临床观察辨证分型治疗功能性消化不良随机平行对照研究

目的]观察辨证分型治疗功能性消化不良疗效。方法]使用随机平行对照方法,将114例住院患者按随机数字表法分为两组。治疗组57例辨证分型治疗,肝郁气滞型使用四逆散合小承气汤;肝郁脾虚型使用柴胡疏肝散;脾虚痰湿型使用健脾消痞方;饮食积滞型使用保和丸;寒热错杂型使用半夏泻心汤。对照组57例多潘立酮10mg,3次/d;奥美拉唑20mg,2次/d。连续治疗7d为1疗程。观测临床症状、不良反应。连续治疗1疗程,判定疗效。结果]治疗组治愈37例,有效18例,无效2例,总有效率96.49%。对照组显效29例,有效14例,无效14例,总有效率75.44%。临床疗效治疗组优于对照组(P<0.05)。结论]辨证分型治疗功能性消化不良效果要明显好于西医治疗,而且疗效确切,值得在临床上推广使用。

Syndrome Differentiation Treatment of Functional Dyspepsia Randomized Parallel Controlled Study

Objective]To observe the adverse effect of syndrome differentiation treatment of functional dyspepsia.Method]Using randomized controlled methods,will be randomly divided into two groups of 114 cases of hospitalized patients.The treatment group of 57 cases of syndrome differentiation treatment.Stagnation of Liver-qi type using four inverse scattered small Chengqi Decoction;liver stagnation and spleen deficiency type using Chaihushugansan;spleen deficiency and dampness type use Jianpi Xiaopi Decoction;food stagnation type using the Baohe Pill;cold-heat complex type using Banxiaxiexin decoction.A control group of 57 cases of domperdidone 10mg,3 times /d;omeprazole 20mg,2 times /d.Observation of clinical symptoms.Continuous treatment for three months,the curative effect.Results]The treatment group cured 37 cases,effective 18 cases,invalid 2 cases,the total efficiency of 96.49%.The control group was 29 cases,effective 14 cases,invalid 14 cases,the total efficiency of 75.44%.The clinical effect of the treatment group than in control group(P<0.05).Conclusion]Syndrome differentiation treatment of functional dyspepsia is better than western medicine treatment,and curative effect,is worth popularizing in clinical use.