扶阳固土法治疗难治性功能性消化不良的临床研究

Clinical Study of Fuyang Gutu Method in the Treatment of Refractory Functional Dyspepsia

目的观察扶阳固土法治疗难治性功能性消化不良的临床疗效。方法 98例难治性功能性消化不良患者分为两组各49例,治疗组给予扶阳固土中药方剂治疗,对照组给予艾司奥美拉唑联合伊托必利口服治疗。比较两组的治疗效果以及症状改善情况。结果治疗组的总有效率为87.8%,显著高于对照组的67.3%(P <0.05)。治疗后,治疗组的餐后饱胀不适、腹痛评分均显著低于对照组,餐前、餐后胃动过缓及胃电节律异常发生率均显著低于对照组(P <0.05)。结论扶阳固土法治疗难治性功能性消化不良临床效果显著,可有效改善患者的临床症状,促进胃肠动力恢复。

Objective To observe the clinical efficacy of Fuyang Gutu method in the treatment of refractory functional dyspepsia.Methods 98 patients with refractory functional dyspepsia were divided into two groups,with 49 cases in each group.The treatment group was treated with traditional Chinese medicine prescription of Fuyang Gutu,and the control group was treated with esomeprazole combined with itobili orally.The curative effect and improvement of symptoms were compared between two groups.Results The total effective rate of treatment group was 87.8%,significantly higher than 67.3%of control group(P<0.05).After treatment,the scores of postprandial fullness/discomfort and abdominal pain of treatment group were significantly lower than those of control group,and the incidences of hyperactivity and gastroelectric dysrhythmia before and after meals were significantly lower than those of control group(P<0.05).Conclusions Fuyang Gutu method in the treatment of refractory functional dyspepsia has significant clinical effect,which can effectively improve patients'clinical symptoms,and promote the recovery of gastrointestinal motility.