黄芪建中汤合枳实消痞丸治疗慢性胃炎脾胃虚弱证临床疗效观察-中医内科学专业毕业论文.docxVIP

成都中医药大学硕士论文 PAGE PAGE 10 中 文 摘 要 目的：通过黄芪建中汤合枳实消痞丸治疗慢性胃炎（脾胃虚弱证）的临 床实验研究，观察其临床疗效。 方法：将符合诊断标准的 72 例病人随机分为治疗组和对照组。治疗组 36 例，对照组 36 例。两组病例一般资料、治疗前症状积分基本相同，经统计学处 理，无显著性差异意义，具有可比性。治疗组以黄芪建中汤和枳实消痞丸治疗， 对照组治疗以补中益气汤治疗。比较治疗前后的临床症状改善情况。 结果：（1） 治疗组总有效率 94.4%，治疗组与对照组的总疗效比较有显 著性差异（p0.05），治疗组优于对照组。 （ 2 ） 治 疗 组 与 对 照 组 在 各 项 症 状 改 善 程 度 比 较 中 有 显 著 差 异 （p0.05），治疗组优于对照组。 (3) 治疗组与对照组均未见不良反应。 结论：（1）黄芪建中汤合枳实消痞丸治疗慢性胃炎（脾胃虚弱证）有显 著疗效，优于对照组。 （2）附子与半夏不是绝对配伍禁忌。 关键词：慢性胃炎，脾胃虚弱，黄芪建中汤，枳实消痞丸，补中益气汤， 附子，半夏 ABSTRACT Objective :Through the clinical experiment trails on Huang Qi Jian Zhong Decoction and Zhi Shi Xiao Pi Pill in treating chronic gastritis with weak syndrome of both Stomach and Spleen ,we observed the clinical curative effect. Methods : The 72 cases of patients who all meet Diagnostic criteria were randomly divided into the treatment group and control group. The treatment group has 36 cases and the control group has 36 cases too.The general information and previous accumulated scores of syptom between two groups of cases are basiciy the same.By statistical processed, there is no significant difference of meaning bewteen two group so the two group can be comparabled.The treatment group uses the Huang Qi Jian Zhong decoction and Zhi Shi Xiao Pi pill,while the control group uses Bu Zhong Yi Qi decoction .We Compare the clinical symptoms before and after treatment . Results :(1) The total effective rate of the treatment group is94.4%. The totol curative effect between the two groups has prominent difference(p0.05), The treatment group is superior to control group.(2)The improvement of several clinical symptom between the two groups has significant differences(p0.05),and the treatment group is superior to the control group.(3)There is no adverse reaction between the treatment group and control group. Conclusion ：（1）The Huang Qi Jian Zhong decoction and Zhi Shi Xiao Pi pill in treatingchronic gastritis with weak syndrome of both Stomach and Spleen has a remarkable curative effect and is s