加减藿朴夏苓汤配合胃动力仪治疗功能性消化不良脾胃湿热证疗效观察

目的 观察加减藿朴夏苓汤配合胃动力仪治疗功能性消化不良脾胃湿热证患者的临床疗效及安全性。方法 将71例功能性消化不良脾胃湿热证患者按照随机数字表法分为综合治疗组（简称综合组）31例、中药治疗组（简称中药组）及西药治疗组（简称西药组）各20例。综合组予加减藿朴夏苓汤口服，配合胃动力治疗仪治疗；中药组予加减藿朴夏苓汤口服；西药组予盐酸伊托必利片、泮托拉唑钠肠溶胶囊口服，3组疗程均为2周。治疗结束后对疾病疗效、中医证候积分变化、VAS评分及不良反应进行统计分析。结果 综合组总有效率为96.8%，优于中药组的80.0%及西药组的75.0%（P<0.05）。3组治疗后中医证候总积分及上腹疼痛VAS评分较治疗前均明显降低（P<0.05），且综合组降低更为显著（P<0.05）。综合组及中药组未出现明显的不良反应。结论 加减藿朴夏苓汤配合胃动力仪治疗功能性消化不良脾胃湿热证患者疗效优于单纯中药或西药治疗，能有效缓解临床症状，安全无副作用，值得临床推广。

Clinical Observation of the Modified Huopu Xialing Decoction Combined with Gastric Motility Instrument in the Treatment of Functional Dyspepsia with Spleen-Stomach Damp Heat Syndrome

Objective To observe the clinical curative effect of the modified Huopu Xialing decoction combined with gastric motility instrument in the treatment of functional dyspepsia with spleen-stomach damp heat syndrome. Methods 71 cases of functional dyspepsia patients with spleen-stomach damp heat syndrome were randomly divided into comprehensive treatment (CT) group (31 cases), Chinese medicine treatment (CMT) group (20 cases) and Western medicine treatment (WMT) group (20 cases) according to the random number table. CT group was treated with the modified Huopu Xialing decoction combined with gastric motility instrument; CMT group was administrated with the modified Huopuxialing decoction;WMT group was given with itopride hydrochloride tablets and pantoprazole sodium enteric coated capsules. The course of treatment was for 2 weeks in three groups. After the end of the treatment, the effect of the disease, TCM syndrome score, VAS score, adverse reaction were analyzed. Results The total effective rate of CT group was 96.8%, which was superior to the rate 80.0% of CMT group and 75.0% of WMT group (P<0.05). After treatment, TCM syndrome score and epigastric pain VAS score were significantly reduced than before treatment (P<0.05), the CM group with significant differences (P<0.05). The CM group and CMT group did not appear obvious adverse reactions. Conclusion The modified Huopu Xialing decoction combined with gastric motility instrument in the treatment of functional dyspepsia with spleen-stomach damp heat syndrome was better than the only use Chinese medicine or Western medicine, and can relieve the clinical symptoms. It''s safe without side effect and worthy of clinical promotion.