本文選題：疏肝理氣化瘀止痛法 + 慢性膽囊炎��； 參考：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:通過對慢性膽囊炎相關(guān)理論的探討與臨床研究,觀察疏肝理氣化瘀止痛法治療慢性膽囊炎(氣滯血瘀型)的療效。方法:依據(jù)病例的選擇標(biāo)準(zhǔn)選入40例慢性膽囊炎氣滯血瘀型患者施行臨床觀察,按就診的時間對患者進行1-40編號,應(yīng)用治療前與治療后自身對照的方法進行研究,給予患者疏肝理氣化瘀止痛法治療,藥物采用天江中藥配方免煎顆粒,每日1劑,日兩次早晚飯前溫服,4周為1個療程,治療1個療程。記錄治療前后的各項指標(biāo),進行數(shù)據(jù)處理和統(tǒng)計分析。結(jié)果:納入38名患者經(jīng)治療后其總療效的總有效率為94.74%;其中醫(yī)證候療效的有效率為94.74%;治療前與治療后的證候積分分別為18.42±2.62,5.79±4.79,經(jīng)統(tǒng)計學(xué)分析,Z=-5.376,P0.01,有顯著性差異,具有統(tǒng)計學(xué)意義;治療后主癥的有效率分別為81.58%,94.74%;治療前后的主次癥的積分比較(P0.01),有顯著差異,具有統(tǒng)計學(xué)意義;治療后彩超總有效率為89.47%,治療前、后積分分別是4.05±1.21,1.87±1.30經(jīng)統(tǒng)計學(xué)分析,Z=-5.350,P0.01,治療前后的彩超影像學(xué)有明顯差異,具有統(tǒng)計學(xué)意義。結(jié)論:1.疏肝理氣化瘀止痛法能顯著改善慢性膽囊炎氣滯血瘀型患者的臨床癥狀。2.疏肝理氣化瘀止痛法能有效改善慢性膽囊炎氣滯血瘀型患者的彩超影像學(xué)表現(xiàn)。
[Abstract]:Objective: to investigate the related theory and clinical study of chronic cholecystitis, to observe the curative effect of the method of soothing liver, regulating qi, removing blood stasis and relieving pain in treating chronic cholecystitis (qi stagnation and blood stasis type). Methods: 40 cases of chronic cholecystitis with Qi stagnation and blood stasis were selected according to the selection criteria of the patients. The patients were numbered 1-40 according to the time of treatment and compared with those before and after treatment. The patients were treated with the method of soothing liver, regulating qi, removing blood stasis and relieving pain. The medicine was treated with Tianjiang traditional Chinese medicine formula, one dose per day, and two times a day before meals for 4 weeks as a course of treatment, one course of treatment. The indexes before and after treatment were recorded, data processing and statistical analysis were carried out. Results: the total effective rate of 38 patients was 94.74, the effective rate of TCM syndromes was 94.74, the score of syndrome before treatment and after treatment was 18.42 鹵2.62 鹵5.79 鹵4.79, respectively. The effective rates of the main symptoms after treatment were 81.58 and 94.74.The scores of the primary and secondary symptoms before and after treatment were significantly different and statistically significant. The total effective rate of color Doppler ultrasound after treatment was 89.47, before and after treatment. The posterior integral was 4.05 鹵1.21 and 1.87 鹵1.30 respectively. After statistical analysis, there was significant difference in color Doppler imaging before and after treatment. Conclusion 1. The method of soothing liver, regulating qi, removing blood stasis and relieving pain can significantly improve the clinical symptoms of chronic cholecystitis with qi stagnation and blood stasis. The method of soothing liver, regulating qi and removing stasis and relieving pain can effectively improve the imaging manifestations of chronic cholecystitis with qi stagnation and blood stasis.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R259

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本文編號：1918643