摘要
目的:探讨益胃汤加味对慢性阴虚胃热型功能性消化不良患者胃与胆囊B超形态的影响。方法:选择常州市中医医院收治的78例阴虚胃热型功能性消化不良患者,随机分成观察组和对照组各39例,两组均给予西药多潘立酮片治疗,观察组另进行中医辨证论治。治疗2周后评估疗效,并观察治疗前后两组患者胃与胆囊B型超声下形态变化。结果:观察组患者总有效率为89.7%,明显高于对照组的76.9%,差异有统计学意义(P <0.05);治疗后观察组患者证候积分为(3.76±3.25)分,明显低于同期对照组的(7.84±5.11)分,差异有统计学意义(P <0.05);观察组胆囊增大率、胃部排空迟缓率分别为5.1%、10.3%,明显低于对照组的25.6%、48.7%,差异均有统计学意义(P <0.05)。结论:在西药多潘立酮片治疗基础上对阴虚胃热型慢性功能性消化不良开展中医辨证论治,临床疗效显著优于单一西药治疗,并且能有效改善患者胃动力以及胆囊生理功能。
Objective:To investigate the efficacy of the Yiwei decoction(益胃汤)on B-ultrasound morphology of gastric and gallbladder in patients with chronic functional dyspepsia of the Yinxu Weire type(阴虚胃热型).Methods:78 patients were randomly divided into the observation group and control group,39 patients in each.Two groups were treated with domperidone tablets.The observation group was given TCM syndrome differentiation more.The effect was evaluated in 2 weeks.The changes of B-ultrasound morphology of gastric and gallbladder were observed before and after treatment.Results:The total efficiency in the observation group was 89.7%,significantly higher than 76.9%in the control group,with a statistically significant difference(P<0.05).The syndrome scores in the observation group was(3.76±3.25),significantly lower than(7.84±5.11)in the control group,with statistically significant differences(P<0.05).The rate of gallbladder enlargement and gastric emptying retardation in the observation group were 5.1%and 10.3%respectively,significantly lower than 25.6%and 48.7%in the control group,with statistically significant differences(P<0.05).Conclusion:The domperidone tablets and TCM syndrome differentiation show a better effect,can more effectively improve the gastric motility and gallbladder function.
出处
《中医临床研究》
2019年第1期56-58,共3页
Clinical Journal Of Chinese Medicine
关键词
益胃汤
功能性消化不良
中医辨证论治
B型超声
The Yiwei decoction
Chronic functional dyspepsia
TCM syndrome differentiation
B-ultrasound
