(shù)健脾湯,對(duì)照組患者予參苓白術(shù)散。療程兩組均為四周。觀察患者治療前后中醫(yī)癥狀變化(腹瀉、脘腹痞滿、倦怠乏力、食欲不振、腸鳴矢氣、神疲懶言、腹痛、舌苔脈象),同時(shí)觀察芪術(shù)健脾湯治療期間患者不良反應(yīng)的發(fā)生情況。療程結(jié)束后隨訪3個(gè)月,觀察該病復(fù)發(fā)率。結(jié)果:①總療效評(píng)價(jià)方面:治療組總有效率93.33%;對(duì)照組總有效率76.67%。兩組差異經(jīng)檢驗(yàn)有統(tǒng)計(jì)學(xué)意義(P0.05)。②總證候積分比較:治療組證候總積分改善方面優(yōu)與對(duì)照組,兩組差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。③證候積分比較:治療組:治療組癥狀積分改善明顯高于對(duì)照組,兩組差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。④復(fù)發(fā)率比較,治療組復(fù)發(fā)率10.00%;對(duì)照組復(fù)發(fā)率16.67%,兩組差異經(jīng)檢驗(yàn)無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),說(shuō)明兩組在復(fù)發(fā)率差異無(wú)統(tǒng)計(jì)學(xué)意義。⑤兩組患者的血常規(guī)、肝功、腎功治療前后比較,經(jīng)統(tǒng)計(jì)學(xué)分析,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:芪術(shù)健脾湯可明顯改善脾胃虛弱型泄瀉患者的臨床癥狀。
[Abstract]:Objective: to compare the clinical effect of Qizhu Jianpi decoction and Shenling Baizhu Powder in treating diarrhea of asthenia of spleen and stomach. To analyze the advantages and disadvantages of Qizhu Jianpi decoction in treating diarrhea of asthenia of spleen and stomach so as to provide a reliable clinical basis for the treatment of diarrhea in traditional Chinese medicine. Methods: 64 patients who met the inclusion criteria were included. The patients in the treatment group were divided into two groups: the treatment group (n = 32) and the control group (n = 32). The patients in the treatment group were given traditional Chinese medicine decoction Qizhujianpi decoction. The patients in the control group were treated with Shenling Atractylodes Powder for four weeks. The changes of TCM symptoms before and after treatment (diarrhea, epigastric fullness, fatigue, anorexia, sagittal qi, fatigue, laziness, abdominal pain) were observed. At the same time, observe the occurrence of adverse reactions during the treatment of Qizhu Jianpi decoction. Follow up for 3 months after the end of the course of treatment. Results: the total effective rate of the treatment group was 93.33; The total effective rate of the control group 76.67.The difference between the two groups was statistically significant P0.05.2 total syndrome integral comparison: the treatment group total syndrome integral improvement was better than the control group. The difference between the two groups was statistically significant P0.05.3 syndrome score comparison: treatment group: the treatment group symptom score improved significantly higher than the control group. The difference between the two groups was statistically significant (P 0.054.The recurrence rate in the treatment group was 10.00). The recurrence rate of the control group was 16.67 and the difference between the two groups was not statistically significant (P 0.05), indicating that there was no significant difference in the recurrence rate between the two groups. 5. The blood routine and liver function of the two groups were not statistically significant. Before and after treatment, there was no significant difference between the two groups before and after treatment. Conclusion: Qizhu Jianpi decoction can obviously improve the clinical symptoms of diarrhea patients with deficiency of spleen and stomach.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R256.34

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