柴平湯治療膽囊術(shù)后綜合征肝郁脾虛型的臨床研究

《柴平湯治療膽囊術(shù)后綜合征肝郁脾虛型的臨床研究》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫(kù)。

1、陜西中醫(yī)學(xué)院碩士學(xué)位論文柴平湯治療膽囊術(shù)后綜合征肝郁脾虛型的臨床研究姓名：李明申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：中醫(yī)內(nèi)科學(xué)指導(dǎo)教師：黃雅慧201205中文摘要目的：觀察柴平湯治療膽囊術(shù)后綜合征(PCS)肝郁脾虛型的臨床療效及安全性。方法：將80例符合臨床納入標(biāo)準(zhǔn)的膽囊術(shù)后綜合征肝郁脾虛型的患者隨機(jī)分為兩組，治療組40例，對(duì)照組37例。治療組給予口服柴平湯水煎劑，每日兩次，每次150ml；對(duì)照組給予口服消炎利膽片，每次6片，每日三次，兩組藥物均以4周為一療程，治療兩個(gè)療程后，觀察兩組患者治療前后總療效、主要臨床癥狀、安全性以及遠(yuǎn)期療效等情況進(jìn)行比較。結(jié)果：80例患者最終完成2個(gè)療程的病例共77例

2、。治療組臨床總有效率為92．50％、對(duì)照組為75．68％，經(jīng)統(tǒng)計(jì)學(xué)處理，兩組有效率差異有統(tǒng)計(jì)學(xué)意義(P0．05)，有統(tǒng)計(jì)學(xué)意義：而治療后兩組患者癥狀積分較治療前均有顯著性差異(PO．05)；在改善腹脹、食少、便溏、情志不暢、太息、腸鳴矢氣等癥狀的療效優(yōu)于對(duì)照組。遠(yuǎn)期療效比較，治療組復(fù)發(fā)率為7．14％，對(duì)照組復(fù)發(fā)率為30．O％，兩組

3、的復(fù)發(fā)率比較有統(tǒng)計(jì)學(xué)意義(P

4、tomysyndromeofliverstagnationandspleendeficiencysyndromeclinicalcurativeeffectandsafety．Methods：80caseswithclinicalinclusioncriteriaofpostcholecystectomysyndromeof1iverdepressionandspleendeficiencytypewererandomlydividedintotwogroups，thefinalcompletionof2coursesof77cases，including40casesinthetr

5、eatmentgroup，37casesinthecontrolgroup．ThetreatmentgroupweretreatedwithoralChaiPingsoupDecoction：thecontrolgroupwasgivenoralXiaoyanlidantablets，twogroupsofdrugsarethe4weekforacourseoftreatment，aftertwocoursesoftreatmenttwogroupsofpatientsbeforeandaftertreatment，clinicalsymptomsandtreatmenteffica

6、cyofcomparison．Results：In80patientsthefinalcompletionof2coursesof77cases．Grouptherapyclinicaltotaleffectiveratewas92．50％，75．68％incontrolgroup，twogroupsafterstatisticalprocessing，efficiencyofthedifferenceswerestatisticallysignificant(P<0．05)，showsthatintheaspectofimprovingtheclinicalcomprehensiv

7、etherapeuticeffectintreatmentgroupthanincontrolgroup．ThetreatmentgroupandthecontrolgroupbeforetreatmentinTCMsymptomstotalscoreshowednosignificantdifference(P>0．05)，withstatisticalsignificance：Whilethetwogroupsaftertreatmentthanbef