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  • 简介:[ 摘要 ] 目的:近年来,气虚便秘发病率呈上升趋势,长期便秘不仅能引起头痛、头晕,食欲不振,失眠等全身症状,还能诱发和加重高血压心脑血管疾病,从而造成更严重的后果,所以及时有效的治疗 气虚便秘具有非常重要的意义。该研究根据人体的生理特征,运用中西医结合治疗 气虚便秘取得了满意的效果,结合国内外有关文献进行综述。

  • 标签: [ ] 中西医结合治疗 气虚型便秘 临床研究的进展
  • 简介:摘要目的探讨女性气虚功能性出口梗阻便秘(OOC)患者肛门直肠动力及直肠感知功能的特点。方法回顾性分析南京市中医院2018年1月至2018年12月期间在便秘平台收治的53例OOC患者及60名健康志愿者的肛门直肠动力及直肠感知功能资料。结果53例患者的平均肛管静息压高于健康志愿者(t=4.985,P<0.01),平均最大收缩压低于健康志愿者(t=7.555,P<0.01)。直肠排便压中,所有患者的平均排便压也是低于健康志愿者的(t=4.297,P<0.01)。肛门括约肌长度OOC患者较女性健康者增长(t=4.825,P<0.01);不同合并症女性OOC患者肛管静息压与健康志愿者相比差异均有统计学意义(t前突=5.257,t会阴下降=6.091,t内套叠=4.23;P<0.05)。总体平均最大收缩压低于正常参考值,各型患者与健康志愿者差异均有统计学意义(t前突=6.277,t会阴下降=5.306,t内套叠=3.293;P<0.05);直肠排便压中,各型患者均表现排便压较低,但仅直肠前突及会阴下降与健康者相比差异均有统计学意义(t前突=3.313,t会阴下降=4.637,P均<0.05);患者排便阈值及平均排便阈值均高于健康志愿者,差异均有统计学意义(t=2.818,P<0.01)。虽然53例患者的平均初始阈值高于健康志愿者,但差异没有统计学意义(P>0.05)。最大耐受量与健康志愿者相比,差异也没有统计学意义(P>0.05);4种合并症便秘患者的初始阈值与健康志愿者相差不大,差异均无统计学意义(均P>0.05)。结论OOC动力特点主要表现为高肛管静息压,低收缩压,以及直肠低敏感性,这说明肛门外括约肌及盆底肌的收缩及协调功能障碍、直肠敏感性下降及对容量刺激的反应较迟钝可能是造成功能性便秘的重要原因。

  • 标签: 便秘 功能性出口梗阻型便秘 肛管静息压 肛管收缩压 直肠敏感性
  • 简介:[摘要]目的:探究中风四味汤治疗气虚血瘀中风的临床价值。方法:选取2018年9月至2019年9月我院收治的气虚血瘀中风患者68例作为研究对象,将其随机分为观察组(34例)与对照组(34例),给予对照组患者常规治疗,给予观察组在对照组的治疗基础上添加中风四味汤进行治疗,观察并比较两组患者的临床疗效,白细胞介素-4(IL-4)、血清超敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)水平及不良反应发生率。结果:在患者临床疗效比较上,观察组显著高于对照组(P<0.05),在患者治疗后IL-4、hs-CRP、TNF-α水平及不良反应发生率比较上,观察组显著低于对照组(P<0.05)。结论:中风四味汤治疗气虚血瘀中风患者的临床疗效较为显著,能够明显降低患者的血清炎症因子水平及不良反应的发生率。

  • 标签: 中风四味汤 气虚血瘀 中风 临床价值
  • 简介:郴州市第一人民医院南院肛肠科 , 湖南 郴州 423000 摘要:盆底松驰便秘 (constipationcausedbypelivicflooranismus,PFA 一 C) 根据最近罗马标准将其命名为《功能性排便障碍》。 FDD 是盆底动力系统调节紊乱所致,患者排便时,盆底呈反常收缩,肛直肠角缩小或变化不大,导致排便时困难。但是,患者在非排便时即在静息状态下盆底肌 EMG 及各项功能指标均属正常。补中益气汤有健脾益气,升提肛门的功效,值得推广。 关键词:补中益气汤、出口梗阻盆底松驰

