柴平汤治疗胆囊术后综合征肝郁脾虚型的临床研究

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1、陕西中医学院硕士学位论文柴平汤治疗胆囊术后综合征肝郁脾虚型的临床研究姓名：李明申请学位级别：硕士专业：中医内科学指导教师：黄雅慧201205中文摘要目的：观察柴平汤治疗胆囊术后综合征(PCS)肝郁脾虚型的临床疗效及安全性。方法：将80例符合临床纳入标准的胆囊术后综合征肝郁脾虚型的患者随机分为两组，治疗组40例，对照组37例。治疗组给予口服柴平汤水煎剂，每日两次，每次150ml；对照组给予口服消炎利胆片，每次6片，每日三次，两组药物均以4周为一疗程，治疗两个疗程后，观察两组患者治疗前后总疗效、主要临床症状、安全性以及远期疗效等情况进行比较。结果：80例患者最终完成2个疗程的病例共77例

2、。治疗组临床总有效率为92．50％、对照组为75．68％，经统计学处理，两组有效率差异有统计学意义(P0．05)，有统计学意义：而治疗后两组患者症状积分较治疗前均有显著性差异(PO．05)；在改善腹胀、食少、便溏、情志不畅、太息、肠鸣矢气等症状的疗效优于对照组。远期疗效比较，治疗组复发率为7．14％，对照组复发率为30．O％，两组

3、的复发率比较有统计学意义(P

4、tomysyndromeofliverstagnationandspleendeficiencysyndromeclinicalcurativeeffectandsafety．Methods：80caseswithclinicalinclusioncriteriaofpostcholecystectomysyndromeof1iverdepressionandspleendeficiencytypewererandomlydividedintotwogroups，thefinalcompletionof2coursesof77cases，including40casesinthetr

5、eatmentgroup，37casesinthecontrolgroup．ThetreatmentgroupweretreatedwithoralChaiPingsoupDecoction：thecontrolgroupwasgivenoralXiaoyanlidantablets，twogroupsofdrugsarethe4weekforacourseoftreatment，aftertwocoursesoftreatmenttwogroupsofpatientsbeforeandaftertreatment，clinicalsymptomsandtreatmenteffica

6、cyofcomparison．Results：In80patientsthefinalcompletionof2coursesof77cases．Grouptherapyclinicaltotaleffectiveratewas92．50％，75．68％incontrolgroup，twogroupsafterstatisticalprocessing，efficiencyofthedifferenceswerestatisticallysignificant(P<0．05)，showsthatintheaspectofimprovingtheclinicalcomprehensiv

7、etherapeuticeffectintreatmentgroupthanincontrolgroup．ThetreatmentgroupandthecontrolgroupbeforetreatmentinTCMsymptomstotalscoreshowednosignificantdifference(P>0．05)，withstatisticalsignificance：Whilethetwogroupsaftertreatmentthanbef