| Objectives:Through observating before and after the use of adjusted lung liver and stomach and liver and stomach Law Act treatment the clinical effect of contrast in patients with functional dyspepsia,,I can observe and study drop Sun lung functional dyspepsia in the treatment of the important role.Of course,an objective assessment of lung transfer about treatment of functional dyspepsia clinical efficacy can be known.At the same time,according to integral value changeing about self-rating depression scale(SDS) and Self-rating anxiety scale(SAS),I can further confirmed that FD patients relevant with depression or anxiety,and objective evaluation of the lung liver and stomach tune treatment of patients with FD and FD with depressive patients.Materials and Methods:To base on RomeⅢdiagnostic standard that agreed in meeting Rome in 2006,and refer to《diagnostic and therapeutical criterion of dyskinetic functional dyspepsia(FD) of TCM (draft)》compassed by the China Institute of TCM in 2001,we choosed 60 patients with FD (Liver depression type),who were divided into two groups at random,the treated group(30 cases) received CLD orally;the control group received Tiaoxin Anshen FA which is on zhe base of CLD orally.One therapeutic course of both groups was one week.Given patients the relevant explain of state of an illness in order to eliminate the doubt,but didn't give them mental consultation and treatment deeply.Then graded scores of symptom scale,SDS,SAS.Before and after the course,analysed the statistics,observed the clinical effects,the changs between the dyspeptic symptom,gaster sensor and the psychological mental factors,ill-effects of the medicament and the rate of recrudescence four weeks after the treatment ended.Results:(1)Among the 60 patients with FD,the rate with depression was 48.33%,that with anxiety was 28.33%,while 9 patients contained both depression and anxiety,the total psychological abnormity was 91.67%statistics show;(2)The symptomatic scores of dyspepsia were positively correlated to the leves of SDS,SAS(r=0.409～0.532,p＜0.05);(3) Before therapy,the state of illness between two groups could be compared with each other, the symptom of both groups alleviated obviously after treatment(p＜0.01),the therapeutic effects in every symptoms were similar except belch;the treated group was comparative with the control group in the total efficiency,but was superior in curable rate(p＜0.05);(4) After therapy,the scores of the control group in indigestive symptom,SDS,SAS were declining apparently(p＜0.01);While the treated group show excellent efficience for the scores of syptoms,SDS,SAS;(5)After therapy,the relationships between the scores in indigestive symptom and SDS,SAS were both declined in the two groups,especially for the control group;As the period of treatment ended,the relationships between them turned to insignificant(p＞0.05);(6)The relievable rate of psychological abnormality and gastric sensation thresholby in the treated group was higher than the control group for the patients with FD.Conclusions:(1)The rate of patients with FD and psychological abnormity was higher than patients with FD reported before,perhaps it has certain connection with TCM symptomatology(Liver depression type);(2)To patients with FD(Liver depression type),the relationships between occurance of the diseases,the grade of illness and the psychological factors were explicit,while therapy could affect them evidently;(3) Liver-type FD using the tune depression lung liver and stomach can be improved the clinical efficacy of treatment; (4)TLD and Adjusted lung hasn't obvious side-effect and ill-effect. |
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