【摘要】：目的:觀察清熱化濕和胃法治療功能性消化不良濕熱滯胃證的臨床治療效果。方法:將48例來(lái)自黑龍江中醫(yī)藥大學(xué)肝脾胃科門診的功能性消化不良濕熱滯胃證的患者納入本試驗(yàn)中,收錄時(shí)間段為2016年01月-2017年01月。均采用清熱化濕和胃法進(jìn)行治療。治療療程為4周。在治療前后分別對(duì)患者進(jìn)行功能性消化不良中醫(yī)主、次癥狀以及精神心理狀況的積分評(píng)定,以觀察患者癥狀的改善情況。三個(gè)月后,對(duì)治療有效的患者進(jìn)行癥狀評(píng)分,觀察復(fù)發(fā)情況。結(jié)果:入組本臨床觀察的48名患者中,有4名患者出現(xiàn)脫落。其余44名完成本試驗(yàn),其中臨床治愈7人,顯效24人,有效10人,無(wú)效3人,總有效率為93.2%。44名患者的中醫(yī)單項(xiàng)癥狀積分、中醫(yī)癥狀總積分、主要癥狀積分、次要癥狀積分前后對(duì)照有統(tǒng)計(jì)學(xué)差異,p0.01。存在心理障礙的患者,經(jīng)治療后SAS、SDS評(píng)分有較明顯好轉(zhuǎn)。后續(xù)隨訪治療有效的患者中有5人復(fù)發(fā),復(fù)發(fā)率為12.5%。結(jié)論:1.清熱化濕和胃法治療功能性消化不良濕熱滯胃證療效肯定,可顯著改善患者癥狀。2.清熱化濕和胃法治療功能性消化不良復(fù)發(fā)率低,遠(yuǎn)期療效較好。
[Abstract]:Objective: to observe the clinical effect of clearing heat and removing dampness and treating functional dyspepsia with dampness-heat stagnation syndrome. Methods: 48 patients with functional dyspepsia and dampness-heat stagnation syndrome from the Department of liver, spleen and stomach of Heilongjiang University of traditional Chinese Medicine were included in this study. The period of collection was from January 2016 to January 2017. All the patients were treated by clearing away heat and dehumidifying dampness and stomach. The course of treatment was 4 weeks. Patients with functional dyspepsia before and after treatment were assessed with scores of main symptoms, sub-symptoms and psycho-psychological status to observe the improvement of symptoms. Three months later, symptom scores were given to patients who had been treated effectively, and recurrence was observed. Results: of the 48 patients enrolled in the clinical observation, 4 patients showed shedding. The remaining 44 patients completed the experiment, of which 7 were clinically cured, 24 were effective, 10 were effective, 3 were ineffective, and the total effective rate was 93.2%. The scores of single symptom, total score and main symptom of TCM were obtained in 44 patients. There was statistical difference between pre-and post-score of secondary symptoms, p0.01. After treatment, the SAS,SDS scores of the patients with psychological disorders improved significantly. The recurrence rate was 12.5% in 5 patients with effective follow-up treatment. Conclusions: 1. The treatment of functional dyspepsia with dampness-heat stagnation syndrome by clearing heat and removing dampness and stomach therapy has positive curative effect, and can significantly improve the symptoms of the patients. 2. The method of clearing heat and removing dampness and stomach for functional dyspepsia has a low recurrence rate and a good long-term effect.
【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

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 馮育輝;張艷國(guó);鄭素梅;呂曉紅;;參苓健脾湯治療功能性消化不良(脾胃虛弱型)療效觀察[J];四川中醫(yī);2016年11期

2 岳美穎;潘媛;敖慧;;白術(shù)化學(xué)、藥理與臨床研究進(jìn)展[J];亞太傳統(tǒng)醫(yī)藥;2016年05期

3 徐因;劉莉?qū)?楊志軍;程永波;白瑞雪;賈小紅;;“老十針”合調(diào)神穴治療功能性消化不良臨床觀察[J];遼寧中醫(yī)雜志;2015年12期

4 李建平;蔡翠珠;劉德喜;;健脾調(diào)中消痞方治療脾虛氣滯型功能性消化不良臨床療效觀察[J];廣州中醫(yī)藥大學(xué)學(xué)報(bào);2015年05期

5 郭生明;;對(duì)功能性消化不良中醫(yī)辨證分型的特點(diǎn)分析[J];當(dāng)代醫(yī)藥論叢;2015年17期

6 黃旭東;;中藥參苓白術(shù)散加減治療功能性消化不良[J];中醫(yī)臨床研究;2015年20期

7 吳曉芳;馮偉勛;甘國(guó)興;陳太日;沈祖泓;;五磨飲治療脾虛氣滯型功能性消化不良療效研究[J];中華中醫(yī)藥學(xué)刊;2015年03期

8 劉亞平;邢素芳;;半夏的藥理作用研究[J];基層醫(yī)學(xué)論壇;2014年32期

9 張燕;馬朝陽(yáng);;穴位埋線對(duì)功能性消化不良癥狀及胃電圖的影響[J];湖北中醫(yī)雜志;2014年05期

10 馬少波;;黃連的藥理作用及臨床新用[J];中國(guó)民間療法;2013年06期

，

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