[1]马晓颖,史丽萍,张健.半夏泻心汤联合莫沙必利治疗功能性消化不良疗效 及对患者血浆胃动素水平的影响[J].陕西中医,2018,(10):1399-1401.
 Ma Xiaoying,Shi Liping,Zhang Jian..Clinical curative effect of Banxia Xiexin decoction combined with Mosapride in the treatment of functional dyspepsia and its effect on plasma motilin[J].,2018,(10):1399-1401.
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半夏泻心汤联合莫沙必利治疗功能性消化不良疗效 及对患者血浆胃动素水平的影响
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2018年10期
页码:
1399-1401
栏目:
临床研究
出版日期:
2018-12-31

文章信息/Info

Title:
Clinical curative effect of Banxia Xiexin decoction combined with Mosapride in the treatment of functional dyspepsia and its effect on plasma motilin
文章编号:
DOI: 10.3969/j.issn.1000-7369.2018.10.026
作者:
马晓颖史丽萍张健
陕西省人民医院( 西安710068 )
Author(s):
Ma XiaoyingShi LipingZhang Jian.
Shaanxi Provincial People’s Hospital(Xi’an 710068)
关键词:
消化不良/中西医结合疗法半夏泻心汤莫沙必利胃动素
Keywords:
Key words Dyspepsia /integrated Chinese traditional and western medicine therapyBanxia xiexinTangMosaprideMotilin
分类号:
R57
文献标志码:
A
摘要:
摘要 目的:探讨半夏泻心汤联合莫沙必利治疗功能性消化不良(FD)的临床疗效及其对患者血浆胃动素水平的影响。方法:选择98例FD患者为研究对象,随机分为两组,每组49例。对照组患者予莫沙必利治疗,观察组在此基础上联合应用半夏泻心汤治疗,比较两组患者临床疗效及治疗前后中医症状积分、血浆胃动素水平的变化。结果:观察组治疗后总有效率较对照组明显升高(93.88%和79.59%),差异有统计学意义(P<0.05);观察组患者治疗后胃脘胀满、纳差、嗳气、恶心呕吐等症状积分分别为(1.4±0.7)分、(1.4±0.4)分、(1.1±0.2)分、(0.9±0.3)分,对照组分别为(2.5±0.8)分、(2.6±0.6)分、(1.7±0.3)分、(1.7±0.3)分,明显低于治疗前,且低于对照组 (P<0.05);血清胃动素水平在两组患者均升高明显,且其水平在观察组明显高于对照组(P<0.05)。结论:半夏泻心汤联合莫沙比利对FD患者有较好的治疗作用,可增加胃动素的释放,进而明显改善患者临床症状,提高临床疗效。
Abstract:
Abstract Objective:To explore the clinical curative effect of Banxia Xiexin decoction combined with Mosapride in the treatment of functional dyspepsia (FD) and its effect on plasma motilin. Methods: 98 cases of patients with FD were randomly divided into the observation group and the control group,49 cases in each group. The control group were treated with Mosapride treatment,the observation group based on that combined application of Banxia Xiexin decoction,clinical curative effect and the changes of plasma motilin levelsthe TCM symptom score were compared before and after treatment between two groups. Results :After treatment,the total efficiency of the observation group was 93.88%,significantly higher than 79.59% of the control group (P<0.05); the anorexia,epigastric fullness,belching,nausea and vomiting and other symptoms score in observation group after treatment were (1.4±0.7),(1.4±0.4),(1.1±0.2),(0.9±0.3),and those in the control group were (2.5±0.8),(2.6±0.6),(1.7±0.3),(1.7±0.3),they were significantly reduced,and the observation group compared with control group were lower (P<0.05). The serum motilin levels of the two groups were significantly higher than those before treatment,and that in the observation group was significantly higher than that in the control group,the difference was statistically significant (P<0.05). Conclusion: Banxia Xiexin decoction combined with Mosapride has a better therapeutic effect on FD,and can increase the release of motilin,and thus significantly improve the clinical symptoms and improve the clinical efficacy.

参考文献/References:


[1] 闻春生,韩文.功能性消化不良120例临床特点分析[J].现代中西医结合杂志,2011,20(36):4643-4644.
[2]Turin MCG,Robles BCJ,Villar SAP,et al. Frecuency of functional gastrointestinal disorders and esophageal reflux disease in adults with non investigated dyspepsia in the Hospital Nacional Cayetano Heredia,Lima,Peru[J]. Rev Gastroenterol Peru,2013,33(2):107-112.
[3]王阳,周锋利.中西医结合治疗老年功能性消化不良临床观察[J].现代中西医结合杂志,2012,21(5):513-514.
[4]聂玉强,李瑜元.罗马Ⅱ功能性胃肠疾病分类及诊断标准[J].国外医学内科学分册,2001,4(4):147-148.
[5]张声生,汪红兵,李乾构.功能性消化不良中医诊疗规范(草案)[J].中国中西医结合脾胃杂志,2002,10(4):封面.
[6]Jiang SM,Jia L,Lei XG,et al.Incidence and psychological-behavioral characteristics of refractory functional dyspepsia: a large,multi-center,prospective investigation from China[J].World J Gastroenterol,2015,21(6):1932-1937.
[7]何萍.影响功能性消化不良的危险因素分析[J].中国现代医生,2013,51(7):147-148.
[8]Van OL,Aziz Q. The role of psychosocial factors and psychiatric disorders in functional dyspepsia[J]. Nat Rev Gastroenterol Hepatol,2013,10(3):158-167.
[9]陈海山,龚锦容,黄朝忠,等.功能性消化不良与胃黏膜肥大细胞、血浆胃动素的关系[J].胃肠病学,2015,20(9):533-537.
[10]Zhang CX,Guo LK.Dalitong granule combined with electroacupuncture in the treatment of functional dyspepsia: A randomized controlled trial[J].Chin J Integr Med,2015,21(10):743-750.
[11]Hongo M,Harasawa S,Mine T,et al.Large-scale randomized clinical study on functional dyspepsia treatment with mosapride or teprenone: Japan Mosapride Mega-Study (JMMS)[J].J Gastroenterol Hepatol,2012,27(1):62-68.
[12]杨静,唐艳.辛开苦降甘调法治疗功能性消化不良疗效观察[J].实用中医药杂志,2012,28(8):640-641.
[13]房亚洲.半夏泻心汤治疗消化性溃疡临床分析[J].光明中医,2011,26(1):97-98.
[14]郭钰芹.半夏和水半夏的药理特点及配伍应用[J].基层医学论坛,2017,21(8):968-969.
[15]郭丽坤,王志荣,岑戎.黄连素治疗幽门螺杆菌感染的临床研究[J].中国中西医结合消化杂志,2013,21(3):149-151,153.
[16]张朝晖,曾超,李灵丰,等.人参多糖改善脓毒症患者T细胞亚群免疫功能的临床研究[J].江苏中医药,2012,44(6):32-33.

更新日期/Last Update: 2019-01-07