半夏泻心汤加味颗粒治疗胃食管反流病肝胃不和证的临床观察中西医结合临床内科专业论文.docxVIP

讨论 讨论 ．．34 结{吾 ．．39 参考文献 40 附录1英文缩略词表 47 附录2综述 。49 附录3中医证候积分表 54 附录4致谢 56 附录5个人简历 57 万方数据 贵阳中医学院硕士学位论文中文摘要 贵阳中医学院硕士学位论文 中文摘要 目的：本研究旨在观察半夏泻心汤加味颗粒治疗胃食管反流病肝胃不和证 的临床疗效，为中医治疗胃食管反流病肝胃不和证提供临床科学依据。 方法： 收集符合肝胃不和证胃食管反流病患者60例，全部病例均符合诊 断标准，中医辨证为肝胃不和证。随机分为实验组(半夏泻心汤加味颗粒)30 例，对照组(柴胡疏肝散)30例，分别予6周疗程的治疗。治疗结束后对患者 病情进行评估打分判定疗效，比较两组方案的治疗效果及安全性指标。 结果： 1、治疗前后疗效对比可知，实验组与对照组明显疗效，实验组总有效率90％， 对照组总有效率76．7％，两组疗效间有显著差异。(PO．01)。 2、在各个症状的单项治疗效果上，两组自身前后均有显著差异(PO．05)，说 明实验组与对照组的治疗效果均较好。两组治疗后比较，对于反酸、烧 心及胃脘胀满具有显著统计学差异(PO．05)，其他症状方面无显著差 异(PO．05)，说明实验组在主症方面改善情况明显优于对照组。 结论：半夏泻心汤加味颗粒能明显改善胃食管反流病肝胃不和证患者临床 症状，疗效稳定真实，治疗过程中无不良反应发生，安全性佳。 主题词：半夏泻心汤加味颗粒 胃食管反流病肝胃不和证中医治疗 万方数据 贵阳中医学院硕士学位论文英文摘要 贵阳中医学院硕士学位论文 英文摘要 Objective： To observe the clinical therapeutic effect of Banxiaxiexin Jiawei particles on patient、析tll Gastroesophageal Reflux Disease(GERD)due to liver-stomach disharmony，and the observation of clinical efficacy thus provide basis for traditional Chinese Medicine to treat the disease． Methods： This study we collected 60 patients of Gastroesophageal Reflux Disease (GERD)due to liver stomach淅tll certificate from the outpatient department，and then 60 patients were randomly divided into treatment group(Banxiaxiexin Jiawei particles)30 cases，and control group(ChaiHuShuGan Powder)30 cases．The treatment time Was composed of 6 weeks．After the treatment，we assess the symptoms scores to judge the curative effect，and compare the therapeutic effect and security of two groups． Results： 1、Both treatment group and control group were proved to be significantly effective on the treatment of GERD．After treatment，the total effective rate of treatment group Was 90％．while the total effective rate of control group Was 76．7％． The curative effect has a statistically significant difference between the two groups(P 0．01)． 2、On the effect of individual symptom，after treatment the two groups Was statistically significant difference with before treatment(P0．05)．The result show that the curative effects of the two groups were both impr