【摘要】：目的:本課題依據(jù)酒精性肝病脈形特點(diǎn),結(jié)合臨床表現(xiàn),指導(dǎo)組方用藥,觀察中藥治療酒精性肝病的臨床療效,進(jìn)而深化憑脈指導(dǎo)臨床的意義,探討提高中醫(yī)臨床工作者脈診水平可行性。方法:本研究由40名接受脈診培訓(xùn)的醫(yī)務(wù)人員參與完成,通過(guò)對(duì)符合條件的677例患者密切觀察。治療組患者進(jìn)行脈形分析,通過(guò)脈形進(jìn)行組方用藥;對(duì)照組則在西醫(yī)會(huì)診后采用保肝、降酶治療,治療周期均為3個(gè)月。治療完成后每位醫(yī)務(wù)人員各提交病例14例,治療組、對(duì)照組各7例,共560例。在治療前和治療后觀察兩組中醫(yī)證候?qū)W指標(biāo)的改善情況,并進(jìn)行記錄。結(jié)果:治療3個(gè)月后,治療組在脅痛、脘腹脹滿、口干口苦、倦怠乏力方面優(yōu)于對(duì)照組(P0.01),在納差、惡心嘔吐、身目黃染、肝脾腫大、肝掌、蜘蛛痣、面色晦暗、舌質(zhì)方面,兩組差異不明顯(P0.05)。結(jié)論:酒精性肝病不同階段,其脈形要素是有差異的,這與患者的病情嚴(yán)重程度是密切相關(guān)的。通過(guò)脈形要素分析,可以直觀反映出患者的證候類(lèi)型。研究中各種相兼脈的檢出與酒精性肝病的分型是吻合的,根據(jù)治療前后,對(duì)照組與治療組中醫(yī)證候?qū)W積分的改善情況,推論以脈診為主導(dǎo),治療酒精性肝病是切實(shí)可行的,并且可以取得較為理想的療效。
[Abstract]:Objective: to observe the clinical effect of traditional Chinese medicine on alcoholic liver disease according to the characteristics of vein shape of alcoholic liver disease, combined with clinical manifestations and prescriptions in the guidance group, so as to deepen the significance of guiding the clinical by pulse. To explore the feasibility of improving the level of pulse diagnosis of TCM clinical workers. Methods: the study was carried out by 40 medical personnel trained in pulse examination, and 677 patients were observed closely. The patients in the treatment group were analyzed by pulse shape and treated with prescription through vein shape. The control group was treated with liver protection and enzyme lowering after western medicine consultation. The treatment period was 3 months. After the treatment, 14 cases were submitted by each medical staff, 7 cases in the treatment group and 7 cases in the control group, a total of 560 cases. The improvement of TCM syndromes before and after treatment was observed and recorded. Results: after 3 months of treatment, the treatment group was superior to the control group in terms of hypochondriac pain, abdominal distension, dry mouth, fatigue and fatigue (P0.01), and had dark complexion in the aspects of anorexia, nausea and vomiting, yellow stain of body and eyes, hepatomegaly, hepatic palms, spider nevus. In terms of tongue quality, there was no significant difference between the two groups (P0.05). Conclusion: in different stages of alcoholic liver disease, the factors of vein shape are different, which is closely related to the severity of the disease. Through the analysis of pulse elements, the syndrome types of patients can be reflected intuitively. According to the improvement of TCM syndromes before and after treatment and the improvement of TCM syndromes in the control group and the treatment group, it is feasible to treat alcoholic liver disease with pulse diagnosis as the leading factor. And can obtain the more ideal curative effect.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類(lèi)號(hào)】：R259

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 周愛(ài)華;;中醫(yī)辨證治療酒精性脂肪肝145例臨床觀察[J];中國(guó)民族民間醫(yī)藥;2014年19期

2 張宇;O@雪平;關(guān)曉光;欒廣君;;《難經(jīng)》脈診探析[J];中醫(yī)藥信息;2013年06期

3 關(guān)曉光;隋小平;O@雪平;王一靜;;馬王堆醫(yī)書(shū)脈證關(guān)系研究[J];中醫(yī)藥學(xué)報(bào);2013年04期

4 李霞;;《難經(jīng)》脈診理論貢獻(xiàn)探析[J];中國(guó)中醫(yī)基礎(chǔ)醫(yī)學(xué)雜志;2013年05期

5 王睿林;王立福;王仲霞;何婷婷;王剗;劉冰;李永綱;;酒精性肝硬化與乙型肝炎肝硬化中醫(yī)體質(zhì)的差異性分析[J];中西醫(yī)結(jié)合肝病雜志;2012年05期

6 李冬梅;金棟;杜寶良;高海華;;房顫脈的中醫(yī)相關(guān)脈象研究[J];中國(guó)中醫(yī)基礎(chǔ)醫(yī)學(xué)雜志;2012年09期

7 葛麗娜;;中醫(yī)脈診的客觀化研究之我見(jiàn)[J];現(xiàn)代中醫(yī)藥;2012年02期

8 徐t，

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