柴胡剂量对慢性胃炎肝气犯胃证患者疗效.doc

柴胡剂量对慢性胃炎肝气犯胃证患者疗效


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　 【摘要】 目的：探讨不同剂量柴胡对慢性胃炎（CAG）胃脘痛肝气犯胃证患者腹胀疗效。方法：选取2017年3月-2019年12月收治的慢性胃炎胃脘痛肝气犯胃证住院患者为研究对象。根据随机分配原则分为两组，对照组予静滴泮托拉唑，口服索法酮，并服用柴胡疏肝散加减，观察组在前者基础上增加中药方中柴胡用量为12 g。对比两种方案的效果。结果：观察组胁肋胀痛及腹胀评分低于对照组，差异有统计学意义（P<）。观察组症状改善时间早于对照组，差异有统计学意义（P<）。结论：增加柴胡剂量后的柴胡疏肝散加减方，能有效改善患者腹胀症状，临床效果显著，值得应用。
　　 【关键词】 柴胡 剂量 肝气犯胃
　　 doi：. 文献标识码 A 文章编号 1674-6805（2020）23-00-03
　　 The Effect of Bupleurum Dose on Patients with CAG Liver-qi Attacking Stomach Syndrome/CHEN Yang， CAO Wen. //Chinese and Foreign Medical Research， 2020， 18（23）： -18
　　 [Abstract] Objective： To investigate the effect of different doses of Bupleurum on abdominal distension in patients with CAG syndrome of epigastric pain and liver-qi attacking stomach. Method： The inpatients with epigastric pain and liver-qi attacking stomach syndrome of stomach disorder admitted from March 2017 to December 2019 were selected as the study objects. According to the principle of random distribution， they were divided into two groups. The control group was given static drop of Pantoprazole， oral administration of Sofalcone， and treatment of Chaihu Shugan San addition and subtraction. On the basis of the former， the observation group increased the dosage of Bupleurum in the Chinese prescription to 12 g. The effects of the two schemes were compared. Result： The score of side rib pain and abdominal distension in the observation group were lower than those in the control group （P<）. The onset time of the observation group were earlier than that of the control group （P<）. Conclusion： Chaihu Shugan San addition and subtraction after adding the dose of Bupleurum can effectively improve the symptoms of abdominal distension. The clinical effect is remarkable and worthy of application.
　　 [Key words] Bupleurum Dose Liver-qi attacking stomac