砂仁异功散加减治疗痞满的临床疗效观察(1)
摘 要：目的 觀察砂仁异功散加减治疗痞满的临床疗效，评价其临床安全性。方法 选择2016年8月～2017年9月在本院接受治疗的痞满患者共76例，按照随机数字表法分为观察组和对照组，各38例。对照组采用常规处理手段+安慰剂治疗，观察组采用砂仁异功散加减治疗。对两组患者的纳呆、烧心、胃脘痞满、胃脘疼痛、四肢乏力、嗳气反酸中医症候积分进行观察；对两组患者生理功能、生理职能、躯体疼痛、社会功能、活力等生存质量积分进行观察。结果 治疗前，两组中医症状积分差异无统计学意义(P>0.05)；治疗后，观察组患者纳呆[(0.75±0.63)分 vs (1.16±0.65)分]、烧心[(1.52±0.61)分 vs (1.73±0.69)分]、胃脘痞满[(1.03±0.52)分 vs (1.58±0.61)分]、胃脘疼痛[(1.82±0.64)分 vs (1.83±0.63)分]、四肢乏力[(0.85±0.63)分 vs (1.25±0.63)分]、嗳气反酸[(1.14±0.71)分 vs (1.68±0.72)分]等中医症状积分低于对照组，差异具有统计学意义(P<0.05)；治疗前，两组患者的生存质量积分差异无统计学意义(P>0.05)；治疗后，观察组生理功能[(85.62±14.85)分 vs (77.58±20.98)分]、生理职能[(75.23±38.56)分 vs (73.58±18.05)分]、躯体疼痛[(44.36±17.45)分 vs (43.25±22.25)分]、社会功能[(89.63±13.15)分 vs (85.63±10.65)分]、活力[(69.45±13.56)分 vs (56.36±15.85)分]等生存质量积分均高于对照组，差异具有统计学意义(P<0.05)。结论 砂仁异功散加减治疗痞满临床疗效确切，是一种安全的治疗方法，有助于改善患者临床症状，提升治疗效果，帮助患者快速恢复健康。
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关键词：砂仁异功散；痞满；功能消化不良
中图分类号：R256.32 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.08.047
文章编号：1006-1959(2018)08-0138-03
Clinical Observation on the Effect of Amun Yigong Powder in the Treatment of Pigamia
WANG Chao-liu
(Department of Traditional Chinese Medicine，Shimian County Traditional Chinese Medicine Hospital，Ya'an 625400，Sichuan，China)
, 百拇医药
Abstract：Objective To observe the clinical effect and evaluate the clinical safety of Amun yigong powder，make an evaluation of clinical safety.Methods A total of 76 patients who were treated in our hospital from August 2016 to September 2017 were randomly divided into observation group and control group with 38 cases each.The patients in the control group were treated with routine treatment plus placebo，while the observation group were treated with the addition and subtraction of Amun yigong powder.To observe the TCM symptom integral of the two groups of patients，such asanorexia，heart-burning，epigastric pain，weakness of limbs，belching and acid regurgitation.The scores of physical function，physiological function，somatic pain，social function and vitality were observed.Results Before treatment，there was no significant difference in the score of TCM symptoms between the two groups(P>0.05).After treatment， the index of anorexia of patients in the observation group was[(0.75±0.63)vs(1.16±0.65)]，heart-burning [(1.52±0.61)vs(1.73±0.69)].Epigastric fullness[(1.03 ±0.52)vs(1.58 ±0.61)]，epigastric pain[(1.82 ±0.64)vs(1.83 ±0.63)]，limb fatigue [(0.85 ±0.63)vs(1.25 ±0.63)]，belching[(1.14±0.71)vs(1.68±0.72)]，such scores of TCM symptoms was lower than that of control group，the difference was statistically significant(P<0.05).Before treatment，there was no significant difference in quality of life score between the two groups(P>0.05).After treatment， physiological function in observation group was [(85.62 ±14.85)vs(77.58 ±20.98)]，physiological function [(75.23±38.56)vs (73.58±18.05)]，physical pain [(44.36±17.45)vs(43.25±22.25)]，social function[(89.63±13.15)vs(85.63±10.65)]，vitality [(69.45±13.56)vs (56.36±15.85)]，such scores of equal quality of life were significantly higher than those of the control group(P<0.05).Conclusion The addition and subtraction of Amun yigong powder is a safe and effective method to improve the clinical symptoms，improve the therapeutic effect and help the patients to recover their health quickly., 百拇医药(王超六)
, http://www.100md.com
关键词：砂仁异功散；痞满；功能消化不良
中图分类号：R256.32 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.08.047
文章编号：1006-1959(2018)08-0138-03
Clinical Observation on the Effect of Amun Yigong Powder in the Treatment of Pigamia
WANG Chao-liu
(Department of Traditional Chinese Medicine，Shimian County Traditional Chinese Medicine Hospital，Ya'an 625400，Sichuan，China)
, 百拇医药
Abstract：Objective To observe the clinical effect and evaluate the clinical safety of Amun yigong powder，make an evaluation of clinical safety.Methods A total of 76 patients who were treated in our hospital from August 2016 to September 2017 were randomly divided into observation group and control group with 38 cases each.The patients in the control group were treated with routine treatment plus placebo，while the observation group were treated with the addition and subtraction of Amun yigong powder.To observe the TCM symptom integral of the two groups of patients，such asanorexia，heart-burning，epigastric pain，weakness of limbs，belching and acid regurgitation.The scores of physical function，physiological function，somatic pain，social function and vitality were observed.Results Before treatment，there was no significant difference in the score of TCM symptoms between the two groups(P>0.05).After treatment， the index of anorexia of patients in the observation group was[(0.75±0.63)vs(1.16±0.65)]，heart-burning [(1.52±0.61)vs(1.73±0.69)].Epigastric fullness[(1.03 ±0.52)vs(1.58 ±0.61)]，epigastric pain[(1.82 ±0.64)vs(1.83 ±0.63)]，limb fatigue [(0.85 ±0.63)vs(1.25 ±0.63)]，belching[(1.14±0.71)vs(1.68±0.72)]，such scores of TCM symptoms was lower than that of control group，the difference was statistically significant(P<0.05).Before treatment，there was no significant difference in quality of life score between the two groups(P>0.05).After treatment， physiological function in observation group was [(85.62 ±14.85)vs(77.58 ±20.98)]，physiological function [(75.23±38.56)vs (73.58±18.05)]，physical pain [(44.36±17.45)vs(43.25±22.25)]，social function[(89.63±13.15)vs(85.63±10.65)]，vitality [(69.45±13.56)vs (56.36±15.85)]，such scores of equal quality of life were significantly higher than those of the control group(P<0.05).Conclusion The addition and subtraction of Amun yigong powder is a safe and effective method to improve the clinical symptoms，improve the therapeutic effect and help the patients to recover their health quickly., 百拇医药(王超六)