本文選題：功能性腹瀉 + 益氣健脾法��； 參考：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:通過(guò)對(duì)益氣健脾法治療功能性腹瀉脾胃虛弱證的臨床觀察,評(píng)定其臨床療效。方法:納入中醫(yī)辨證屬脾胃虛弱證的功能性腹瀉患者共40例,治以益氣健脾法,采用治療前后自身對(duì)照的方法進(jìn)行觀察研究。本臨床觀察治療時(shí)間為4周,分別記錄患者治療0周、治療4周時(shí)的中醫(yī)癥狀體征積分及心理量表評(píng)分,并應(yīng)用SPSS19.0進(jìn)行前后對(duì)比統(tǒng)計(jì)分析,以觀察功能性腹瀉患者的癥狀改善情況。于停藥后12周對(duì)完成治療觀察的患者進(jìn)行隨訪,通過(guò)觀察患者癥狀體征積分相較于治療4周時(shí)的變化情況判斷其復(fù)發(fā)情況。結(jié)果:所納入的40例患者中,脫落3例,其余37例順利完成治療觀察,其中臨床治愈8人,顯效15人,有效12人,無(wú)效2人,總有效率為94.59%。對(duì)比37名患者治療前、治療后的中醫(yī)癥狀總積分以及糞便不成形、完谷不化等各單項(xiàng)癥狀積分均顯示P0.01,提示有顯著差異;患者的SAS、SDS評(píng)分亦較療前有所下降。在后續(xù)的隨訪過(guò)程中,脫落2例,復(fù)發(fā)4例,復(fù)發(fā)率為11.4%。結(jié)論:益氣健脾法治療功能性腹瀉脾胃虛弱證具有顯著的療效,能明顯改善患者各中醫(yī)證候表現(xiàn),且使患者的心理狀態(tài)得到一定程度的改善,提高了其生活質(zhì)量,同時(shí)益氣健脾法治療功能性腹瀉尚具有復(fù)發(fā)率低、遠(yuǎn)期療效較好的優(yōu)勢(shì),有較好的臨床應(yīng)用前景。
[Abstract]:Objective: to evaluate the clinical efficacy of invigorating qi and invigorating spleen in the treatment of functional diarrhea with deficiency of spleen and stomach. Methods: 40 cases of functional diarrhea with syndrome differentiation of spleen and stomach were treated with the method of invigorating qi and invigorating spleen. The self-control method before and after treatment was used to observe and study. The clinical observation and treatment time was 4 weeks. The scores of TCM symptoms and signs and psychological scale were recorded after 0 weeks and 4 weeks of treatment respectively. SPSS 19.0 was used to carry out statistical analysis before and after treatment. To observe the improvement of symptoms in patients with functional diarrhea. The patients who completed the treatment observation were followed up at 12 weeks after withdrawal. The recurrence of the patients was judged by observing the scores of symptoms and signs of the patients compared with the changes of the symptoms and signs of the patients after 4 weeks of treatment. Results: among the 40 cases, 3 cases dropped off and 37 cases completed the observation successfully. Among them, 8 cases were cured, 15 cases were effective, 12 cases were effective and 2 cases were ineffective. The total effective rate was 94.59%. Compared with 37 patients before and after treatment, the total score of TCM symptoms and fecal dysplasia, and the scores of all individual symptoms showed P 0.01, indicating that there was significant difference, and the scores of SASN SDS were also lower than those before treatment. In the follow-up, 2 cases dropped off, 4 cases recurred, the recurrence rate was 11.4%. Conclusion: the method of invigorating qi and invigorating spleen is effective in treating functional diarrhea with deficiency of spleen and stomach. It can obviously improve the symptoms of TCM, improve the psychological state of patients and improve their quality of life. At the same time, the method of replenishing qi and strengthening spleen still has the advantages of low recurrence rate and good long-term curative effect, and has a good clinical application prospect.
【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】：2017
【分類號(hào)】：R259

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