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  • 简介:  【摘 要】目的:分析探讨中医辨证治疗脾胃气虚功能性消化不良的临床效果。方法:选取自 2018年 3月至 2020年 3月期间 88例脾胃气虚功能性消化不良的患者作为研究对象,将其随机分成对照组和治疗组,每组 44例患者 ;对照组采取常规方法进行治疗,治疗组则给予中医辨证治疗法进行治疗,治疗结束后观察对比两组患者的临床效果。结果:治疗组的治疗总有效率为 95.45%,对照组的总有效率为 86.36%,两组数据对比差异具有统计学意义( P<0.05) ;观察组患者的不良反应发生率明显低于对照组,组间对比差异存在显著性( P<0.05)。结论:采用中医辨证治疗脾胃气虚功能性消化不良具有显著的临床效果,患者不良反应发生率低,具有临床意义。    【关键词】中医辨证 ;脾胃气虚 ;功能性消化不良 ;临床效果    [Abstract] Objective: to analyze and discuss the clinical effect of traditional Chinese medicine on functional dyspepsia of spleen stomach qi deficiency type. Methods: from March 2018 to March 2020, 88 patients with functional dyspepsia of spleen stomach qi deficiency type were randomly divided into control group and treatment group, 44 patients in each group; the control group was treated with conventional methods, while the treatment group was treated with TCM syndrome differentiation method, and the clinical effects of the two groups were observed and compared after the treatment. Results: the total effective rate was 95.45% in the treatment group and 86.36% in the control group, the difference between the two groups was statistically significant (P < 0.05); the incidence of adverse reactions in the observation group was significantly lower than that in the control group, and there was significant difference between the two groups (P < 0.05). Conclusion: the treatment of functional dyspepsia of spleen and stomach qi deficiency type with TCM syndrome differentiation has significant clinical effect, and the incidence of adverse reactions is low, which has clinical significance.

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  • 简介:【摘要】目的:探究小儿肺脾气虚反复呼吸道感染患者运用推拿治疗的临床价值。方法:选择20181月至201910月我院儿科收治的80例小儿肺脾气虚反复呼吸道感染患者,随机分为观察组(推拿治疗)和对照组(常规治疗)各40人。结果:与对照组(77.5%)相比,观察组患者治疗总有效率(95.0%)较高(P<0.05);同时,与对照组相比,观察组FEV1FVCFEV1/FVC改善情况均较明显P<0.05)。结论:小儿肺脾气虚反复呼吸道感染患者运用推拿治疗,能够有效提高治疗效果,改善患者的肺功能状况。

  • 标签: 推拿 肺脾气虚型 反复呼吸道感染
  • 简介:【摘要】目的:对健脾通便汤在治疗慢性传输便秘中的临床疗效进行探究。方法:将我院收治的47例慢性传输便秘患者作为研究对象,采用健脾通便汤对47例患者进行治疗,观察47例患者的临床治疗效果。结果:患者治疗后排便时间明显缩短、排便难度也比治疗前更低,患者失眠和心理状态较治疗前明显改善,差异具有统计学意义(P<0.05)。结论:健脾通便汤能够有效治疗慢性传输便秘,改善患者各项病症,帮助患者早日恢复排便正常,治疗作用值得肯定,应该进行推广。

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  • 简介:【摘要】目的:本文主要探究健脾通便汤治疗慢性输便秘的临床效果。方法:将我院94例慢传输便秘患者均分成参照组与研究组,分别采取常规治疗与健脾通便汤治疗,统计对比两组效果。结果:经治疗后,研究组症状积分与抑郁积分均低于参照组,且结肠传输试验剩余标志物粒数明显更少,P

