疏肝和胃法治疗糖尿病胃轻瘫临床观察

Clinical Observe on Chinese Herbs of Soothe the Lliver and Spacify the Stomach to Treat Diabetic Gastroparesis

目的:观察疏肝和胃中药对糖尿病胃轻瘫的治疗作用。方法:将144例糖尿病胃轻瘫患者随机分为2组,治疗组73例以四逆散为主方加减化裁,每天1剂,水煎服。对照组71例予吗丁啉10mg,日3次,口服,疗程为1个月,观察治疗前后症状和B超胃排空率。结果:治疗组临床症状明显改善,总有效率为89.20%,对照组总有效率为77.46%。两组疗效比较差异有显著性(P<0.01)。结论:以疏肝和胃降逆为基本原则,佐以化瘀、补虚、养阴等法,标本兼治,可有效治疗糖尿病胃轻瘫。

Objective： To observe the effect of Chinese herbs of motilium of soothe the liver and spacify the stomach on diabetic gastroparesis （ DGP ）. Methods ： 144 patients of DGP were enrolled and treated with Chinese herbs （ n = 73） and motilium （ n = 71 ） respectively for a month,the changes of clinical syndromes and Gastric Emptying rate of B - ultrasonic before and aftert reatment wree observed, Results ： The clinical syndromes were improved in the treatment group. The effective rate was 89.20% in the treatment group with a better therapeutic effect（ P 〈0.01）. Conclusion ：Chinese herbs of motilium of soothe the liver and spacify the stomach with relieve stasis or reinforce insufficiency or nourish Yin is effective for diabetic gastroparesis.