调胃冲剂治疗功能性消化不良765例临床疗效观察.docVIP

调胃冲剂治疗功能性消化不良765例临床疗效观察.txt熬夜，是因为没有勇气结束这一天；赖床，是因为没有勇气开始这一天。朋友，就是将你看透了还能喜欢你的人。 调胃冲剂治疗功能性消化不良765例临床疗效观察 更新日期：2009-04-19 点击： 郭光业　顾庆焕　董征　李大庆 　　提要　目的：观察以健脾疏肝法组成的调胃冲剂结合辨病论治，治疗功能性消化不良(FD)临床疗效，探讨其临床治疗规律。方法：采用大样本临床观察方法。结果：共治疗765例，显效568例(74.25%)、有效156例(20.39%)、无效41例(5.36%)、总有效率为94.64.。结论：通过大样本临床观察，本病基本病机变化是脾虚肝郁，胃气不和，以健脾化湿，疏肝和胃法为主结合辨病论治符合其病机演变规律。 　　关键词　功能性消化不良；调胃冲剂；中医药治疗；健脾疏肝法；辨病论治 　　中图分类号：R 289.5　　文献标识码：A　　　文章编号：1007-5615(2000)02-0001-02 Clinical curative effect observation on treating 765 cases of functional dyspepsia with stomach-adjusting preparation GUO Guang-ye　GU Qing-huan　DONG Zheng et al （Shijiazhuang City Hopital of Traditional Chinese Medicine，Hebei Province　050051） 　　Abstract：Objective：to observe the chinical curative effect of treating FD with stomach-adjusting preparation made by the method of invigorating the spleen and relkeving depression of the liver-qi as well as treatment with disease differentiation，and make research in its clinical treatment law.Method:clinical observation with major samples was adopted.Result:Among the 765 cases,568 cases had marked effect(74.25%),156cases had effect(20.39%),and 41 cases had no effect(5.36%).The whole effective rate reached 94.64%.Conclusion:according to the clinical observation of mjajor samples,the basic pathological change of FD is the insufficiency of the spleen and the stagnation of the liver-qi as the disorder of the stomach-qi,therefore,the method of invigorating the spleen and removing dampness,relieving the depression of the liver-qi and adjusting stomach,and treatment with disease differentation was the right choice. 　　Key words:functional dyspepsia;TCM treatment;method of invigorating the spleen relieving the stagnation of the liver-qi;treatment with disease differentiation 　　根据对FD脾虚肝郁病机关键的认识，以健脾化湿，疏肝??胃为法组成调胃冲剂。从1997年1月～1999年12月应用调胃冲剂结合辨病论治治疗FD765例，取得了较好的临床疗效，现将结果报告如下。 1　病例选择 1.1　西医诊断标准　主要临床症状：上腹饱胀，餐后加重，早饱，上腹疼痛，嗳气、恶心呕吐，烧心反酸，症状持续4周以上；内镜检查正常或排除溃疡、肿瘤等病变；实验室、B超及X线检查排除了肝胆、胰腺的器质性病变。病情诊断：根据症状的轻重程度分为3级。症状轻，经提示病人能意识