  • 标签: 健脾通便汤 慢传输型便秘 临床效果
  • 简介:  【摘 要】目的:研究脾胃气虚功能性消化不良患者应用中医辨证治疗的临床效果。方法: 2017年 6月至 2019年 6月在我院接受功能性消化不良诊治的患者中随机抽取 78例,按照所选患者应用治疗方式的异同进行分组,对比组( n=39)患者应用西药治疗,研究组( n=39)患者采用中醫辨证治疗。结果:研究组患者病情总好转率显著高于对比组患者, 2组差异存在统计学意义( x2=19.2905, P=0.0292),其中,研究组治疗无效患者为 2例,病情好转患者共计 37例,对比组治疗无效患者为 10例,病情好转患者共计 29例。研究组患者用药后共计 2例患者出现不良反应,总发生率为 5.13%,对比组患者用药后共计 12例患者出现不良反应,总发生率为 30.77%, 2组患者用药后不良反应总发生率差异存在统计学意义( x2=16.9202, P=0.0282)。结论:脾胃气虚功能性消化不良患者应用中医辨证治疗能够取得较好的临床疗效且应用安全性较高,临床应用价值较高。    【关键词】中医辨证治疗 ;脾胃气虚 ;功能性消化不良    [Abstract] Objective: To study the clinical effect of syndrome differentiation of traditional Chinese medicine on functional dyspepsia of spleen stomach qi deficiency type. Methods: from June 2017 to June 2019, 78 patients with functional dyspepsia were randomly selected from our hospital. According to the differences and similarities of the treatment methods, they were divided into two groups. The control group (n=39) was treated with western medicine, and the study group (n=39) was treated with traditional Chinese Medicine. Results: the total improvement rate of patients in the study group was significantly higher than that in the control group, and the difference between the two groups was statistically significant (x2 = 19.2905, P = 0.0292). Among them, there were 2 patients in the study group who had no effect on treatment, 37 patients in the improvement group, 10 patients in the control group who had no effect on treatment, 29 patients in the improvement group. The total incidence of adverse reactions was 5.13% in two patients in the study group and 30.77% in 12 patients in the control group. There was a significant difference between the two groups (x2 = 16.9202, P = 0.0282). Conclusion: the patients with functional dyspepsia of spleen stomach qi deficiency type can obtain better clinical effect and safety, and have higher clinical application value.

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  • 简介:  【摘 要】目的:研究脾胃气虚功能性消化不良患者应用中医辨证治疗的临床效果。方法: 2017年 6月至 2019年 6月在我院接受功能性消化不良诊治的患者中随机抽取 78例,按照所选患者应用治疗方式的异同进行分组,对比组( n=39)患者应用西药治疗,研究组( n=39)患者采用中醫辨证治疗。结果:研究组患者病情总好转率显著高于对比组患者, 2组差异存在统计学意义( x2=19.2905, P=0.0292),其中,研究组治疗无效患者为 2例,病情好转患者共计 37例,对比组治疗无效患者为 10例,病情好转患者共计 29例。研究组患者用药后共计 2例患者出现不良反应,总发生率为 5.13%,对比组患者用药后共计 12例患者出现不良反应,总发生率为 30.77%, 2组患者用药后不良反应总发生率差异存在统计学意义( x2=16.9202, P=0.0282)。结论:脾胃气虚功能性消化不良患者应用中医辨证治疗能够取得较好的临床疗效且应用安全性较高,临床应用价值较高。    【关键词】中医辨证治疗 ;脾胃气虚 ;功能性消化不良  [Abstract] Objective: To study the clinical effect of syndrome differentiation of traditional Chinese medicine (TCM) on functional dyspepsia of spleen stomach qi deficiency type. Methods: from June 2017 to June 2019, 78 patients with functional dyspepsia were randomly selected from our hospital. According to the differences and similarities of the treatment methods of the selected patients, the patients in the control group (n = 39) were treated with western medicine, and the patients in the study group (n = 39) were treated with traditional Chinese medicine. Results: the total improvement rate of patients in the study group was significantly higher than that in the control group, and the difference between the two groups was statistically significant (x2 = 19.2905, P = 0.0292). Among them, there were 2 patients in the study group who had no effect on treatment, 37 patients in the improvement group, 10 patients in the control group who had no effect on treatment, 29 patients in the improvement group. The total incidence of adverse reactions was 5.13% in two patients in the study group and 30.77% in 12 patients in the control group. There was a significant difference between the two groups (x2 = 16.9202, P = 0.0282). Conclusion: the patients with functional dyspepsia of spleen stomach qi deficiency type can obtain better clinical effect and safety, and have higher clinical application value.

