健脾益气汤治疗功能性消化不良随机平行对照研究

目的]观察健脾益气汤治疗功能性消化不良疗效。方法]使用随机平行对照方法,将126例住院患者按抽签法分为两组。对照组63例吗丁啉,20mg/次,3次/d,餐前口服。治疗组63例健脾益气汤(黄芪60g,党参30g,枳壳、半夏、苏梗、厚朴、桂枝各15g,白术20g,大枣、香附、炙甘草、茯苓各10g),1剂/d,水煎300mL,3次/d,餐前1h服用100mL;肝气犯胃加丹皮、栀子;腹痛加川椒、白芍。连续治疗7d为1疗程。观测临床症状、中医症候评分、不良反应。连续治疗4疗程,判定疗效。结果]治疗组痊愈26例,显效20例,有效12例,无效5例,总有效率92.06%。对照组痊愈11例,显效13例,有效17例,无效22例,总有效率65.08%。治疗组疗效优于对照组(P0.05)。中医症候评分治疗组优于对照组(P0.05)。结论]健脾益气汤在治疗功能性消化不良效果显著,值得推广。

Jianpi Yiqi Decoction on Functional Dyspepsia Randomized Parallel Controlled Study

Objective] To observe the Jianpi Yiqi Decoction in the treatment of functional dyspepsia curative effect. Methods] Using randomized controlled Methods,126 patients were divided into two groups according to the. A control group of 63 cases of domperidone,20mg/,3 /d,orally before the meal. The treatment group of 63 cases of Jianpi Yiqi Decoction（Huangqi 60g,Danshen 30g,Jike,Banxia,Sugen,Houbu,Guizhi each 15g,Baizhu 20g,Dazao,Xiangfu,Zhigancao,Fuling each 10g）,1 doses of /d,water simmer in water 3 times 300mL,/d,1H before meals take 100mL;Liver Qi attacking the stomach add Danpi,Zhizi;abdominal pain add Chuanjiao,Baishao. Continuous treatment with 7d for 1 courses. Observation of clinical symptoms,TCm syndrome score,adverse reaction. Continuous 4 courses of treatment,the curative effect. Results] The treatment group cured 26 cases,effective in 20 cases,effective 12 cases,invalid 5 cases,the total efficiency of 92.06%. The control group cured 11 cases,effective in 13 cases,effective 17 cases,invalid 22 cases,the total efficiency of 65.08%. The treatment group was better than control group（P〈0. 05）. TCm syndrome score in treatment group than in control group（P〈0. 05）. Conclusion] Jianpi Yiqi Decoction in the treatment of functional dyspepsia with significant effect,worthy of promotion.