|
|
Clinical effect of Zhiqiao Chenpi Decoction on functional dyspepsia with liver-stomach disharmony |
LIU Qian SHEN Xiaoping WANG Yu XU Duo LI Shuang |
Department of Gastroenterology, Shanghai Baoshan Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai 201999, China
|
|
|
Abstract Objective To evaluate the clinical effect of Zhiqiao Chenpi Decoction on functional dyspepsia (FD) with liver-stomach disharmony. Methods Ninety-four FD patients with liver-stomach disharmony who attended the Shanghai Baoshan Hospital of Integrated Traditional Chinese and Western Medicine from July 2020 to March 2022 were selected as study subjects, and they were divided into experimental group and control group by random number table method, with 47 cases in each group. The experimental group was given Zhiqiao Chenpi Decoction Herbal Granules, and the control group was given Zhiqiao Chenpi simulated granules. The course of medication for each group was four weeks. The clinical effect, FD subtype score and total symptom score, traditional Chinese and medicine syndrome effect, quality of life score, and psychopsychological score were compared between the two groups. Results After the trial, six cases fell off in the experimental group and 41 cases remained, five cases fell off in the control group and 42 cases remained. The clinical effect of experimental group was better than that of control group, the difference was statistically significant (P<0.05). After treatment, the total scores of postprandial distress syndrome, epigastric pain syndrome and FD symptoms in two groups were lower than before treatment, and the experimental group was lower than the control group, the differences were statistically significant (P<0.05). After treatment, the score of postprandial fullness of the two groups was lower than that before treatment, and the experimental group was lower than the control group(P<0.05), and the score of early fullness of the experimental group was lower than that before treatment (P<0.05), there was no statistical significance in the scores of upper abdominal pain and upper abdominal burning between the two groups compared with that before treatment and between the two groups (P>0.05). The curative effect of traditional Chinese and medicine syndrome in experimental group was better than that in control group, the difference was statistically significant (P<0.05). After treatment, there was no significant difference in physical health score, mental component score, short from 36 scores, self-rating depression scale and self-rating anxiety scale scores between the two groups compared with those before treatment and between the two groups (P>0.05). No clinically significant abnormalities of safety indicators or serious adverse events were observed in all patients. Conclusion Findings in our study suggest that Zhiqiao Chenpi Decoction has good curative effect and high safety on liver-stomach disharmony syndrome in patients with FD.
|
|
|
|
|
[参考文献]
[1] Barberio B,Mahadeva S,Black CJ,et al. Systematic review with meta-analysis: global prevalence of uninvestigated dyspepsia according to the Rome criteria [J]. Aliment Pharmacol Ther,2020,52(5):762-773.
[2] Esterita T,Dewi S,Suryatenggara FG,et al. Association of Functional Dyspepsia with Depression and Anxiety: A Systematic Review [J]. J Gastrointestin Liver Dis,2021,30(2):259-266.
[3] 邹多武.中国功能性消化不良专家共识意见(2015年,上海)解读[J].中华消化杂志,2016,36(4):231-232.
[4] Ford AC,Mahadeva S,Carbone MF,et al. Functional Dyspepsia [J]. Lancet,2020,396(10263):1689-1702.
[5] Madisch A,Andresen V,Enck P,et al. The diagnosis and treatment of functional dyspepsia [J]. Dtsch Arztebl Int,2018, 115(13):222-232.
[6] Wauters L,Talley NJ,Walker MM,et al. Novel concepts in the pathophysiology and treatment of functional dyspepsia [J]. Gut,2020,69(3):591-600.
[7] Kwon CY,Ko SJ,Lee B,et al. Acupuncture as an Add-On Treatment for Functional Dyspepsia:A Systematic Review and Meta-Analysis [J]. J Gastroenterol Hepatol,2021,36(11):3015-3026.
