乌梅丸治疗寒热错杂型功能性消化不良的临床观察

目的探讨乌梅丸治疗寒热错杂型功能性消化不良的临床疗效。方法将34例功能性消化不良属于寒热错杂型患者，随机分为治疗组和对照组，每组各17例。治疗组用乌梅丸治疗，对照组用口服莫沙比利治疗。治疗1个月后评价疗效，并观察两组治疗前后胃肠道症状的变化情况。结果治疗组总有效率为88．24％，优于对照组的70．59％（P〈0．05）。治疗后，治疗组恶心呕吐、胃脘痞闷、厌食纳呆、嗳气泛酸、胃腹疼痛、餐后饱胀及早饱感等各项胃肠道症状积分均较治疗前显著改善（P〈0．05或P〈0．01），而对照组仅恶心呕吐、厌食纳呆、餐后饱胀及早饱感等症状有改善（P〈0．05）；治疗组在改善恶心呕吐、胃腹疼痛、餐后饱胀及早饱感等症状方面优于对照组（P〈0．05或P〈0．01）。结论乌梅丸治疗寒热错杂型功能性胃肠病的临床疗效明显优于西药莫沙比利，值得临床推广应用。

Objective To explore the clinical efficacy of Wumei pills in the treatment of cold and hot mixed type functional dyspepsia. Methods 34 cases of functional dyspepsia were classified as cold and hot mixed type patients, and they were randomly divided into treatment group and control group, 17cases for each. The treatment group was treated with Wumei pills, and the control group was treated with mosapride. The efficacy was evaluated after 1 month, and the changes of gastrointestinal symptoms were observed in 2 groups before and after treatment. Results The total effective rate of treatment group was 8g.24%, which was better than 70.59% of the control group （ P〈0.05 ） . After treatment, the treatment group, the diagnosis the new nausea, anorexia, stay, belching, pantothenic acid, abdominal pain, stomach flail bilge feeling full as early as possible afcer the meal the gastrointestinal symptoms integral than before treatment significantly improved （ P〈0.05 or P〈0.01 ） , while in the control group, only nausea and vomiting, anorexia, stay, eat flail bilge feeling fifll as early as possible after the symptom such as improved （ P〈0.05 ） . The treatment group was superior to the control group （ P〈0.05 or P〈0.01 ） in improving the symptoms ofnansea and vomiting, stomachache, and fifllness after meal. Conelusi0n The clinical efficacy of Wumei pills in the treatment of cold and hot mixed type gastrointestinal disease is obviously better than that of mosapride, which is worthy of clinical application.