肝气郁滞型胁部疼痛中医辨证论治临床疗效观察

Clinical Effect of Chinese Medicine Syndrome on Patients with Flank Pain of Liver Qi Stagnation

目的:观察和评价肝气郁滞型胁痛的中医辨证分型特点以及干预的临床疗效,为进一步临床应用提供理论及临床依据。方法 :本研究为临床研究,按照统一的诊断、纳入及排除标准,将130例确诊为肝气郁滞型胁痛的患者依据治疗方法分为治疗组70例,给予柴胡舒肝散加减治疗;对照组60例,给予柴胡舒肝丸治疗。分析肝气郁滞型胁部疼痛中医辨证分型的特点,比较两组患者治疗后临床疗效差异。结果 :治疗组患者治疗后总有效率为92.9%;对照组患者治疗后总有效率为88.3%。治疗组总有效率优于对照组,两组患者总有效率比较,差异有统计学意义(P<0.05)。两组患者治疗前后麦-吉疼痛问卷简表(SF-MPQ)得分比较,差异有统计学意义(P<0.05);两组间治疗后SF-MPQ评分治疗组优于对照组,两组间比较,差异有统计学意义(P<0.05)。结论 :中医辨证加减能够针对肝气郁滞型胁痛患者出现的相应症状给予对症治疗,有较好的临床疗效,是临床上值得借鉴的方法之一。

Objective： To observe and evaluate the TCM syndrome characteristics and clinical efficacy of interventions of flank pain of liver qi stagnation syndrome, and to provide theoretical and clinical basis for further clinical application. Methods ： This study was a clinical study, 130 patients diagnosed as flank pain of liver qi stagnation syndrome were divided into a treatment group （ 70 cases ）which accepted the Bupleurum Shugan Decoction, and the control group （ 60 cases ） which accepted the Chaihu Shugan Pill. Results ： The total effective rate of the treatment group was 92.9%, in the control group it was 88.3%.The difference was statistically significant （ P〈0.05 ） .Compared two groups before and after treatment, the difference was statistically significant on the wheat-Kyrgyzstan Pain Questionnaire Short Form （ SF-MPQ ）score （ P〈0.05 ）. The treatment group was better than the control group, the difference was statistically significant （ P〈0.05 ）. Conclusion： The TCM differentiation can give symptomatic treatment for the corresponding symptoms of flank oain of liver qi stagnation syndrome and it is worthy of application at clinic.