疏肝理气法治疗社区消化不良的临床研究

Clinical research of soothing the liver and rectifying Qi method in the treatment of community indigestion

目的探讨疏肝理气法治疗社区消化不良的临床效果与发挥机制。方法社区消化不良患者120例依就诊顺序分为治疗组60例和对照组60例,治疗组选用疏肝理气法治疗,对照组予以吗叮啉治疗。结果治疗组中医证候总有效率为95.0%,对照组为86.7%,经Ridit分析差异有统计学意义(P<0.05)。两组治疗后检查血常规、肝、肾功能等指标,两者均无明显变化(P>0.05)。治疗前两组幽门螺杆菌阳性率相近,治疗后治疗组阴转16例,而对照组无转阴,对比差异明显(P<0.05)。结论疏肝理气法在社区消化不良的治疗方面有许多优势,可能与良好的幽门螺杆菌清除效果有关,具有良好的应用前景。

Objective To discuss the clinical effect and mechanism of soothing the liver and rectifying qi in the treat- ment of community indigestion. Methods One hundred twenty patients with indigestion in community based on see doctors in chronological orders were evenly divided into two groups： treatment group and control group, in the treat- ment group, patients were treated by soothing the liver and rectifying qi, while in the control group, patients were pro： vided with motilium. Results With respect to syndrome in traditional Chinese medicine, the total effective rate in the treatment group was 95.0%, which displayed a remarkable difference from the control group （86.7%） by Ridit analysis （P 〈 0.05）. The indexes like blood routine examination, hepatic function, and renal function in both groups didn＇t show much difference （P 〉 0.05）. Before treatment, the positive rate of helicobacter pylori （Hp） in the two groups was almost same, but after treatment, 16 cases with Hp converted to be negative in the treatment group, while in the con- trol group, none of them was negative, which demonstrated a significant difference on comparison （P 〈 0.05）. Conclu- sion The method of soothing the liver and rectifying qi has many advantages in the treatment of community indigestion with a good prospect, which may be related to its effectiveness in removing Hp.