升阳益胃汤加减治疗腹泻型肠易激综合征临床疗效观察

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1、授予单位代码J0089_学号或申请号13335H妗运搿大凌HebeiMedicalUniversity硕士学位论文在职科学学位升阳益胃汤加减治疗腹泻型肠易激综合征临床疗效观察学位申请人：刘倩导师：刘建平教授专业：中医内科学二级学院：中医院2015年3月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师(或指导小组)的指导下，由本人独立完成。本学位论文研究所获得的研究成果，其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公幵和使用。凡发表与学位论文主要内容相关的论文，第一署名为

2、单位河北医科大学，试验材料、原始数据、申报的专利等知识产权均归河北医科大学所有。否则，承担相应法律责任。研究生签名导师签章:外河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外，文中不包含其他人已经发表或撰写的研究成果，指导教师对此进行了审定。本论文由本人独立撰写，文责自负。目录中文摘要············································································

3、·1英文摘要·············································································3英文缩写·············································································6研究论文升阳益胃汤加减治疗腹泻型肠易激综合征临床疗效观察前言····························································

4、·················7材料与方法····································································8结果·············································································13附图·············································································15附表

5、·············································································18讨论·············································································22结论·············································································26参考文献···········

6、····························································26综述肠易激综合征的研究进展···············································28致谢···················································································41个人简历·········································

7、····································42中文摘要升阳益胃汤加减治疗腹泻型肠易激综合征临床疗效观察摘要目的：肠易激综合征(Irritablebowelsyndrome，IBS)是一组与胃肠功能改变相关，以慢性或复发性腹痛、腹泻、排便习惯改变和大便性状异常为主要证候群的临床综合征。又称功能性肠道综合征。常持续存在或反复发作，临床上缺乏明显的形态学和生化学的异常，其病因及发病机制尚不完全确定。鉴于其病情的反复发作性、症状的复杂多变性及治疗手段的无特异性，一直以来该病都是功能性胃

8、肠疾病中研究的热点和重点。多数学者认为，IBS的发病是多种因素综合作用的结果，如胃肠运动障碍、内脏高敏感性、肠道感染与菌群失调、精神及社会环境因素等。现代医学对本病尚缺乏特异性治疗手段，长期口服西药不良反应较多，且患者依从性差。肠易激综合征是几十年来国内外治疗的一大难题，多项研究显示此病是中医治疗的优势病种，中药组方疗效稳定，服用方便，价格低廉，且出现不良反应及患者不耐受情况极低，对于治疗经久不愈、反复发作的IB