文档介绍:清热理气煎剂对消化不良患者胃动力的影响及临床疗效观察摘要目的:探讨清热理气煎剂治疗消化不良的临床疗效及对患者胃动力的影响。方法:45例消化不良患者随机分为2组,治疗组30 例,服用清热理气煎剂,每次1 25ml,每日2次,对照组口服吗丁啉,每次1Omg,每日3次,2组均服用4日后观察疗效,并检测胃动力指标。 7结果:两组治疗前后症状积分比较经t检验均有显著性差异(P均<),两组症状缓解程度比较经t检验有非常显著性差异(P<),两组临床疗效比较有显著性差异(),说明中药组疗效优于吗丁啉组。胃动力检测,两组治疗前后胃半排空时间均有明显缩短(P<), 但两组之间比较无显著性差异(/)。两组胃窦运动频率治疗前后比较及组间比较均无显著性差异(),说明中药组能显著缩短胃半排空时间,但对胃窦运动频率无明显影响。卜一结论:清热理气煎剂对消化不良患者疗效确切,且能明显缩短胃排空时间。关键词: 消化不良清热理气煎剂吗丁啉胃动力 C1inical Study of Qingre Liqi Decoction on Dyspepsia and Its Gastric Motility Abstract Objective:To study clinical effect of Qingre Liqi decoction on dyspepsia anditsgastric motility Methods:45 patients with dyspepsia were randomly allocated tocontrolgroup(n=15),which was treatedby routine method(Motilium,1 0mg threetimes aday)and treatment group (n=30),which was treated by taking orallyQingre Liqi decoction with adoseof125ml twice was determined byepigastric impedance toevaluate effectinboth groups Results:There were significantly differences between integration ofsymptoms ofbefore and aRer treatment inboth groups(P<).And totaleffective rate intreatment group 2 (%)was obviously pared withthose incontrol group(%,P<).There were distinctly differences between thehalfgastric emptying time ofbefore and after treatment inboth groups(P<),although there was no difference between controland treatment group fP>).There were notsignificantly differences between antrunl movement frequency ofbeforeand aftertreatment inbothgroups(P>) andbetween control andtreatment group Conclusions:Qingre Liqi decoction can produce adefinite effect on dyspepsia,and can shortgastricemptying time Key words Dyspepsia Qingre Liqi decoction Gastric motility Motilium 清热理气煎剂对消化不良患者胃动力的影响及临床疗效观察前言消化不良(dyspeps ia)是消化系统最常见、最多发的临床症候群,约占内科总门诊量的20%。病因除消化系统疾病外,可由多系统疾病引起,另有一大组找不到明确病因者, 称为功能性消化不良(Funct i ona 1 dy speps ia)。其病因与发病机理错综复杂,随着胃肠动力药用于临床治疗上有较大进步, 部分患者症状得到控制,但仍有很多患者得不到有效治疗,因此,有必要利用我国传统中医药学优势,开发高效、低毒、广谱的消化不良治疗药物,以求解决消化不良治疗这