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1、授予單位代碼J0089_學號或申請?zhí)?3335H妗運搿大凌HebeiMedicalUniversity碩士學位論文在職科學學位升陽益胃湯加減治療腹瀉型腸易激綜合征臨床療效觀察學位申請人:劉倩導師:劉建平教授專業(yè):中醫(yī)內(nèi)科學二級學院:中醫(yī)院2015年3月河北醫(yī)科大學學位論文使用授權(quán)及知識產(chǎn)權(quán)歸屬承諾本學位論文在導師(或指導小組)的指導下,由本人獨立完成。本學位論文研究所獲得的研究成果,其知識產(chǎn)權(quán)歸河北醫(yī)科大學所有。河北醫(yī)科大學有權(quán)對本學位論文進行交流、公幵和使用。凡發(fā)表與學位論文主要內(nèi)容相關的論文,第一署名為
2、單位河北醫(yī)科大學,試驗材料、原始數(shù)據(jù)、申報的專利等知識產(chǎn)權(quán)均歸河北醫(yī)科大學所有。否則,承擔相應法律責任。研究生簽名導師簽章:外河北醫(yī)科大學研究生學位論文獨創(chuàng)性聲明本論文是在導師指導下進行的研究工作及取得的研究成果,除了文中特別加以標注和致謝等內(nèi)容外,文中不包含其他人已經(jīng)發(fā)表或撰寫的研究成果,指導教師對此進行了審定。本論文由本人獨立撰寫,文責自負。目錄中文摘要············································································
3、·1英文摘要·············································································3英文縮寫·············································································6研究論文升陽益胃湯加減治療腹瀉型腸易激綜合征臨床療效觀察前言····························································
4、·················7材料與方法····································································8結(jié)果·············································································13附圖·············································································15附表
5、·············································································18討論·············································································22結(jié)論·············································································26參考文獻···········
6、····························································26綜述腸易激綜合征的研究進展···············································28致謝···················································································41個人簡歷·········································
7、····································42中文摘要升陽益胃湯加減治療腹瀉型腸易激綜合征臨床療效觀察摘要目的:腸易激綜合征(Irritablebowelsyndrome,IBS)是一組與胃腸功能改變相關,以慢性或復發(fā)性腹痛、腹瀉、排便習慣改變和大便性狀異常為主要證候群的臨床綜合征。又稱功能性腸道綜合征。常持續(xù)存在或反復發(fā)作,臨床上缺乏明顯的形態(tài)學和生化學的異常,其病因及發(fā)病機制尚不完全確定。鑒于其病情的反復發(fā)作性、癥狀的復雜多變性及治療手段的無特異性,一直以來該病都是功能性胃
8、腸疾病中研究的熱點和重點。多數(shù)學者認為,IBS的發(fā)病是多種因素綜合作用的結(jié)果,如胃腸運動障礙、內(nèi)臟高敏感性、腸道感染與菌群失調(diào)、精神及社會環(huán)境因素等?,F(xiàn)代醫(yī)學對本病尚缺乏特異性治療手段,長期口服西藥不良反應較多,且患者依從性差。腸易激綜合征是幾十年來國內(nèi)外治療的一大難題,多項研究顯示此病是中醫(yī)治療的優(yōu)勢病種,中藥組方療效穩(wěn)定,服用方便,價格低廉,且出現(xiàn)不良反應及患者不耐受情況極低,對于治療經(jīng)久不愈、反復發(fā)作的IB