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  • 简介:【摘要】 目的: 分析脾气虚晚期胃癌用六君子汤加减方治疗效果 。 方法 :抽取 58 例本院收治的 脾气虚晚期胃癌 患者作研究,研究时段: 2 01 7 年 12 月 -201 9 年 10 月 ,以不同疗法将 58 例患者分为对照组、试验组。对照组 29 例用常规治疗,基于此,试验组 29 例增加 六君子汤加减方治疗 。 对比症状积分、 KPS 评分、不良反应发生率 。 结果:试验组症状积分低于对照组,而 KPS 评分高于对照组 , P<0.05 (统计学有意义); 试验组不良反应发生率低于对照组 , P<0.05 (统计学有意义)。 结论:在脾气虚晚期胃癌 患者 治疗中,采用六君子汤加减方治疗 ,不仅能缓解临床症状、改善 KPS 评分,还可减少不良反应 ,值得推广。

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  • 简介:  【摘要】目的 探讨气虚血瘀胸痹心痛采用养阴益气活血汤治疗方法的临床应用效果,分析其临床应用价值。方法 选取 2018年 6月~ 2019年 6月在我院接诊的气虚血瘀胸痹心痛患者 113例,根据临床治疗方法不同将其分为观察组 56例(采用养阴益气活血汤治疗)和对照组 57例(采用丹红注射液的方法治疗)。结果 在接受不同治疗情况下,组间疗效对比,观察组 94.64%优于对照组 78.94%,组间差异有统计学意义( P<0.05)。观察组患者治疗后恶心、呕吐、轻微头痛的不良反应发生率低于对照组,对比差异有统计学意义( P<0.05)。结论 在当前气虚血瘀胸痹心痛临床治疗过程中,养阴益气活血汤可有效改善患者临床症状,疗效显著,安全可靠,值得临床推广和应用。    【关键词】气虚血瘀;胸痹心痛;养阴益气活血汤;疗效  [Abstract] Objective To explore the clinical effect of Yangyin Yiqi Huoxue Decoction in the treatment of chest pain of qi deficiency and blood stasis type, and analyze its clinical application value. Methods from June 2018 to June 2019, 113 patients with chest arthralgia and heartache of qi deficiency and blood stasis type were selected and divided into observation group of 56 cases (treated with Yangyin Yiqi Huoxue Decoction) and control group of 57 cases (treated with Danhong injection) according to different clinical treatment methods. Results under different treatment conditions, 94.64% of the observation group was better than 78.94% of the control group, and the difference was statistically significant (P < 0.05). The incidence of adverse reactions of nausea, vomiting and slight headache in the observation group was lower than that in the control group (P < 0.05). Conclusion Yangyin Yiqi Huoxue Decoction can effectively improve the clinical symptoms of the patients in the current clinical treatment of chest arthralgia and heartache of qi deficiency and blood stasis type.

