调理肝脾法治疗胃癌根治术后腹泻临床观察  

Clinical Observation of Regulating Liver and Spleen Method in Treating Diarrhea after Radical Gastric Cancer Surgery

作　　者：王辉 

机构地区：[1]镇平县第一人民医院,河南镇平474250

出　　处：《中医学报》2012年第10期1243-1244,共2页Acta Chinese Medicine

摘　　要：目的:探讨调理肝脾法治疗胃癌根治术后腹泻的临床疗效。方法:19例胃癌根治术后腹泻患者停用其他抗生素类等药物,采用中医调理肝脾法治疗,方药组成:白术20 g,党参15 g,茯苓10 g,山药30 g,炒扁豆30 g,炒薏苡仁30 g,白芍10 g,防风6 g,煨葛根6 g,五味子6 g,炙甘草3 g,水煎服,每日1剂,7 d为1个疗程,共治疗3个疗程。结果:19例患者中,第1个疗程后,痊愈1例,占5.26%;有效8例,占42.11%;无效10例,占52.63%;有效率为47.37%。第2个疗程后,痊愈4例,占21.05%;有效15例,占78.95%;无效0例;有效率为100%。第3个疗程后,痊愈10例,占52.63%;有效9例,占41.37%;无效0例;有效率为100%。结论:调理肝脾法治疗胃癌根治术后腹泻疗效显著。Objective：To discuss the clinical curative effects of regulating liver and spleen method on treating diarrhea after radical gastric cancer surgery.Methods：19 cases of diarrhea patients were suspended to take drugs like antibiotic,but only were treated by Chinese medicine.Composition of prescription：Atractylodes macrocephala Koidz 20 g,Codonopsis pilosula 15 g,Wolfiporia cocos 10 g,Dioscorea opposita Thunb 30 g,Lablab purpureus 30 g,SemenCoicis 30 g,PaconialactifloraPall 10 g,Radix Saposhnikoviae 6 g,Radix Puerariae 6 g,Schisandra chinenesis 6 g,Radix Glycyrrhizae Preparata 3 g,one dosage per day,7 days were one course of treatment.Results：In the 19 cases,after one course of treatment,one was cured（5.26%）;8 were effective（42.11%）;10 were ineffectine（52.63%） and the effective rate was 47.37%;after two courses of treatment,4 were cured（21.05%）;15 were effective（78.95%）,none was ineffective and the effective rate was 100%;after three courses of treatment,10 were cured（52.63%）;9 were effective（41.37%）;none was ineffectine and the effective rate was 100%.Conclusion：Regulating liver and spleen method has great curative effects on treating diarrhea after radical gastric cancer surgery.

关 键 词：胃癌 腹泻 根治术后 调理肝脾法 

分 类 号：R273[医药卫生—中西医结合]