調胃沖劑治療功能性消化不良765例臨床療效觀察 內容預覽：

    觀察以健脾疏肝法組成的調胃沖劑結合辨病論治，治療功能性消化不良(FD)臨床療效，探討其臨床治療規(guī)律。方法：采用大樣本臨床觀察方法。結果：共治療765例，顯效568例(74.25%)、有效156例(20.39%)、無效41例(5.36%)、總有效率為94.64.。結論：通過大樣本臨床觀察，本病基本病機變化是脾虛肝郁，胃氣不和，以健脾化濕，疏肝和胃法為主結合辨病論治符合其病機演變規(guī)律。

    Abstract：Objective：to observe the chinical curative effect of treating FD with stomach-adjusting preparation made by the method of invigorating the spleen and relkeving depression of the liver-qi as well as treatment with disease differentiation，and make research in its clinical treatment law.Method:clinical observation with major samples was adopted.Result:Among the 765 cases,568 cases had marked effect(74.25%),156cases had effect(20.39%),and 41 cases had no effect(5.36%).The whole effective rate reached 94.64%.Conclusion:according to the clinical observation of mjajor samples,the basic pathological change of FD is the insufficiency of the spleen and the stagnation of the liver-qi as the disorder of the stomach-qi,therefore,the method of invigorating the spleen and removing dampness,relieving the depression of the liver-qi and adjusting stomach,and treatment with disease differentation was the right choice.

   Key words:functional dyspepsia;TCM treatment;method of invigorating the spleen & relieving the stagnation of the liver-qi;treatment with disease differentiation

    根據(jù)對FD脾虛肝郁病機關鍵的認識，以健脾化濕，疏肝和胃為法組成調胃沖劑。從1997年1月～1999年12月應用調胃沖劑結合辨病論治治療FD765例，取得了較好的臨床療效，現(xiàn)將結果報告如下。

    西醫(yī)診斷標準　主要臨床癥狀：上腹飽脹，餐后加重，早飽，上腹痛痛，噯氣、惡心嘔吐，燒心反酸，癥狀持續(xù)4周以上；內鏡檢查正?；蚺懦凉?、腫瘤等病變；實驗室、B超及X線檢查排除了肝膽、胰腺的器質性病變。病情診斷：根據(jù)癥狀的輕重程度分為3級。癥狀輕，經(jīng)提示病人能意識到癥狀的存在為Ⅰ級；病人意識到癥狀存在，就診時作為主訴敘述，但正?；顒游词艿较拗茷棰蚣?；病人僅意識到癥狀存在，且正?；顒邮艿较拗茷棰蠹?。

    中醫(yī)辨證標準　脾虛肝郁：納少，腹脹、痞滿、食后尤甚，胃脘隱痛、時輕時重，便溏，肢體倦怠，面色少華，舌質淡，苔薄白，脈細無力。肝胃不和：脘脅脹滿疼痛，噯氣，惡心嘔吐，燒心反酸，舌質淡紅舌或尖紅，苔薄白，脈弦。脾胃陰虛：胃脘痞脹隱疼，饑不欲食，少食則飽，干嘔，燒心，口燥咽干，或大便干結，或形體消瘦，舌質紅少苔，脈細數(shù)。兼證診斷要點：兼濕熱者癥見口干苦、粘膩，小便短赤，大便粘膩不爽，舌紅、苔黃厚膩，脈滑或滑數(shù)。兼血瘀者癥見胃脘刺痛、入夜尤甚、疼痛拒按，舌質暗或有瘀點、瘀斑，脈細澀。

    凡符合FD診斷標準者，根據(jù)患者意愿皆可作為本研究觀察對象。伴有嚴重心、腎疾患、孕婦以及不能按規(guī)定用藥而無法判斷療效者除外。一般資料　共觀察765例，其中男362例，女403例；年齡：18～70歲，平均年齡32.6歲；病程：1個月～12年，平均2.3年；病情：Ⅰ級412例，Ⅱ級273例，Ⅲ級80例；中醫(yī)辨證：脾虛肝郁472例，肝胃不和216例，脾胃陰虛77例；兼證：濕熱106例，血瘀92例。

調胃沖劑治療功能性消化不良765例臨床療效觀察 ***下載