中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2015年
9期
69-70
,共2页
甘草泻心汤%口腔溃疡%临床疗效
甘草瀉心湯%口腔潰瘍%臨床療效
감초사심탕%구강궤양%림상료효
Gancao Xiexin Decoction%Oral ulcer%Clinical curative effects
目的:对甘草泻心汤加减治疗口腔溃疡的临床疗效进行观察和探讨。方法:选取2013年4月—2014年6月之间我院收治的口腔溃疡患者80例,将其随机分为对照组(40例)和观察组(40例),前者采用醋酸地塞米松粘贴片(外用),同时口服维生素B2和维生素C,观察组给予甘草泻心汤加减汤药煎服,1个疗程即1个月内需连续治疗,之后对两组患者的治疗前后舌脉、体征、症状的变化情况进行观察对比。结果:治疗前两组患者的主要症状积分无显著差异(P>0.05),治疗后两组患者的主要症状积分均有所减少,其中观察组小于对照组,P<0.05,差异显著,具有统计学意义。经过治疗,对照组的治愈率为20.0%,总有效率为82.5%,均小于观察组(治愈率47.5%,总有效率97.5%),P<0.05,差异显著,具有统计学意义。结论:采用甘草泻心汤加减治疗口腔溃疡,能够根据患者的具体情况加减药剂,具有抗菌消炎、健脾利湿、辛开苦降的作用,效果良好,值得推广。
目的:對甘草瀉心湯加減治療口腔潰瘍的臨床療效進行觀察和探討。方法:選取2013年4月—2014年6月之間我院收治的口腔潰瘍患者80例,將其隨機分為對照組(40例)和觀察組(40例),前者採用醋痠地塞米鬆粘貼片(外用),同時口服維生素B2和維生素C,觀察組給予甘草瀉心湯加減湯藥煎服,1箇療程即1箇月內需連續治療,之後對兩組患者的治療前後舌脈、體徵、癥狀的變化情況進行觀察對比。結果:治療前兩組患者的主要癥狀積分無顯著差異(P>0.05),治療後兩組患者的主要癥狀積分均有所減少,其中觀察組小于對照組,P<0.05,差異顯著,具有統計學意義。經過治療,對照組的治愈率為20.0%,總有效率為82.5%,均小于觀察組(治愈率47.5%,總有效率97.5%),P<0.05,差異顯著,具有統計學意義。結論:採用甘草瀉心湯加減治療口腔潰瘍,能夠根據患者的具體情況加減藥劑,具有抗菌消炎、健脾利濕、辛開苦降的作用,效果良好,值得推廣。
목적:대감초사심탕가감치료구강궤양적림상료효진행관찰화탐토。방법:선취2013년4월—2014년6월지간아원수치적구강궤양환자80례,장기수궤분위대조조(40례)화관찰조(40례),전자채용작산지새미송점첩편(외용),동시구복유생소B2화유생소C,관찰조급여감초사심탕가감탕약전복,1개료정즉1개월내수련속치료,지후대량조환자적치료전후설맥、체정、증상적변화정황진행관찰대비。결과:치료전량조환자적주요증상적분무현저차이(P>0.05),치료후량조환자적주요증상적분균유소감소,기중관찰조소우대조조,P<0.05,차이현저,구유통계학의의。경과치료,대조조적치유솔위20.0%,총유효솔위82.5%,균소우관찰조(치유솔47.5%,총유효솔97.5%),P<0.05,차이현저,구유통계학의의。결론:채용감초사심탕가감치료구강궤양,능구근거환자적구체정황가감약제,구유항균소염、건비리습、신개고강적작용,효과량호,치득추엄。
Objective: To observe and discuss clinical effect of Gancao Xiexin Decoction on oral ulcer.Methods:80 cases of oral ulcer treated in our hospital from April 2013 to June 2014 were randomly divided into control group and observation group,each of 40 cases. The control group used Dexamethasone Acetate Adhesive Tablets fore external use with oral vitamin B2 and vitamin C;whilethe observation group was treated with modified Gancao Xiexindecoction for one month (1 period)of continuous treatment.Then we observed and contrasted the changes of tongue,pulse,signs as well as symptoms of the two groups before and after the treatment.Results: Before treatment the main symptoms scores of the two groups had no significant difference (P>0.05);after treatment, the main symptoms scores of both groups declined and the scores of observation group were less than those of control group, with statistical significance (P<0.05).After the treatment, the cure rate and total effective rate of the control group is respectively 20% and 82.5%, lower than those of the observation group ( 47.5% and 97.5%),with the difference of statistical significance (P<0.05).Conclusion:Modified Gancao Xiexin Decoction adopted for oral ulcer can modify formula according to patients situation,and function as antibiosis and antiphlogosis,strengthening spleen and removing dampness as well as getting qi-flow unobstructed,which is worthy of promotion.