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  • 简介:【 摘要】: 目的 观察分析 补阳还五汤对缺血性中风气虚血瘀患者的临床 疗效。方法 选择我院 2018 年 3 月 - 2019 年 12 月收治的缺血性中风气虚血瘀患者 84 例作为本次的研究对象 ,随机将其 分为对照组和治疗组,每组各有患者 42 例。对照组采用常规西药治疗,治疗组患者在西药治疗的基础上加用 补阳还五汤治疗,比较两 组患者的临床 疗效以及治疗前后血脂水平 。结果 治疗组患者的治疗优良率为 83.33% ,明显高于对照组的 66.67% ,差异有统计学意义( P<0.05 )。与对照组比较,治疗组患者治疗后血脂指标水平明显降低,差异有统计学意义( P < 0.05 )。 结论 补阳还五汤治疗 缺血性中风气虚血瘀患者取得的临床 疗效较为理想,患者血脂代谢明显改善 ,值得在临床上大力的 推广。

  • 标签: 补阳还五汤 缺血性中风 气虚血瘀型 临床效果
  • 简介:摘要:探讨中医辨证疗法治疗脾胃气虚功能性消化不良的临床疗效。选取收治的功能性消化不良患者 68 例,采用随机数字表法分为对照组和观察组,各 34 例。对照组患者采用多潘立酮片治疗,观察组患者采用中医辨证疗法治疗,两组患者均持续 1 个月。比较两组患者治疗前后症状积分及临床疗效。治疗前,两组患者症状积分比较,差异无统计学意义 ( P > 0. 05) ; 治疗后,观察组患者症状积分低于对照组 ( P < 0. 05) 。观察组患者治疗总有效率高于对照组 ( P < 0. 05) 。结论采用中医辨证疗法治疗脾胃气虚功能性消化不良的临床疗效确切,可有效缓解患者早饱、上腹胀痛等临床症状。

  • 标签: 功能性消化不良 脾胃气虚型 中医辨证疗法 治疗结果
  • 简介:摘要:目的:体会对脾胃气虚功能性消化不良患者实施枳实消痞丸治疗的价值。方法:遵从治疗措施差异原则分组,择我院 2019.3-2020.4内的 75例脾胃气虚功能性消化不良患者,分为对照( 39例,西药常规治疗)、观察组( 36例,枳实消痞丸),观察临床疗效。结果:观察组临床疗效明显较对照组高( 97.2%vs82.0%), P< 0.05。结论:药物治疗脾胃气虚功能性消化不良患者,建议以西药常规治疗为根本,后联合枳实消痞丸治疗,在提升临床疗效方面有显著价值。

  • 标签: 枳实消痞丸 脾胃气虚型 功能性消化不良 临床疗效
  • 简介:  【摘 要】目的:研究脾胃气虚功能性消化不良患者应用中医辨证治疗的临床效果。方法: 2018年 6月至 2020年 5月在我院接受功能性消化不良诊治的患者中随机抽取 78例,按照所选患者应用治疗方式的异同进行分组,对比组( n=39)患者应用西药治疗,研究组( n=39)患者采用中醫辨证治疗。结果:研究组患者病情总好转率显著高于对比组患者, 2组差异存在统计学意义( x2=19.2905, P=0.0292),其中,研究组治疗无效患者为 2例,病情好转患者共计 37例,对比组治疗无效患者为 10例,病情好转患者共计 29例。研究组患者用药后共计 2例患者出现不良反应,总发生率为 5.13%,对比组患者用药后共计 12例患者出现不良反应,总发生率为 30.77%, 2组患者用药后不良反应总发生率差异存在统计学意义( x2=16.9202, P=0.0282)。结论:脾胃气虚功能性消化不良患者应用中医辨证治疗能够取得较好的临床疗效且应用安全性较高,临床应用价值较高。    【关键词】中医辨证治疗 ;脾胃气虚 ;功能性消化不良    [Abstract] Objective: To study the clinical effect of TCM syndrome differentiation on functional dyspepsia of spleen stomach qi deficiency type. Methods: from June 2018 to may 2020, 78 patients with functional dyspepsia in our hospital were randomly selected and divided into groups according to the similarities and differences of treatment methods. The control group (n = 39) was treated with western medicine, and the study group (n = 39) was treated with TCM syndrome differentiation. Results: the total improvement rate of patients in the study group was significantly higher than that in the control group, and the difference was statistically significant (x2 = 19.2905, P = 0.0292). Among them, there were 2 patients with ineffective treatment and 37 patients with improved condition in the study group, 10 patients with ineffective treatment and 29 patients with improved condition in the control group. There were 2 cases of adverse reactions in the study group, the total incidence rate was 5.13%, 12 cases of adverse reactions occurred in the control group, the total incidence rate was 30.77%, the difference was statistically significant (x2 = 16.9202, P = 0.0282). Conclusion: the application of TCM syndrome differentiation treatment in patients with functional dyspepsia of spleen and stomach qi deficiency type can achieve good clinical efficacy, high safety and high clinical application value.

