中药参附黄蒲汤治疗脾胃虚寒型胃痛的临床效果分析(1)
x[摘要]目的 探讨中药参附黄蒲汤治疗脾胃虚寒型胃痛的临床效果。方法 选取2015年2月～2017年2月我院收治的94例脾胃虚寒型胃痛患者，将其随机分为实验组和对照组，每组47例。对照组患者采用常规西医药物治疗，实验组在西药治疗基础上采用中药参附黄蒲汤進行治疗。比较两组患者的临床疗效。结果 实验组的总有效率为93.62%，显著高于对照组的78.72%，差异有统计学意义(P<0.05)；治疗前，两组患者的中医症候评分和VAS评分差异无统计学意义(P>0.05)，治疗后，实验组患者的VAS评分和中医症候评分改善程度明显优于对照组，差异有统计学意义(P<0.05)。结论 中药参附黄蒲汤配合治疗脾胃虚寒型胃痛，比单纯西药治疗的效果更确切，能显著改善患者的胃痛症状，安全性高，值得临床进一步应用。
[关键词]参附黄蒲汤；脾胃虚寒；胃痛
[中图分类号] R256.33 [文献标识码] A [文章编号] 1674-4721(2017)08(c)-0089-03
[Abstract]Objective To explore the clinical effect of traditional Chinese herbal formula Shenfu Huangpu Decoction in the treatment of stomachache of spleen and stomach deficiency cold.Methods From February 2015 to February 2017，94 patients with stomachache stomachache of spleen and stomach deficiency cold treated in our hospital were selected and divided into experimental group and control group in random and there were 47 cases in each group.In the control group，patients were treated with conventional Western medicine，while in the experimental group，on the basis of the control group，Shenfu Huangpu Decoction was added.The clinical effect between the two groups was compared.Results The total effective rate in the experimental group was 93.62%，which was significantly higher than that in the control group (78.72%)，which was displayed a statistical difference (P<0.05).Before treatment，the symptomatic score of traditional Chinese medicine (TCM) and visual analogue scale (VAS) score between the two groups were not greatly different after comparison (P>0.05).After therapy，the improvement of TCM symptomatic score and VAS score in the experimental group was significantly better than that in the control group，with statistical significance (P<0.05).Conclusion In the treatment of stomachache due to the spleen and stomach deficiency cold，Chinese herbal formula Shenfu Huangpu Decoction as a combined therapy can obtain a more definite effect in comparison with that by Western medicine alone.It remarkably improves the patients′ symptoms of stomachache and its safety is high，and it is worthy of further clinical application in clinic.
[Key words]Shenfu Huangpu Decoction；Spleen and stomach deficiency cold；Stomachache
胃痛又被称为“胃脘痛”，是临床上的常见症状，多是因为饮食失常、劳倦过度或者其他脏器病变而引发脾胃功能失调导致的。其主要病症为上腹胃脘部近心窝处常发生疼痛，很多患者还伴有吞酸、嗳气的症状[1]。《邪气藏府病形》中有云“胃病者，腹目真胀，胃脘当心而痛，上支两胁，膈咽不通，食饮不下”，即准确描述了胃痛的病变部位以及临床主要症状[2]。根据中医的辨证理论，胃脘痛基本症型可以分型为脾胃虚寒型、瘀血停滞型、食滞伤胃型、寒邪客胃型、肝气郁结型等种类[3]。而临床上以脾胃虚寒型的胃脘痛最常见，其临床症状为胃脘隐痛，空腹时疼痛加剧，饭后减轻，泛吐清水，神疲乏力，大便溏薄[4]。中医理论认为其病因与机体脾虚气弱、饮食劳倦以及久病不愈脾胃阳气受损导致中气虚寒有关。脾胃虚寒型胃痛的发病率较高，且容易反复发作，西医根治不易[5]，为了探究脾胃虚寒型胃痛更好的治疗方式，本研究选取我院确诊收治的94例脾胃虚寒型胃痛患者作为研究对象，应用中药参附黄蒲汤进行治疗，取得了良好的效果，现报道如下。, 百拇医药(黄文琴)
[关键词]参附黄蒲汤；脾胃虚寒；胃痛
[中图分类号] R256.33 [文献标识码] A [文章编号] 1674-4721(2017)08(c)-0089-03
[Abstract]Objective To explore the clinical effect of traditional Chinese herbal formula Shenfu Huangpu Decoction in the treatment of stomachache of spleen and stomach deficiency cold.Methods From February 2015 to February 2017，94 patients with stomachache stomachache of spleen and stomach deficiency cold treated in our hospital were selected and divided into experimental group and control group in random and there were 47 cases in each group.In the control group，patients were treated with conventional Western medicine，while in the experimental group，on the basis of the control group，Shenfu Huangpu Decoction was added.The clinical effect between the two groups was compared.Results The total effective rate in the experimental group was 93.62%，which was significantly higher than that in the control group (78.72%)，which was displayed a statistical difference (P<0.05).Before treatment，the symptomatic score of traditional Chinese medicine (TCM) and visual analogue scale (VAS) score between the two groups were not greatly different after comparison (P>0.05).After therapy，the improvement of TCM symptomatic score and VAS score in the experimental group was significantly better than that in the control group，with statistical significance (P<0.05).Conclusion In the treatment of stomachache due to the spleen and stomach deficiency cold，Chinese herbal formula Shenfu Huangpu Decoction as a combined therapy can obtain a more definite effect in comparison with that by Western medicine alone.It remarkably improves the patients′ symptoms of stomachache and its safety is high，and it is worthy of further clinical application in clinic.
[Key words]Shenfu Huangpu Decoction；Spleen and stomach deficiency cold；Stomachache
胃痛又被称为“胃脘痛”，是临床上的常见症状，多是因为饮食失常、劳倦过度或者其他脏器病变而引发脾胃功能失调导致的。其主要病症为上腹胃脘部近心窝处常发生疼痛，很多患者还伴有吞酸、嗳气的症状[1]。《邪气藏府病形》中有云“胃病者，腹目真胀，胃脘当心而痛，上支两胁，膈咽不通，食饮不下”，即准确描述了胃痛的病变部位以及临床主要症状[2]。根据中医的辨证理论，胃脘痛基本症型可以分型为脾胃虚寒型、瘀血停滞型、食滞伤胃型、寒邪客胃型、肝气郁结型等种类[3]。而临床上以脾胃虚寒型的胃脘痛最常见，其临床症状为胃脘隐痛，空腹时疼痛加剧，饭后减轻，泛吐清水，神疲乏力，大便溏薄[4]。中医理论认为其病因与机体脾虚气弱、饮食劳倦以及久病不愈脾胃阳气受损导致中气虚寒有关。脾胃虚寒型胃痛的发病率较高，且容易反复发作，西医根治不易[5]，为了探究脾胃虚寒型胃痛更好的治疗方式，本研究选取我院确诊收治的94例脾胃虚寒型胃痛患者作为研究对象，应用中药参附黄蒲汤进行治疗，取得了良好的效果，现报道如下。, 百拇医药(黄文琴)