本文選題：胃脘痛 + 消化性潰瘍��； 參考：《長春中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:通過觀察疏肝和胃湯治療胃脘痛(肝氣犯胃證),對其中醫(yī)證候改變、臨床療效的變化情況進行臨床觀察,肯定中醫(yī)中藥在治療胃脘痛方面的先進性和創(chuàng)新性,豐富胃脘痛的臨床研究與治療。方法:采用隨機對照方法,選取來自長春中醫(yī)藥大學(xué)附屬醫(yī)院的72個病例,將入選病例隨機分為2組,治療組36例,對照組36例。將患者按照就診先后順序編號,治療組給予中藥疏肝和胃湯,對照組給予舒肝丸(6丸/次,日3次口服)治療,連續(xù)服用4周為1療程,觀察1個療程,治療過程中密切觀察兩組病人癥狀及體征的變化。記錄自身前后癥候積分及舌脈等指標。結(jié)果:治療組36例總有效率為85.593%,無效2例,有效21例,顯效5例,痊愈8例,對照組36例總有效率為70.549%,其中無效6例,有效15例,顯效12例,痊愈3例,經(jīng)分析統(tǒng)計,治療后兩組患者綜合療效有明顯差異(P0.05),證明疏肝和胃湯和中成藥口服兩種治療方法皆能有效的改善患者的癥狀,在改善中醫(yī)癥狀方面,疏肝和胃湯效果優(yōu)于中成藥口服。結(jié)論:在臨床上兩組方法取得的療效都比較好。經(jīng)過臨床觀察和對比分析后我們發(fā)現(xiàn)治療組在臨床癥狀的改善方面要優(yōu)于對照組。說明疏肝和胃湯治療胃脘痛有確切療效又安全可靠,具有一定的臨床推廣價值。
[Abstract]:Objective: to observe the effect of Shugan Hewei decoction on the treatment of epigastric pain, to observe the changes of TCM syndromes and clinical efficacy, and to confirm the advancement and innovation of TCM in the treatment of epigastric pain. Abundant clinical study and treatment of epigastric pain. Methods: 72 cases from affiliated hospital of Changchun University of traditional Chinese Medicine were randomly divided into two groups: treatment group (36 cases) and control group (36 cases). The patients were numbered according to the order of visit. The treatment group was given traditional Chinese medicine Shugan Hewei decoction, the control group was treated with Shugan Pill No. 6 pills every time, three times a day). The patients were treated continuously for 4 weeks as a course of treatment, and a course of treatment was observed. During the course of treatment, the changes of symptoms and signs of the two groups were observed closely. The index of syndromes and tongue vein were recorded. Results: in the treatment group, the total effective rate was 85.593 cases, ineffective in 2 cases, effective in 21 cases, marked effect in 5 cases, cure in 8 cases. In the control group, the total effective rate of 36 cases was 70.549, of which 6 cases were ineffective, 15 cases were effective, 12 cases were marked effect and 3 cases were cured. After treatment, there was significant difference in the comprehensive curative effect between the two groups, which proved that both Shugan and Wei decoction and oral Chinese patent medicine could effectively improve the symptoms of patients, and the effect of soothing liver and stomach decoction was better than that of traditional Chinese patent medicine in improving the symptoms of traditional Chinese medicine. Conclusion: the two groups have better curative effect in clinic. After clinical observation and comparative analysis, we found that the treatment group was superior to the control group in the improvement of clinical symptoms. It shows that Shugan Hewei decoction is effective and safe in the treatment of epigastric pain.
【學(xué)位授予單位】：長春中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R256.33

【參考文獻】

相關(guān)期刊論文 前10條

1 譚曉慧;王濱;麻春杰;;淺析米子良教授治療胃痛辨治方藥特點[J];中醫(yī)藥導(dǎo)報;2014年14期

2 楊慧R，

本文編號：1983896