疏肝健脾汤治疗肝郁脾虚型脾胃病的疗效分析

谈永平，杨军民

（麟游县医院中医内科，陕西 宝鸡，721599）

浏览次数：256次 下载次数：409次

摘要：

目的 探讨疏肝健脾汤治疗肝郁脾虚型脾胃病的临床疗效。方法 选择我院2015年7月至2016年3月诊治的肝郁脾虚 型脾胃病患者86例作研究对象，随机分为观察组与对照组，各43 例。观察组采取疏肝健脾汤治疗，对照组口服吗丁啉联合雷尼替丁治疗。比较两组患者治疗效果、胃黏膜修复效果和幽门螺旋杆菌（Hp）清除率。结果 观察组治疗总有效率为97.7%，胃黏膜修复总有效率为95.3%，Hp根除率为93.0%，分别优于对照组的81.4%、76.7%、74.4%（P<0.05）。结论 肝郁脾虚型脾 胃病经疏肝健脾汤治疗的临床疗效肯定，可有效修复患者胃黏膜，提升Hp清除率，值得临床推广应用。

关键词：Hp 清除率；肝郁脾虚型脾胃病；疏肝健脾汤

中图分类号：R259文献标志码：A文章编号：2096-1413(2017)32-0132-02

Efficacy analysis of Shugan Jianpi decoction in the treatment of spleen and stomach disease of liver and

spleen deficiency type
TAN Yong-ping, YANG Jun-min
(Department of Traditional Chinese Medicine, Linyou County Hospital, Baoji 721599, China)

ABSTRACT: Objective To investigate the clinical curative effect of Shugan Jianpi decoction in the treatment of spleen and stomach disease of liver and spleen deficiency type. Methods From July 2015 to March 2016, 86 cases of patients with spleen and stomach disease of liver and spleen deficiency type in our hospital were enrolled in the study, and were randomly divdied into observation group and control group, with 43 cases in each group. The observation group was given Shugan Jianpi decoction, while the control group was given oral domperidone combined with ranitidine. The treatment effects, gastric mucosal repair and H. pylori (Hp) clearance were compared between the two groups. Results The total effective rate was 97.7%, the total effective rate of gastric mucosal repair was 95.3%, the eradication rate of Hp was 93.0% in the observation group, which were better than 81.4%, 76.7%, 74.4% of the control group (P<0.05). Conclusion Shugan Jianpi decoction in the treatment of spleen and stomach disease of liver and spleen deficiency type has remarkable clinical efficacy, which can effectively repair the patient``s gastric mucosa, enhance the Hp clearance rate, it is worthy of clinical application and promotion.
KEYWORDS: Hp clearance; spleen and stomach disease of liver and spleen deficiency type; Shugan Jianpi decoction

参考文献：
[1] 滕惠琴,齐艳艳,张盛杰,等.疏肝健脾汤联合阿德福韦酯治疗拉米 夫定耐药的肝郁脾虚型慢性乙型肝炎疗效观察[J].中西医结合肝病 杂志,2014,24(1):16-19.
[2] 史桂霞.疏肝健脾汤对肝郁脾虚型脾胃病患者Hp 清除及胃黏膜 修复的效果观察[J].中国医药导刊,2016,18(1).69-70.
[3] 赵梁.疏肝健脾汤治疗肝郁脾虚型消化不良综合征32 例临床研 究[J].亚太传统医药,2016,12(4):136-137.
[4] 张燕,谢旭善.疏肝健脾汤治疗慢性乙型肝炎肝郁脾虚证的临床观 察[J].光明中医,2016,31(17):2454-2457.
[5] 林红,杨军用,高玲,等.疏肝健脾方治疗慢性乙型肝炎临床疗效分 析[J].北方药学,2016,13(7):118-119.
[6] 李聪,谢鸣,赵荣华.柴疏四君汤对肝郁-脾虚-肝郁脾虚不同证候 模型大鼠消化系统功能的影响[J].中华中医药杂志,2014,29(1):72-75.
[7] 周拥军.探讨疏肝健脾方剂治疗肝郁脾虚型脾胃病的临床疗效[J]. 中国保健营养,2016,26(24).312.
[8] 赵梁.疏肝健脾汤治疗肝郁脾虚型消化不良综合征32 例临床研 究[J].亚太传统医药,2016,12(4):136-137.
[9] 童炳华.疏肝健脾汤治疗胃食管反流病临床观察[J].海峡药学,2012,24(3):162-163.