[8] Heiran A,Bagheri Lankarani K,Bradley R,et al. Efficacy of herbal treatments for functional dyspepsia: A systematic review and meta-analysis of randomized clinical trials [J]. Phytother Res,2022,36(2):686-704.
[9] 宋翎玮,牛一飞,张萍,等.中医药治疗功能性消化不良机制研究进展[J].现代消化及介入诊疗,2022,27(6):777-780.
[10] Stanghellini V,Chan FK,Hasler WL,et al. Gastroduodenal disorders [J]. Gastroenterology,2016,150(6):1380-1392.
[11] 中国中西医结合学会消化系统疾病专业委员会.功能性消化不良中西医结合诊疗共识意见(2017年)[J].中国中西医结合消化杂志,2017,25(12): 889-894.
[12] 张三妹,吴梅,吴飞,等.确保盲法实施的中药安慰剂制备和评价关键问题[J].中草药,2022,53(21):6919-6930.
[13] 郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:155.
[14] Nakamura F,Kuribayashi S,Tanaka F,et al. Impact of improvement of sleep disturbance on symptoms and quality of life in patients with functional dyspepsia [J]. BMC Gastroenterol,2021,21(1): 78.
[15] Dunstan DA,Scott N,Todd AK,et al. Screening for anxiety and depression: Reassessing the utility of the zung scales [J]. BMC Psychiatry,2017,17(1): 329.
[16] 李小薇,毛浩萍.功能性消化不良的临床研究进展[J].中医药学报,2022,50(2):82-87.
[17] 赵化成,甘淳.功能性消化不良肝胃不和证研究进展[C]//第二十九届全国中西医结合消化系统疾病学术会议,2017:261-263.
[18] 李雪梅,蔡小丽,杨威.柴枳平肝汤辅助治疗肝胃不和证功能性消化不良的临床效果[J].临床合理用药杂志,2021,14(10):82-84.
[19] 任小军,陈英.功能性消化不良中医证型研究进展[J].江西中医药,2020,51(4):78-80.
[20] 李毅,胡玉乐,赵唯含,等.基于体质及其证候分型探讨功能性消化不良防治的研究进展[J].中国医药导报,2021,18(2):27-30.
[21] 臧玉豹,马子君.理气逍遥丸对功能性消化不良大鼠的治疗作用研究[J].中国医药科学,2021,11(13):68-71.
[22] 祝婧,钟凌云,王凤娇,等.中药枳壳“宽中除胀”作用及炮制增效机制分析[J].中华中医药杂志,2019,34(5):1914-1920.
[23] 马永力,陈红梅,方新华,等.衢枳壳与其他三大主产区枳壳对功能性消化不良大鼠理气作用的比较研究[J].中国中医药科技,2021,28(5):722-766.
[24] Zhu J,Tong H,Ye X,et al. The Effects of Low-Dose and High-Dose Decoctions of Fructus aurantii in a Rat Model of Functional Dyspepsia [J]. Med Sci Monit,2020,26:e919815.
[25] 陈其城,曹立幸,庞凤舜,等.大腹皮对犬胃肠运动的影响[J].时珍国医国药,2015,26(6):1366-1368.
[26] 朱金照,张捷,冷恩仁,等.中药大腹皮提取液促进胃动力的机制探讨[J].海峡药学,2001,13(4):20-22.
[27] Chumpitazi BP,Kearns GL,Shulman RJ. Review article:The physiological effects and safety of peppermint oil and its efficacy in irritable bowel syndrome and other functional disorders [J]. Aliment Pharmacol Ther,2018,47(6):738- 752.
[28] Azimi M,Zahedi MJ. Persian Herbal Medicine in Functional Dyspepsia:A Systematic Review [J]. Curr Drug Discov Technol. 2021,18(2):272-281.
[29] 吕林,唐旭东,王静,等.中医药治疗功能性消化不良疗效评价指标分析[J].世界中医药,2015,10(7):986-990. |
|
|
|