联合应用加味理中汤和温胃贴治疗脾胃虚寒型功能性消化不良的临床研究.docVIP

精品论文 参考文献 联合应用加味理中汤和温胃贴治疗脾胃虚寒型功能性消化不良的临床研究 姚德荣 　　（黑龙江省牡丹江市中医医院 157000） 　　【摘要】目的：分析采用加味理中汤和温胃贴治疗脾胃虚寒型功能性消化不良的临床应用价值。方法：将脾胃虚寒型功能性消化不良的48例患者分为研讨组和对照组，研讨组采用加味理中汤和温胃贴治疗方案，对照组采用加味理中汤治疗方案。结果：研讨组治疗总有效率95.8%，明显高于对照组的79.2%，差异有统计学意义（Plt;0.05）。结论：加味理中汤配合温胃贴治疗功能性消化不良脾胃虚寒证疗效显著、安全无副作用，值得临床推广。 　　【关键词】功能性消化不良；脾胃虚寒型；加味理中汤；温胃贴 　　【中图分类号】R243 【文献标识码】A 【文章编号】2095-1752（2015）03-0051-03 　　Combined use of flavored principle treatment of spleen and stomach soup and warm stomach stick cold type of functional dyspepsia clinical studies Yao Derong, Mudanjiang city hospital of traditional Chinese medicine, Heilongjiang, 157000, China 　　【Abstract】Objective Analysis USES flavored principle treatment of spleen and stomach soup and warm stomach stick type cold clinical application value of functional dyspepsia. Methods The spleen and stomach type cold functional dyspepsia 48 patients were divided into research group and the control group, discussion group USES flavored principle in soup and warm the stomach treatment, control group adopts flavored soup in the treatment plan. Results Discussion treatment group total effectiveness 95.8%, significantly higher than the control group was 79.2%, the difference was statistically significant (P lt; 0.05). Conclusions Flavored principle of soup with warm stomach to stick in the treatment of functional dyspepsia spleen deficiency cold syndrome curative effect is distinct, safety and no side effect, worth clinical promotion. 　　【Key words】Functional dyspepsia. Spleen and stomach type cold; Soup flavored principle; Warm stomach to stick 　　功能性消化不良（FD）是临床上常见的一种功能性胃肠疾病。胃肠道动力障碍和感觉异常是该病的主要病理生理基础，包括胃排空延迟、胃节律紊乱、胃窦动力减弱、近端胃容受性障碍等。FD属祖国医学“痞证”、“胃痛”、“嘈杂”等范畴，本病与肝失疏泄，脾失健运，胃失和降有关，脾主运化、主升、喜湿，胃主受纳、主降、喜燥，二者相互协调、共同完成饮食物的消化吸收和运输。其病理基础是肝失疏泄，肝郁犯胃，其中脾胃虚弱是本病发病的中心环节[1]。在本为脾胃虚弱，在标则为寒湿内侵。寒邪内侵，脾胃阳气被困，脾胃受损，运化失职，胃失温煦，无力运化水谷，内寒中生，则发为本病。 针对此证型的患者，使用温阳健脾、理气和胃治法往往可以取得比较满意的疗效，同时也能改善患者的生活质量，且后续疗效更为持久。我院采用加味理中汤和温胃贴治疗脾胃虚寒型功能性消化不良取得良好的治疗效果，现报道如下。 　　1.资料和方法 　　1.1 一般资