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[目的]观察健脾和胃汤联合西药治疗功能性消化不良疗效。[方法]使用随机平行对照方法,将120例住院患者按病志号抽签法简单随机分为两组。对照组60例雷尼替丁,0.15g/次,3次/d;西沙必利,15mg/次,3次/d。治疗组60例健脾和胃汤(白术10g,山楂20g,麦芽炒、鸡内金各10g,山药15g,六神曲10g;胃脘痛泄泻加枳实10g;脘腹胀满加焦六曲6g;腹部胀实加陈皮10g),1剂/d,水煎300m L,早晚口服,150m L/次;西药治疗同对照组。连续治疗28d为1疗程。观测临床症状、症状积分、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈33例,显效20例,有效5例,无效2例,总有效率96.67%。对照组痊愈21例,显效11例,有效20例,无效8例,总有效率86.67%。治疗组疗效优于对照组(P<0.05)。[结论]健脾和胃汤联合西药治疗功能性消化不良疗效满意,无严重不良反应,值得推广。
[Objective] To observe the therapeutic effect of Jianpi and Wei Tang combined with western medicine on functional dyspepsia. [Methods] Using randomized parallel control method, 120 inpatients were randomly divided into two groups according to the random number drawing method. Control group, 60 patients ranitidine, 0.15g / time, 3 times / d; cisapride, 15mg / time, 3 times / d. The treatment group of 60 cases of spleen and stomach soup (Atractylodes 10g, hawthorn 20g, malt fried, chickens within the gold 10g, yam 15g, Liushen Qu 10g; stomach pain diarrhea plus citrus aurantium 10g; ; Abdominal swelling plus dried tangerine peel 10g), 1 / d, decoction 300m L, morning and evening oral, 150m L / times; Western medicine treatment with the control group. Continuous treatment 28d for a course of treatment. Observed clinical symptoms, symptom scores, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The treatment group cured 33 cases, markedly effective in 20 cases, effective in 5 cases, ineffective in 2 cases, the total effective rate was 96.67%. The control group recovered 21 cases, markedly effective in 11 cases, effective in 20 cases, 8 cases, the total effective rate was 86.67%. The treatment group was better than the control group (P <0.05). [Conclusion] Jianpi and Weitang combined with western medicine have satisfactory curative effect on functional dyspepsia and no serious adverse reactions, which deserves promotion.