疏肝平胃汤联合粳米药膳粥治疗胃脘痛疗效观察

Curative Observation of Using Shugan Pingwei Decoction Combined with Rice Porridge Medicined Diet in the Treatment of Liver-Qi Attacking Stomach Epigastric Pain

目的:观察粳米药膳粥联合疏肝平胃汤治疗肝气犯胃胃脘痛的临床效果。方法:选取在本院门诊治疗的胃脘痛患者(肝气犯胃型)94例,根据就诊顺序随机分为观察组与对照组各47例,观察组患者给予粳米药膳粥联合自拟疏肝平胃汤加减治疗,对照组给予猴头健胃灵片治疗,比较两组治疗效果。结果:治疗前两组证候积分差异不显著,P>0.05;治疗后,两组证候积分均下降明显(P<0.05),观察组比对照组下降更明显(P<0.05);观察组总有效率为97.87%,明显高于对照组总有效率(85.11%)(P<0.05);半年后回访,观察组复发率明显低于对照组复发率,P<0.05;两组患者均未发生严重不良反应。结论:粳米药膳粥联合疏肝平胃汤治疗肝气犯胃型胃脘痛效果较好,复发率低,且较安全,值得向临床推荐。

Objective ： To investigate the clinical effect of rice porridge medicineddiet combined with Shugan Pingwei Decoc- tion in the treatment of liver-Qi attacking stomach stomachache. Methods： A total of 94 stomachache patients （liver-Qi attacking stomach type） in outpatients of our hospital were selected. According to the order of treatment were randomly divided into obser- vation group and controlled group, each group had 47 cases, the observation group was treated with medicated porridge rice com- bined Shugan Pingwei Decoction, the controlled group was given Houtou Jianweiling Tablets, compared the treatment effect of the two groups. Results ： Before treatment, the syndrome score of the two groups was not significant, P 〉 O. 05 ; after treatment, the syndrome score of the two groups decreased significantly, P 〈 0. 05; the observation group wasbetter than the controlled group which decreased more significantly, P 〈 0. 05 ; the total effective rate of the observation group was 97. 87%, which was signifi- cantly higher than that of the controlled group （85. 11% ）, P 〈0. 05 ; after six months, the recurrence rate of the observation group was significantly lower than that of the controlled group, P 〈 0. 05; no serious adverse reactions occurred in the two groups. Conclusion： Rice porridge medicined diet combined with Shugan Pingwei Decoction in the treatment of liver-Qi stomach epigastric pain has good effect, low recurrence rate, and it is safe and worthy of clinical application.