疏肝和胃法治疗功能性消化不良的临床疗效观察

Clinical observation on functional dyspepsia treated by Shugan Hewei method

[目的]观察中药疏肝和胃法治疗肝胃不和型功能性消化不良(FD)的疗效。[方法]采用随机、对照的观察方法,将60例患者分为对照组和治疗组,治疗组采用疏肝和胃法,对照组采用吗丁啉治疗。经过4周治疗,采用临床症状积分法,观察功能性消化不良的上腹饱胀、两胁胀痛、早饱、嗳气、心烦易怒等症状缓解情况。[结果]经过治疗后,中药疏肝和胃法可以明显改善上腹饱胀、早饱感、上腹疼痛、厌食症状积分,其总疗效优于对照组(P<0.05)。[结论]以疏肝和胃法对FD的临床单项症状评分及临床总有效率均明显高于吗丁啉对照组,有一定的疗效。

[Objective] To explore the effect of Shugan Hewei in the treatment of functional dyspepsia. [Methods] Sixty patients with functional dyspepsia were randomly divided into the treatment group （n=30） and the control group （n=30）. The treatment group was given with Shugan Hewei, and the control group was given with Domperidone only for 4 weeks. The improvement of clinical symptoms, such as early satiety, upper abdominal pain, stomach burn, abdominal distention and eructation, were evaluated by clinical symptom score. [Resuits] After treatment, the improvement of abdominal symptom score of control group was significantly lower than that of trestment group （P〈0.05）. [Conclusion] Shugan Hewei is more effective in treating patients with functional dyspepsia than Domperidone. It deserves clin- ical expansion.