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ID:33405301
大小:1.03 MB
页数:32页
时间:2019-02-25
《人参调脾散对功能性消化不良患者血清胃泌素的影响和疗效观察》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、福建中医药大学硕士学位论文人参调脾散对功能性消化不良患者血清胃泌素的影响和疗效观察姓名:郑镪申请学位级别:硕士专业:中西医结合临床指导教师:曾宏翔201206中文摘要目的:通过研究人参调脾散({闽药制字Z06602019]漳州市中医院制剂中心生产)对功能性消化不良(FD)患者血清胃泌素的影响,探讨人参调脾散治疗功能性消化不良(FD)的作用机理;观察分析疗效结果,为扩展该药临床治疗适应症提供可靠实验数据。方法:本课题通过收集门诊及病房符合纳入标准60例功能性消化不良患者,按照随机、单盲、对照实验原则,对60例患者随机分为中成药组和西药对照组两组,每组各3
2、0例。中成药组给予人参调脾散每次69,每日3次治疗;西药对照组给予吗丁啉片每次lOmg,每日3次治疗。两药均在餐前0.5h口服,2周为l疗程,治疗两个疗程。检测治疗前后患者血清胃泌素水平并观察疗效。结果:中成药组及其西药对照组治疗后血清胃泌素水平较治疗前水平相比均下降,两组下降程度对比无显著性差异(p>O.05)。中成药组总有效率为80%;西药对照组总有效率53.33%;中成药组总体疗效优于西药对照组(p<0.01)。治疗后两组症状总积分均有改善,与治疗前相比差异均有显著性(p<0.01);治疗后较治疗前比较,中成药组总积分改善程度优于对照组(p3、05)。两组患者嗳气、烧心症状改善明显,尤其烧心症状改善显著;中成药组对早饱、餐后饱胀症状改善明显,而西药对照组改善不明显(p(O.05);两组患者上腹痛症状改善均不明显。人参调脾散在治疗期间未出现明显不良反应,提示长期用药安全。与治疗前比较,患者体温、心率、呼吸、血压无明显波动,治疗前后检测血、尿、粪常规、肝、肾功能、心电图、腹部B超等无明显变化。结论:1.人参调脾散可能对血清胃泌素水平具有降低作用。2.人参调脾散对治疗功能性消化不良中餐后不适综合症(PDS)具有明显疗效。3.人参调脾散在治疗期间未出现明显不良反应,提示长期用药安全。关键词:功能性消4、化不良人参调脾散吗丁啉胃泌素AbstractObjective:ThroughthestudyontheaffectionofGinsengTiaopipowder(【Z06602019wordsystemofFujianmedicine】ZhangzhouHospitalofTraditionalChineseMedicinepreparationcenterproduction)onserumgastrininpatientswithfunctionaldyspepsia(FD),discussedthemechanismofactionofGin5、sengTiaopipowderonFD;Theefficacyresultswereobservedandanalyzed,providingreliableexperimentaldatasfortheexpansionofthemedicineuseonclinicaltherapeuticindications.Methods:Thistopicthroughthecollectionof60patientsinculdingoutpatientsandinpatientswithfunctionaldyspepsiaconsistentwit6、hdiagnosticstandard,accordingtorandom,singleblind,controlledexperimentprinciple,60patientswererandomlydividedintoproprietarychinesemedicinegroupandcontrolledgroupwitheachgroup30cases.ProprietarychinesemedicinegroupwasgivenGinsengTiaopipowder69tidwhilecontrolledgroupreceiveddompe7、ridonechip10mgtid.Bothofthemweretakenorally30minitesbeforemeals.Thewholetreatmentwasfortwocourseswith2weeksacourse.Serumgastrinlevelsweremersuredbeforeandaftertreatmentalsothecurativeeffectwasobservedinthisstudy.Results:Firstly,serumgastrinlevelsofbothgroupsdeclinedaftertreatmen8、tandthedescenddegreeoftwogroupshadnosignificant
3、05)。两组患者嗳气、烧心症状改善明显,尤其烧心症状改善显著;中成药组对早饱、餐后饱胀症状改善明显,而西药对照组改善不明显(p(O.05);两组患者上腹痛症状改善均不明显。人参调脾散在治疗期间未出现明显不良反应,提示长期用药安全。与治疗前比较,患者体温、心率、呼吸、血压无明显波动,治疗前后检测血、尿、粪常规、肝、肾功能、心电图、腹部B超等无明显变化。结论:1.人参调脾散可能对血清胃泌素水平具有降低作用。2.人参调脾散对治疗功能性消化不良中餐后不适综合症(PDS)具有明显疗效。3.人参调脾散在治疗期间未出现明显不良反应,提示长期用药安全。关键词:功能性消
4、化不良人参调脾散吗丁啉胃泌素AbstractObjective:ThroughthestudyontheaffectionofGinsengTiaopipowder(【Z06602019wordsystemofFujianmedicine】ZhangzhouHospitalofTraditionalChineseMedicinepreparationcenterproduction)onserumgastrininpatientswithfunctionaldyspepsia(FD),discussedthemechanismofactionofGin
5、sengTiaopipowderonFD;Theefficacyresultswereobservedandanalyzed,providingreliableexperimentaldatasfortheexpansionofthemedicineuseonclinicaltherapeuticindications.Methods:Thistopicthroughthecollectionof60patientsinculdingoutpatientsandinpatientswithfunctionaldyspepsiaconsistentwit
6、hdiagnosticstandard,accordingtorandom,singleblind,controlledexperimentprinciple,60patientswererandomlydividedintoproprietarychinesemedicinegroupandcontrolledgroupwitheachgroup30cases.ProprietarychinesemedicinegroupwasgivenGinsengTiaopipowder69tidwhilecontrolledgroupreceiveddompe
7、ridonechip10mgtid.Bothofthemweretakenorally30minitesbeforemeals.Thewholetreatmentwasfortwocourseswith2weeksacourse.Serumgastrinlevelsweremersuredbeforeandaftertreatmentalsothecurativeeffectwasobservedinthisstudy.Results:Firstly,serumgastrinlevelsofbothgroupsdeclinedaftertreatmen
8、tandthedescenddegreeoftwogroupshadnosignificant
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