加味四逆散治疗肝郁气滞型胆石症的临床探究.pdfVIP

提 要 目的：本研究旨在观察加味四逆散治疗肝郁气滞型胆石症的临床疗效，并运用中 医理论对肝郁气滞型胆石症的病因病机和加味四逆散的疗效机理进行深入的探讨。 方法：在确立严格的诊断标准、纳入标准、排除标准和疗效评定标准的基础上， 采用随机、均衡、对照的原则，将 100 例合格受试对象分为试验组 60 例，给予加味 四逆散，水煎至400ml ，早晚各温服200ml ，日一剂；对照组40 例，给予胆石片口服， 每次 6 片，一日 3 次。以上两组患者服药1 个月为一个疗程，将患者的症状、体征及 B超检查做治疗前后和组间疗效观察，共观察3个疗程。 结果：加味四逆散能明显改善患者的临床症状，且具有明显排石、化石的作用。 试验组的总有效率达 90.00%，而对照组的总有效率为 62.50%，两组疗效经 Ridit 分 析，差异有统计学意义（P0.05），提示试验组总疗效优于对照组。故加味四逆散治 疗肝郁气滞型胆石症可有效的缓解其临床症状，疗效确切，具有较高的临床实用价值。 关键词 加味四逆散；肝郁气滞；胆石症；临床研究 Clinical Study on Jia Wei Si Ni Powder in Treating cholelithiasis Speciality: Internal Medicine of TCM Author: Li Yang Tutor: Prof.Wang Weiming Abstract Objectives: This study aimed to investigate the clinical efficacy on Jia Wei Si Ni Powder in Treating cholelithiasis, try to discuss deeply the etiology and pathogenesis of cholelithiasis, and the efficacy and mechanism of Jia Wei Si Ni Powder by using the theory of TCM. Methods: In establishing the strict diagnostic criteria, inclusion criteria, exclusion criteria and efficacy of assessment criteria, based on a random, balanced against the principle of 100 patients qualified as subjects 60 cases were divided into experimental group given Jia Wei Si Ni Powder; 40 cases were divided into control group treated with oral gallstone tablet. Above two groups of patients symptoms, signs and B ultrasonic examination were observed before and after treating between the two groups of patients,1 month a course of treatment, observation of three courses, a total of 3 months. Results: Jia Wei Si Ni Powder can obviously improve the clinical symptoms , obviously row and melt stones. The total effective rate of the experimental group was