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1、學(xué)位論文加味黃芪建中湯治療消化性潰瘍(脾胃虛寒證)臨床療效觀察胡業(yè)建指導(dǎo)教師姓名:鋈超主任醫(yī)師申請(qǐng)學(xué)位級(jí)別:亟±專業(yè)名稱:圭醫(yī)凼型堂論文提交時(shí)間:二O一二年五月中文摘要目的:通過加味黃芪建中湯治療消化性潰瘍(脾胃虛寒證)的臨床實(shí)驗(yàn)研究,觀察其臨床療效。方法:將符合診斷標(biāo)準(zhǔn)的50例病人隨機(jī)分為治療組和對(duì)照組。治療組患者為25例,對(duì)照組患者為25例。兩組病例一般資料、治療前癥狀積分基本相同,經(jīng)統(tǒng)計(jì)學(xué)處理,無顯著性差異意義,具有可比性。治療組以加味黃芪建中湯治療,對(duì)照組治療以奧美拉唑、阿莫西林、克拉霉素治療。比較治療前后的臨床癥狀改善情況。結(jié)果:(
2、1)臨床癥狀有效率治療組為88.00%,對(duì)照組為80.00%;胃鏡檢查的有效率治療組為92.00%,對(duì)照組88.00%。兩有效率,治療組和對(duì)照組比較無統(tǒng)計(jì)意義(P>0.05)。(2)治療組和對(duì)照組治療后各癥狀積分與治療前組內(nèi)比較均有統(tǒng)計(jì)學(xué)意義(P<0.05)。(3)治療組及對(duì)照組的患者在臨床研究過程中均未見不良反應(yīng)。結(jié)論:(1)治療組和對(duì)照組總有效率比較無顯著性差異。(2)兩組治療方法都能獲得較好的臨床療效,加味黃芪建中湯治療消化性潰瘍療效并不低于西藥(奧美拉唑、阿莫西林、克拉霉素)。關(guān)鍵詞:消化性潰瘍,加味黃芪建中湯,奧美拉唑,阿莫西林,克
3、拉霉素ABSTRACTobjective:ThroughmodifiedHuangqijianzhongDecoctioninthetreatmentofpepticulcer(spleendeficiencysyndrome)intheclinicalexperimentalresearch,toobserveitsclinicalcurativeeffectMethods:Willmeetthecriteriaforthediagnosisof50caseswererandomlydividedintotreatmentgroupandc
4、ontrolgroup.Patientsinthetreatmentgroupof25cases,25casesofpatientsofcontrolgroup.Generalmaterialsoftwogroupsbeforetreatment,symptomscoresarebasicallythesame,statistically,therewasnosignificantdifferenceinmeaning,withcomparable.ThetreatmentgroupweretreatedwithmodifiedHuangqi
5、jianzhongSouptreatment,grouptherapywithomeprazole,amoxicillin,clarithromycintherapy.Beforeandalterthetreatment,theclinicalsymptomimprovement.Results:(1):tClinicalsymptomsofefficiencyinthetreatmentgroupWas88%,80%incontrolgroup;gastroscopyandtheefficiencyot92%inthetreatmentgr
6、oup,controlgroup88%.Twoefficiency,thetreatmentgroupandthecontrolgrouphadnostatisticalsignificance(P>O.05).(2):Thetreatmentgroupandcontrolgroupaftertreatmentthesymptomscoresandbeforetreatmentwithingroupcomparisonswerestatisticallysignificant(P7、ntrolgroupofpatientsinclinicalcourseofstudyshowednoadversereaction.Conclusion:(1):Thetreatmentgroupandthecontrolgroupinthetotalefficiencyofnosignificantdifferencecompared(2):ThetwogroupsoftreatmentCangetbetterclinicalefficacy,modifiedHuangqijianzhongDecoctioninthetreatmento
8、fpepticulcerefficacyislowerthanWesternMedicine(omeprazole,amoxiciUin,clarithromyci