健脾理气汤联合西医疗法治疗脾虚气滞型功能性消化不良临床研究
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Clinical Study on Jianpi Liqi Tang Combined with Western Medicine Therapy for Functional Dyspepsia of Spleen Deficiency and Qi Stagnation Type
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    摘要:

    目的:观察健脾理气汤联合西医疗法治疗脾虚气滞型功能性消化不良(FD) 的临床疗效。方法:将240 例FD 患者随机分为西医组及中西医组各120 例。西医组予莫沙必利片+雷贝拉唑肠溶片治疗,中西医组在西医组基础上加健脾理气汤治疗,2 组均治疗8 周。评估2 组治疗后临床疗效和治疗前后中医证候积分、血清胃肠激素指标的变化。结果:治疗后,中西医组临床总有效率94.17%,高于西医组86.67%(P<0.05)。与同组治疗前比较,治疗后2 组胃脘疼痛、嗳气呃逆、胃脘胀满、纳呆等中医证候积分均降低(P<0.05);与西医组治疗后比较,中西医组治疗后以上各中医证候积分均较低(P<0.05)。与同组治疗前比较,治疗后2 组血清胃动素(MTL)、胃泌素(GAS) 水平上升(P<0.05),血管活性肠肽(VIP) 水平下降(P<0.05);与西医组治疗后比较,中西医组治疗后血清MTL、GAS 水平较高(P<0.05),VIP 水平较低(P<0.05)。结论:健脾理气汤联合西医疗法治疗脾虚气滞型FD 患者的疗效确切,能明显改善临床症状,调节胃肠激素的分泌。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Jianpi Liqi Tang combined with western medicine therapy for functional dyspepsia(FD) of spleen deficiency and qi stagnation type. Methods : A total of 240 cases of FD patients were randomly divided into the western medicine group and the Chinese and western medicine group, with 120 cases in each group. The western medicine group was treated with Mosapride Tablets and Rabeprazole Sodium Enteric- coated Tablets, and the Chinese and western medicine group was additionally treated with Jianpi Liqi Tang based on the treatment of the western medicine group. Both groups were treated for eight weeks. The changes in traditional Chinese medicine (TCM) syndrome scores and indexes of gastrointestinal hormones in serum before and after treatment and the clinical effects after treatment in the two groups were evaluated. Results:After treatment,the total clinical effective rate was 94.17% in the Chinese and western medicine group higher than that of 86.67% in the western medicine group(P<0.05). After treatment, the TCM syndrome scores including epigastric pain, belching and hiccup, gastric fullness and poor appetite in the two groups were decreased when compared with those before treatment(P<0.05); the above TCM syndrome scores in the Chinese and western medicine group were lower than those in the western medicine group(P<0.05). After treatment, the levels of motilin(MTL) and gastrin(GAS) in serum in the two groups were increased when compared with those before treatment(P<0.05), and the levels of vasoactive intestinal peptide(VIP) were decreased(P< 0.05);the levels of MTL and GAS in serum in the Chinese and western medicine group were higher than those in the western medicine group(P<0.05),and the VIP level was lower(P<0.05). Conclusion:Jianpi Liqi Tang combined with western medicine therapy has a definite curative effect in treating FD patients of spleen deficiency and qi stagnation type, which can significantly improve clinical symptoms and regulate the secretion of gastrointestinal hormones.

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卞银燕,徐燕芳,陈思,童晓群.健脾理气汤联合西医疗法治疗脾虚气滞型功能性消化不良临床研究[J].新中医,2022,54(21):84-87

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  • 在线发布日期: 2022-11-15
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