辛开苦降法治疗寒热错杂型餐后不适综合征的临床观察  

Clinical observation on the treatment of postprandial distress syndrome with mixed cold and heat by acrid-release and bitter-downbearing therapy

作　　者：黄海蕾 沙伟 熊星[1] 杭海[1] 尤立坤 HUANG Hai-lei;SHA Wei;XIONG Xing(Sheyang County Hospital of Traditional Chinese Medicine,Yancheng 224300,China)

机构地区：[1]射阳县中医院,224300

出　　处：《中国现代药物应用》2024年第8期148-150,共3页Chinese Journal of Modern Drug Application

基　　金：2021年盐城市医学科技发展计划项目(项目编号:YK2021074)。

摘　　要：目的探析中医辛开苦降法治疗寒热错杂型餐后不适综合征的临床疗效。方法选择符合纳入标准的72例寒热错杂型餐后不适综合征患者作为研究对象,随机分为中药组与西药组,各36例。中药组接受辛开苦降法(半夏泻心汤加减)治疗,西药组口服枸橼酸莫沙必利片治疗。比较两组患者治疗前后的症状积分及疗效。结果治疗后,两组患者的餐后饱胀不适、早饱、嗳气、上腹胀、纳食减少积分均低于本组治疗前,且中药组患者的餐后饱胀不适、早饱、嗳气、上腹胀积分分别为(1.13±2.00)、(1.03±1.55)、(0.68±1.45)、(0.34±1.23)分,均低于西药组的(2.11±2.11)、(1.89±2.04)、(1.44±1.70)、(1.11±1.95)分,差异具有统计学意义(P<0.05);两组治疗后的纳食减少积分组间比较,差异无统计学意义(P>0.05)。治疗后,两组患者的症状总分均低于本组治疗前,且中药组患者的症状总分(3.43±4.75)分低于西药组的(6.88±4.60)分,差异具有统计学意义(P<0.05)。中药组总有效率为97.2%,西药组总有效率为77.8%,中药组总有效率高于西药组,差异具有统计学意义(P<0.05)。结论辛开苦降法治疗寒热错杂型餐后不适综合征的临床效果可,能显著改善患者的餐后饱胀不适、早饱、上腹胀、嗳气等症状,较常规西医治疗疗效更优。Objective To explore the clinical efficacy of acrid-release and bitter-downbearing therapy in the treatment of postprandial distress syndrome with mixed cold and heat.Methods 72 patients with postprandial distress syndrome with mixed cold and heat were selected as the research subjects,and were randomly divided into the traditional Chinese medicine group and the western medicine group,with 36 cases in each group.The traditional Chinese medicine group was treated with acrid-release and bitter-downbearing therapy(modified Banxia Xiexin decoction),and the western medicine was treated with mosapride citrate tablets.The symptom score before and after treatment and efficacy of the two groups were compared.Results After treatment,the scores of postprandial fullness and discomfort,early satiety,belching,upper abdominal distension and reduced appetite in both groups were lower than those before treatment;the scores of postprandial fullness and discomfort,early satiety,belching,upper abdominal distension in traditional Chinese medicine group were(1.13±2.00),(1.03±1.55),(0.68±1.45)and(0.34±1.23)points,which were lower than(2.11±2.11),(1.89±2.04),(1.44±1.70)and(1.11±1.95)points in western medicine group;the differences were statistically significant(P<0.05).After treatment,there was no significant difference in reduced appetite score between the two groups(P>0.05).After treatment,the total score of symptoms in both groups was lower than that before treatment,and the total score of symptoms in traditional Chinese medicine group was(3.43±4.75)points,which was lower than(6.88±4.60)points in western medicine group.The difference was statistically significant(P<0.05).The total effective rate of the traditional Chinese medicine group was 97.2%,and the total effective rate of the western medicine group was 77.8%;the total effective rate of the traditional Chinese medicine group was higher than that of the western medicine group;the difference was statistically significant(P<0.05).Conclusion The clinical effect of acrid-re

关 键 词：餐后不适综合征 辛开苦降法 枸橼酸莫沙必利片 寒热错杂型 

分 类 号：R259[医药卫生—中西医结合]