世界中医药

作者	单位
肖旸1，陶琳1，吴希2	1 首都医科大学附属北京中医医院脾胃病科,北京,100010 2 北京中医药大学东方医院针灸科,北京,100078

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中文摘要:

目的:探究健脾理气法内服中药汤剂配合外用中药穴位贴敷治疗餐后不适综合征型功能性消化不良的临床疗效。方法:将121例餐后不适综合征的患者随机分为西药组(口服吗丁啉治疗)41例、中药组(口服中药汤剂治疗)40例、中药联合穴贴组(口服中药汤剂联合外用穴位贴敷治疗)40例,治疗28 d后进行临床疗效观察。结果:1)3组治疗前症状积分比较,差异无统计学意义(P>0.05),治疗后症状积分中药联合穴贴组明显低于中药组以及西药组(P<0.05);2)中药联合穴贴组总有效率为92.5%,中药组总有效率为82.5%,西药组总有效率为80.5%。经组间两两比较发现,中药联合穴贴组临床疗效优于其他2组,差异有统计学意义(P<0.05)。结论:健脾理气法内服中药汤剂配合外用中药穴位贴敷治疗功能性消化不良餐后不适综合征能较好的缓解临床症状,且疗效优于西药治疗方案。

English Summary:

To observe the clinical efficacy of Jianpi Yiqi decoction combined with Acu-points application in the treatment of postprandial discomfort syndrome. Methods:A total of 121 patients with postprandial distress syndrome were randomly divided into three groups：41 cases in western medicine group (domperidone treatment), 40 cases in Chinese medicine group (treated with decoction), 40 cases in Chinese medicine combined group (decoction combined with Acu-points application). After 28 days of treatment, observe the improvement situation of different groups. Results:1)No significant difference in symptom score was found among the three groups pretreatment. (P>0.05). After treatment, symptom scores of combined group was significantly lower than that of the Chinese medicine group and Western medicine group (P<0.05); 2) Total effective rate of the combined group was 92.5%, Chinese medicine group 82.5%, and the western medicine group 80.5%. Comparison showed that the clinical curative effect of combined group was better than that of the other two groups (P<0.05). Conclusion:Jianpi Yiqi decoction combined with Acu-points application has significant efficacy in treating postprandial discomfort syndrome, and is better than the effect of western medicine.

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