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  • 简介:  【摘 要】目的:研究脾胃气虚功能性消化不良患者应用中医辨证治疗的临床效果。方法: 2017年 6月至 2019年 6月在我院接受功能性消化不良诊治的患者中随机抽取 78例,按照所选患者应用治疗方式的异同进行分组,对比组( n=39)患者应用西药治疗,研究组( n=39)患者采用中醫辨证治疗。结果:研究组患者病情总好转率显著高于对比组患者, 2组差异存在统计学意义( x2=19.2905, P=0.0292),其中,研究组治疗无效患者为 2例,病情好转患者共计 37例,对比组治疗无效患者为 10例,病情好转患者共计 29例。研究组患者用药后共计 2例患者出现不良反应,总发生率为 5.13%,对比组患者用药后共计 12例患者出现不良反应,总发生率为 30.77%, 2组患者用药后不良反应总发生率差异存在统计学意义( x2=16.9202, P=0.0282)。结论:脾胃气虚功能性消化不良患者应用中医辨证治疗能够取得较好的临床疗效且应用安全性较高,临床应用价值较高。    【关键词】中医辨证治疗 ;脾胃气虚 ;功能性消化不良  [Abstract] Objective: To study the clinical effect of TCM syndrome differentiation on functional dyspepsia of spleen stomach qi deficiency type. Methods: from June 2017 to June 2019, 78 patients with functional dyspepsia in our hospital were randomly selected and divided into groups according to the similarities and differences of treatment methods. The control group (n = 39) was treated with western medicine, and the study group (n = 39) was treated with TCM syndrome differentiation. Results: the total improvement rate of patients in the study group was significantly higher than that in the control group, and the difference was statistically significant (x2 = 19.2905, P = 0.0292). Among them, there were 2 patients with ineffective treatment and 37 patients with improved condition in the study group, 10 patients with ineffective treatment and 29 patients with improved condition in the control group. There were 2 cases of adverse reactions in the study group, the total incidence rate was 5.13%, 12 cases of adverse reactions occurred in the control group, the total incidence rate was 30.77%, the difference was statistically significant (x2 = 16.9202, P = 0.0282). Conclusion: the application of TCM syndrome differentiation treatment in patients with functional dyspepsia of spleen and stomach qi deficiency type can achieve good clinical efficacy, high safety and high clinical application value.

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  • 简介:摘要:目的:研究气虚血瘀胸痹给予补阳还五汤对总体疗效的价值。方法:选择 2019 年 4 月 ~2020 年 4 月期间收治的 80 例气虚血瘀胸痹患者为研究对象,随机分为对照组和观察组各 40 例,对照组采用常规西药治疗,观察组采用补阳还五汤进行治疗。观察并对比两组患者的治疗总有效率和不良反应发生率。结果:观察组的总有效率和不良反应发生率均明显优于对照组, P<0.05 ,有统计学意义。结论:对气虚血瘀胸痹患者使用补阳还五汤加减治疗疗效显著,几乎无不良反应,可在临床上进行推广使用。

  • 标签: 气虚血瘀型胸痹 补阳还五汤 整体疗效 价值分析