摘要
目的:探讨疏肝健脾和胃方加减辨证治疗肝郁脾虚证慢性胃炎的临床疗效。方法:选取160例肝郁脾虚证慢性胃炎患者,按随机数字表法分为试验组和对照组,每组各80例。对照组给予常规西药治疗,试验组采用疏肝健脾和胃方加减治疗。疗程均为6周,治疗后观察两组临床疗效与安全性。结果:试验组痊愈30例,显效27例,好转13例,有效率为87.50%;对照组痊愈13例,显效16例,好转27例,有效率为70.00%。胃镜疗效中试验组痊愈33例,显效27例,好转14例,有效率为92.50%;对照组痊愈20例,显效15例,好转24例,有效率为73.75%。两组疗效比较,试验组均优于对照组(P<0.05)。试验组在治疗期间未见不良反应;对照组在治疗中出现5例便秘,3例恶心、呕吐,1例过敏反应,经对症治疗后均痊愈。结论:应用疏肝健脾和胃方加减治疗肝郁脾虚证慢性胃炎具有良好的临床疗效,且不良反应少,安全性高。
Objective：To investigate the clinical efficacy and safety of soothing liver and strengthening the spleen and stomach prescrip- tion addition and subtraction syndrome differentiation and treatment of liver depression and spleen deficiency syndrome of chronic gastri- tis. Methods ： 160 cases of liver depression and spleen deficiency syndrome patients were randomly divided into the experimental group and the control group, each of 80 cases. The control group was given conventional western medicine, and the experimental group was treated with soothing liver and strengthening the spleen and stomach prescription addition and subtraction syndrome differentiation and treatment. Six weeks as a course of treatment,and the efficacy and safety of the two groups were observed. Results ： In the experimental group,30 cases were cured,27 cases were effective, 13 cases were improved, and the effective rate was 87.50% ;In the control group, 13 cases were cured, 16 cases were effective,27 cases were improved,and the effective rate was 70.00%. Gastroscopy efficacy of the ex- perimental group, 33 cases were recovered, 27 cases were effective, 14 cases were improved, and the effective rate was 92.50% ;And the control group,20 cases were recovered, 15 cases were effective,24 cases were improved, and the effective rate was 73.75 % , and signifi- cant difference in efficacy between the two groups （ P 〈 0.05 ）. There was no adverse reactions during treatment in the experimental group;And there were five cases of patients of constipation, three cases of nausea, vomiting, one case of anaphylaxis in the control group,and they were cured after symptomatic treatment. Conclusion：Soothing liver and strengthening the spleen and stomach prescrip- tion addition and subtraction syndrome differentiation and treatment of liver depression and spleen deficiency syndrome of chronic gastri- tis has good clinical efficacy, less adverse reactions, and high safety.
出处
《中医学报》
CAS
2014年第2期282-284,共3页
Acta Chinese Medicine
基金
北京市自然科学基金项目(编号:MG310)
关键词
疏肝健脾和胃方
肝郁脾虚证
慢性胃炎
soothing liver and strengthening the spleen and stomach prescription
liver depression and spleen deficiency syndrome
chronic gastritis
