旋覆代赭汤加减治疗功能性消化不良临床研究
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R573

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浙江省医学会临床科研基金项目(2019ZYC-B10)


Clinical Study on Modified Xuanfu Daizhe Decoction for Functional Dyspepsia
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    摘要:

    目的:观察旋覆代赭汤加减治疗功能性消化不良的临床疗效。方法:选择功能性消化不良患者 120 例,采用随机数字表法分为观察组和对照组各60 例。对照组给予常规西药治疗,观察组给予旋覆代赭汤 加减治疗。评价2 组临床疗效,比较2 组治疗前后血清中胃动素(MOT)、促肾上腺皮质激素释放激 素(CRH)、胃泌素17(G17) 及胃蛋白酶原(PGⅠ、PGⅡ) 水平,记录不良反应发生情况。结果:观察组总 有效率为93.33%,高于对照组83.33%,差异有统计学意义(P<0.037)。治疗前,2 组MOT、CRH、G17 及 PGⅠ、PGⅡ水平比较,差异无统计学意义(P>0.05)。治疗后,2 组MOT、G-17、PGⅠ及PGⅡ水平较治疗 前升高(P<0.05),且观察组MOT、G-17、PGⅠ及PGⅡ水平高于对照组(P<0.05);2 组CRH 水平较治疗 前降低(P<0.05),且观察组CRH 水平低于对照组(P<0.05)。结论:旋覆代赭汤加减治疗功能性消化不良 可有效缓解患者的临床症状,降低胃肠激素水平。

    Abstract:

    Abstract:Objective:To observe the clinical effect of modified Xuanfu Daizhe Decoction on functional dyspepsia. Methods: A total of 120 patients with functional dyspepsia were randomly divided into the observation group and the control group,with 60 cases in each group. The control group was treated with conventional western medicine, and the observation group was treated with modified Xuanfu Daizhe Decoction. The clinical effects in the two groups were evaluated. The levels of serum motilin (MOT), corticotropin-releasing hormone (CRH),gastrin 17 (G17) and pepsinogen (PGⅠ and PG Ⅱ) before and after treatment were compared between the two groups,and the incidence of adverse reactions was recorded. Results:The total effective rate was 93.33% in the observation group,higher than that of 83.33% in the control group, the difference being significant (P<0.037). Before treatment, there was no significant difference in levels of MOT, CRH, G17, PG Ⅰ and PG Ⅱ between the two groups(P>0.05). After treatment,the levels of MOT,G-17,PGⅠ and PGⅡ in the two groups were increased compared with those before treatment(P<0.05),and the above levels in the observation group were higher than those in the control group(P<0.05); the levels of CRH in the two groups were decreased compared with those before treatment (P<0.05), and the level of CRH in the observation group was lower than that in the control group (P<0.05). Conclusion:Xuanfu Daizhe Decoction can effectively relieve the clinical symptoms of patients with functional dyspepsia,which reduces the levels of gastrointestinal hormones.

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陈丽娟,王向群,吴嘉,徐明英,夏建萍,方靖.旋覆代赭汤加减治疗功能性消化不良临床研究[J].新中医,2023,55(1):28-31

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  • 在线发布日期: 2023-01-17
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