Observation on the curative effect of TCM syndrome differentiation on functional dyspepsia of spleen and stomach qi deficiency type
中医辨证治疗脾胃气虚型功能性消化不良疗效观察

摘要

目的 探究分析对脾胃气虚型功能性消化不良实施中医辨证治疗的临床疗效。方法 此次研究于消化内科开展，选取研究对象68例，均符合脾胃气虚型功能性消化不良诊断标准，同时本次将采取对照实验形式开展研究，将其中34例先入院的患者纳入至对照组，使用常规治疗方法，将另外34例后入院的患者纳入至观察组，对其实施中医辨证治疗方法，对比不同方法下的临床疗效。结果 据本次研究数据分析看，观察组的总有效率明显高于对照组（P＜0.05）；同时评估比较了两组患者“上腹痛”“腹胀”“嗳气”等方面的症状积分，结果显示治疗后两组患者症状积分均有下降趋势，在治疗后，观察组以上症状积分明显低于对照组（P＜0.05）；最后，观察组患者对中医辨证治疗的满意度明显高于对照组（P＜0.05）。结论 对脾胃气虚型功能性消化不良实施中医辨证治疗有良好疗效，可快速减轻临床症状、改善胃功能，并有助于提高满意度。

Abstract

Objective To investigate and analyse the clinical efficacy of traditional Chinese medicine (TCM) diagnostic treatment for functional dyspepsia with spleen and stomach qi deficiency.
Methods The study was carried out in the Department of Gastroenterology, and 68 patients were selected, all of whom met the diagnostic criteria of functional dyspepsia with spleen and stomach qi deficiency. Meanwhile, the study will be carried out in the form of a controlled experiment, in which 34 patients admitted to the hospital in the first instance were included in the control group, and conventional treatment methods were used, while 34 patients admitted to the hospital in the second instance were included in the observation group, and traditional Chinese medicine diagnosis and treatment were carried out, and clinical efficacy of the treatment under the different methods was compared. The clinical efficacy of the different methods was compared.
Results According to the analysis of the data of this study, the total effective rate of the observation group was significantly higher than that of the control group (P＜0.05); meanwhile, the symptom scores of "epigastric pain", "abdominal distension", "belching" and so on of the patients in the two groups were evaluated and compared. At the same time, the symptom scores of "epigastric pain", "abdominal distension" and "belching" were evaluated and compared between the two groups, and the results showed that the symptom scores of the two groups had a decreasing tendency after the treatment, and the above symptom scores of the observation group were significantly lower than those of the control group after the treatment (P<0.05); finally, the satisfaction of the patients of the observation group to the treatment of traditional Chinese medicine identification and treatment was significantly higher than that of the control group (P<0.05).
Conclusion   The implementation of TCM evidence-based treatment for functional dyspepsia with spleen and stomach qi deficiency has good therapeutic effect, which can rapidly reduce clinical symptoms, improve gastric function, and help improve satisfaction.