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1、197&9—19847南京市南航附中198第9—19897南京中医药大学中医系1989.8—1999.8南京市中医院内科1999.9南京中医药大学中医内科学硕士研究生作者简历骆天炯,■女,1966年12月出生,浙江省诸暨县人。RESUMEName:TianjiongLuoSex:FemaleBom:December17,1966NativePlace:Zhuji,zhejiangProvince,ChinaSep,1978—Jul,1984NanhangAffiliatedMiddleSchool,Nanjing,Jiangsu
2、ProvinceSep,1984—Jul,1989NanjingUniversityofTraditionalChine;Medicine(TCM),BachelorDegree,TCMInternalMedcineAug,1989—Aug,1999DepartmentofInternalMedcine,NanjingHospitalofTCMSep,1999—NanjingUniversityofTCM,MasterDegrt■TCMInternalMedcine摘要文献研九从古今两方面深入探讨了中医对IBS病因、病机、辨证分
3、型、治罗法的认识,总结了现代医学对该病病因及发病机制的研究现状,为本课题的临方究奠定了基础。临床研九60例IBS脾虚肝郁型的患者随机分为三组,分别给予中药健脾疏£°结果显示:治疗组』(治疗组)、西药得舒特(对照组)、安慰剂口服治疗4疗效有效率为95%,单项症状腹痛、泄泻缓解的有效率分别为93.75%,95%,1明显优于得舒特对照组及安慰剂组(P<0.05)o仆药健脾疏肝方能调整血液及组纟血管活性肠肽(VIP)、B-内啡肽含量(B・EP)含量,调节免疫功能,作用明?于得舒特对照组及安慰剂组(Pv0・05)j"「讨论‘对IBS的病机
4、进行了深入的探讨,认为脾气虚弱为致病之本,肝郁为弓肝郁、脾虚互为因果,恶性循环,是IBS发生的病机关键,治疗应以健£肝为其大法,并指出了其临床运用原则。(若关健脾疏肝法治疗IBS的作用机理,能与中枢调节、胃肠道激素调节、胃肠道动力调节、免疫调节等因素有关之标,关键词:肠易激综合翳功能性:脾虚肝話健脾疏肝法VABSTRACTReview:Thisthesishasreviewedtheunderstandingofetiology.pathologyandtreatmentmethodofIrritableBowelSyndrom
5、e(IinTraditionalChineseMedicinebothinancienttimesandinpresentage/papersumsupthepresentresearchsituationofmodemmedicalsciencealtheetiologyandpathogenesisofIBS,whichisthefoundationofclirresearchofthisproject.Clinicalresearch:60casesofIBSpatientswithspleendeficiehepatic
6、stasisweredividedintothreegroupsrandomly.StrenghenSpDisperseHepar(SSDH)group,ortreatmentgroup,DICETELgroup,orcorgroup,Placebogroup.Thewholedurationoftreatmentwas4weeks.resultsindicatedthatthetotaleffectiverateofthetreatmentgroup95%-Theeffectiverateofsinglesymptomofab
7、dominalache,diarrhea93.75%and95%respectively.TheTCMofSSDHcouldadjustconcentrationofB-EPinbloodandintissue,improvetheabilit;immunity.Theeflfectwassuperiortotheothertwogroups.(P<0.05)■Discussion:QideficiencyofspleenisthebasisofEBS,whepaticstasisisthesecondaryaspectofth
8、eetiology.QIdeficiencyhepaticstasisshowcauseandeflfectrelationshipbetweenthemandforviciouscircle.Thiscircleisthekeypointofthepathol