全国名老中医邱健行教授治疗难治性胃食管反流病经验整理  

Summary of national famous Traditional Chinese Medicine professor Qiu Jianxing′s experience in treatment of refractory gastroesophageal reflux disease

作　　者：刘锡坚[1] 杨思为[1] 邱健行[2] 杨乃坤 罗国亮[1] 甄会莲[1] LIU Xi-jian;YANG Si-wei;QIU Jian-xing;YANG Nai-kun;LUO Guo-liang;ZHEN Hui-lian(Department of Spleen and Stomach,Sanshui Hospital of Foshan Hospital of Traditional Chinese Medicine,Guangdong Province,Foshan 528100,China;Department of Spleen and Stomach,Guangdong Second Traditional Chinese Medicine Hospital,Guangdong Province,Guangzhou 510095,China)

机构地区：[1]广东省佛山市中医院三水医院脾胃病科,广东佛山528100 [2]广东省第二中医院脾胃病科,广东广州510095

出　　处：《中国当代医药》2021年第31期164-167,共4页China Modern Medicine

基　　金：广东省佛山市科技创新项目(自筹经费类科技计划项目)(1920001000868)。

摘　　要：目的对全国名老中医邱健行教授治疗难治性胃食管反流病经验进行整理,探索其中药用药规律,治疗思想。方法回顾性选取2020年1月至12月于佛山市中医院三水医院邱健行名医工作室就诊的80例难治性胃食管反液病患者的临床资料,建立数据表,运用频数分析、描述性分析等进行用药规律分析。结果治疗后反流性疾病问卷(RDQ)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均低于治疗前,差异有统计学意义(P<0.05)。邱健行教授治疗难治性胃食管反流病,共用中药70味,使用频率在10%以上有26味,其中海螵蛸、浙贝母、延胡索、厚朴4味药物使用频数最高,分别为100%、98.75%、86.25%、85.00%。结论邱健行教授治疗难治性胃食管反流病注重辨证论治,用药切合病机,可显著改善患者睡眠,缓解患者负面情绪,效果显著,使用价值高。Objective To collect the experiences of Professor Qiu Jianxing,a well-known Chinese medicine doctor in China,in the treatment of refractory gastroesophageal reflux disease,and to explore the medication rules and treatment ideas.Methods Clinical data of 80 patients with refractory gastroesophageal reflux disease who were admitted to the famous doctor′s studio of Qiu Jianxing in Sanshui Hospital of Foshan Hospital of Traditional Chinese Medicine from January to December 2020 were retrospectively selected.The data table was established,the frequency analysis and descriptive analysis were conducted to analyze the medication rules.Results After treatment,the scores of reflux disease questionnaire(RDQ),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were lower than those before treatment,and the differences were statistically significant(P<0.05).Professor Qiu Jianxing treated refractory gastroesophageal reflux disease,a total of 70 traditional Chinese medicines were used,among which 26 medications were used at a frequency of more than 10%.The most frequently used medications were cuttlebone,fritillaria thunbergii,corydalis tuber and magnolia officinalis,with a frequency of 100%,98.75%,86.25%,and 85.00%,respectively.Conclusion Professor Qiu Jianxing focuses on syndrome differentiation in the treatment of refractory gastroesophageal reflux disease and medications are consistent with pathogenesis.It can significantly improve patient′s sleep status and relieve negative emotions,indicating significant effect and high application value.

关 键 词：难治性胃食管反流病 邱健行 临床经验 用药规律 

分 类 号：R256.3[医药卫生—中医内科学]