梅核气肝郁脾虚型的临床研究-中西医结合五官科专业毕业论文.docxVIP

梅核气肝郁脾虚型的临床研究中文摘要 梅核气肝郁脾虚型的临床研究 中文摘要 目地：本文综述了梅核气的中、西医研究和治疗进展，重点探讨肝郁脾虚型梅核气 的发病机制，观察中药梅核煎治疗梅核气肝郁脾虚型的临床疗效，并阐明其作用机理 方法：将8 5例肝郁脾虚型梅核气患者随机分为治疗组和对照组。治疗组给予中药 梅核煎治疗，对照组给予谷维隶及吗丁啉治疗，疗程2个月。对两组病例的进行一般性 临床资料可比性分析，以咽部异物感症状、肝郁脾虚型症状、舌象为主要观察指标，进 行临床观察和对比研究，采用公认的疗效评定标准对两组疗效进行比较。疗程结束后， 选出两组的显效病例，继续观察3个月，评价其复发率。 结果：治疗组愈显率47．2 7％，总有效率81．82％；对照组愈显率33．33％，总有效率 56．67％。经I{_idit分析，两组疗效有显著性差异(户0．05)。治疗组对症状总积分、临 床症状改善、舌象改善均明显优于对照组，对脘腹胀痛改善与对照组相近。 选两组显效病例继续观察3个月，结果发现：治疗组复发率22．9％，对照组56．3％， 经Ridit分析，两组复发率有显著性差异。 结论：中药梅核煎治疗梅核气的近期疗效及远期疗效均优于西药，且无明显副作用， 是治疗梅核气肝郁脾虚型的有效方剂。 主题词： 肝郁脾虚型 临床研究 梅核煎 梅核气 中医药疗法 ABSTRACTObjective：This ABSTRACT Objective：This study overview the research and treatment progress on abnormal sensation of throat by western medicine and traditional Chinese medicine，and stress on the research of the mechanism of abnormal sensation of throat with liver stasis and spleen weak evidence．Observe the elinical curative effect of treatment abnormal sensation of throat with liver stasis and spleen weak evidence by Chinese herbal medicine and elucidate its hmction mechanism． Method：The study randomly selects 85 patients of abnormal sensation of throat witll liver stasis and spleen weak evidence as antitheses and treatment groups for treatment of two months．The patients of treatment group take Chinese herbal medicine orally．The patients of antitheses take western medicine orally．Deal with the two groups．the general and elinical date can be made compare analysis．We take the symptoms of abnormal sansation of throat．1iver stasis and spleen weak evidence，and tongue evidence as main guideline for observation，take the clinical observation and contrast study．Comparing the data of two groups with the generally accepted standard of curative effect．After the pedod oftreatment，we continue study the patients showing effective for three months and evaluate the rate ofrelapse． Resuit：The total effective rate oftreatment group iS 81．82％with a marked e行bctive rate 47．27％The total effective rate of antitheses grou