痛泻要方加减对中风后顽固性呃逆临床研究

Clinic Research of Modified Tongxieyaofang on Intractable Hiccups after Stroke

目的:观察以疏肝实脾理气法则应用痛泻要方加减在治疗中风后顽固性呃逆的临床研究。方法:将43例中风后顽固性呃逆患者随机分治疗组22例,对照组21例,对照组给予常规的西医药物治疗。治疗组运用疏肝实脾理气法则根据辨证分析应用痛泻要方加减用药治疗。结果:治疗组总有效率86.36%;对照组总有效率52.38%。两组总有效率比较,差异有显著性意义(P<0.05)。结论:以疏肝实脾理气法则应用痛泻要方加减在治疗中风后顽固性呃逆有较好的疗效。疏肝实脾理气的辨证思路为临床治疗中风后呃逆提出新的观点。

Objective：To observe the clinical effect of modified Tongxieyaofang based on the therapeutic rule of soothing liver,fortifing spleen and regulating qi on intractable hiccups after stroke.Methods：43 cases with intractable hiccups after stroke were randomly divided into treatment group（n=22）and control group（n=21）.The control group were treated with routine western medicine,while the treatment group were treated with modified Tongxieyaofang based on the therapeutics rule of soothing liver,fortifing spleen and regulating qi.Results：The total effective rate was 86.36% in treatment group and 52.38% in control group.There is marked difference between them by comparison（P0.05）.Conclusion：Apply therapeutic rule of soothing liver,fortifing spleen and regulating qi to the modified Tongxieyaofang has significant curative effect on intractable hiccups during stroke rehabilitation,And this syndrome differentiation pattern bring forward new theories.