疏肝通便经验方治疗功能性便秘（气滞型）的临床研究

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1、分类号：学校代号：10471密级：学号：2012320疏肝通便经验方治疗功能性便秘（气滞型）的临床研究作者姓名：孟若兮导师姓名：席作武学科专业：中医外科学学位类型：临床医学专业学位所属院部：第二临床医学院2015年4月30日河南中医学院２０１5届硕士研究生学位论文疏肝通便经验方治疗功能性便秘（气滞型）的临床研究研究生姓名：孟若兮导师：席作武教授指导组成员：李恒喜教授张龙江教授学科、专业：中医外科学所属院、系：第二临床医学院中国·郑州2015年04月30日硕±学位论文原创性声明本人所呈交的硕±学位论文，是在导师席作武教授的指导下，独立进行科学研究工作所取

2、得的成果。除文中己特别加Ｗ注明引用的内容外，论文中不包含任何其他个人或集体已经发表或撰写过的研究成果。对本文的研究做出重要贡献的个人和集体，均己在文中Ｗ明确方式标明并致谢。本人完全意识到本声明的法律结果由本人承担。特此声明。论文作者（签名）：年＾月曰硕±学位论文使用授权声明、本人己完全了解河南中医学院有关保留使用硕±学位论文的相关规定，同意学校保留或向国家有关部口、机构送交本学位论文的复印件和电子版，允许论文被查阅或借阅。本人授权河南中医学院可Ｗ将本论文的全部或部分内容编入有关数据库进行检索，可采用影印、缩印或其他复

3、制手段保存、汇编本论文（注：保密论文在解密后适用本授权声明）。特此声明。＾１＾素令导师论文作者（签名）：（签名）：年０曰日皮令月？知朽目录摘要1Abstract2前言3对象与方法51诊断标准52评价标准

4、63分组84治疗方法85统计方法9结果101临床疗效对比102两组单个临床症状及组间症状积分对比103安全性观察114脱落情况11讨论

5、121祖国医学对便秘的认识122现代医学对功能性便秘的认识133导师治疗便秘的学术思想144疏肝通便经验方组方依据145疏肝通便经验方方药分析156存在不足18结论19致谢

6、20参考文献21附录241文献综述242临床病例观察统计表253发表文章和科研情况26摘要目的：本研究通过观察患者应用疏肝通便经验方治疗功能性便秘（气滞型）的临床疗效，客观评价其有效性；探讨该方对功能性便秘（气滞型）的治疗效果，为疏肝通便经验方在中医治疗功能性便秘（气滞型）的临

7、床推广提供客观理论依据。方法：选取功能性便秘(气滞型)患者60例，以对照、随机化为原则，将60例患者按1:1随机分组，治疗组30人、对照组30人。治疗组给予疏肝通便经验方，对照组给予四磨汤口服液，服用4周。观察两组治疗前后临床症状体征的变化情况，数据采用SPSS17.0统计软件进行统计分析。结果：治疗结束后观察治疗组与对照组，两组总有效率分别为93.3%、73.3%，经统计分析有显著性差异(P＜0.05)。在改善患者粪便性质等临床症状体征方面，统计分析得出治疗组明显优于对照组，有显著性差异(P＜0.05)。结论：证实疏肝通便经验方对功能性便秘（气滞型）患者具有

8、较好的临床疗效，而且无明显不良反应。口