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1、黑龍江中醫(yī)藥大學(xué)碩士學(xué)位論文理氣和胃方治療功能性消化不良臨床研究姓名:鄭志新申請學(xué)位級別:碩士專業(yè):中醫(yī)內(nèi)科學(xué)指導(dǎo)教師:龔占悅2003.5.1黑龍江中醫(yī)藥大學(xué)碩士學(xué)位論文縮略語FDNUDHPMMC縮略語表英文全稱FunctionaldyspepsiaNon—ulcerdyspepsiaHelicobacterpyloriMigratingmotorcomplex中文全稱功能性消化不良非潰瘍性消化不良幽門螺桿菌消化間期移行性運動復(fù)合波GERDGastroesophagealreflexdisease胃返流性疾病GASGastinMTLMotilinSPSubsta
2、ncePPGE2VIPRIACISACHENOSprostaglandinE2VasoaetiveintestinalpeptideRadioimmunoassaryCisapride,Acet)rlcholineNitrieoxidesynthase胃泌素胃動素P物質(zhì)前列腺素E2血管活性腸肽放射免疫法西沙必利乙酰膽堿一氧化氮合酶黑龍江中醫(yī)藥大學(xué)碩士學(xué)位論文中文摘要慟能性消化不良(functionaldyspepsia,F(xiàn)D)亦稱非潰瘍性消化不良,是指非器質(zhì)性病變引起的一組常見的消化系統(tǒng)證候群。病因和發(fā)病機制至今尚未明確,現(xiàn)代醫(yī)學(xué)尚無特效療法土本文根據(jù)大量文獻資
3、料闡述了功能性消化不良的中西醫(yī)研究近況,從其病因病機、診斷、中西醫(yī)治療等方面進:行論述,并且認為氣機壅滯,胃失和降是其基本病機。本文總結(jié)了導(dǎo)師對功能性消化不良的診療經(jīng)驗,并通過臨床觀察,認為理氣和胃方有較好的療效。本次共觀察病人63例,治療組32例,用理氣和胃方加減治療,對照組31例,使用西沙必利,4周為1療程。治療結(jié)果顯示:理氣和胃方能夠很好地改善患者l晦床癥狀,療效比較穩(wěn)定。本方的作用機制可能在于:改善胃動力,促進胃排空,刺激血漿胃動素的分泌,調(diào)節(jié)胃腸運動。通過臨床觀察研究,理氣和胃方在促進胃排空方面與西沙必利相近(P>0.05),而在促血漿胃動素方面優(yōu)于西
4、沙必利(P<0.05),同時在一定程度上也證明了導(dǎo)師經(jīng)驗的科學(xué)性。關(guān)鍵詞:功能性消化不良j理氣和胃方j(luò)’臨床研致ABSTRACTFunctionaldyspepsia(FD)withanotherflalne—non—ulcerdyspepsia(NUD)isaconlnlongro'upofdigestivesystem’ssyndromewhichwascausedbynon-organicdiseases.FDhasnoveryeffectivemethodtObetreated.Itspathogenesishasbeenstilluncertain.T
5、histhesisisasummary,whichisbasedonalotofliteratures,studyingtherecentdevelopmentol’FDintraditionalChinesemedicineandwesternmedicine.Thearticleillustratesmytutor’Sviewsfrompathogenesis、diagnosis、traditionalmedicineandmodernmedicine,etc.thatthinkingitsfundamentalpathogenesisisthestagna
6、tionofqiandthefailureofdescendingofgastric-qi.MytutordeemsthatthePrescriptionofRegulatingQTandHarmonizingStomachisITIOI'eeffectivebyclinicalstudy.Inclinicalstudy,63patientsaredividedintotwogroups.TheresultsshowthatthePI’escriptionofRegulatingQlandHarmonizingStomachcanimprovethe‘Patie
7、nts’clinicalSymptoms.Ithasstablecurativeeffect.WeestimatethePrescriptionofRegulatingQiandHarmonizingStomach’Smechanismofactionliesinimprovinggastricdynamic,prorootinggastricemptying,stimulatingthesecretionofplasmamotilin.Byclinicalstudy,thePrescriptionofRegulatingQiandHarmonizingStom
8、achisapproxi