论文部分内容阅读
[目的]观察补脾益肾汤联合三磷酸腺苷+谷维素治疗脾肾阳虚慢性疲劳综合征疗效。[方法]使用随机平行对照方法,将140例门诊患者按就诊先后顺序简单随机分为两组。对照组70例三磷酸腺苷,60mg/次,3次/d;谷维素,20mg/次,3次/d。治疗组70例脾益肾汤(红参10g,白术炒30g,红景天15g,云苓12g,菟丝子15g,补骨脂20g,陈皮12g,山萸肉、山药各15g,清半夏、甘草炙、柴胡各10g;湿盛加石菖蒲、苍术;阳虚明显加干姜、肉桂;失眠加枣仁炒、远志;抑郁加合欢花、佛手);1剂/d,水煎400m L,早晚饭前温服;西药治疗同对照组。连续治疗10d为1疗程。观测临床症状、不良反应。连续治疗3疗程,判定疗效。[结果]治疗组痊愈12例,显效23例,有效24例,无效11例,总有效率84.29%;对照组痊愈12例,显效15例,有效16例,无效27例,总有效率61.53%;治疗组疗效优于对照组(P<0.05)。[结论]补脾益肾汤联合三磷酸腺苷+谷维素治疗脾肾阳虚慢性征劳综合症,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the effect of Bupi Yishen Decoction combined with adenosine triphosphate + oryzanol in treating chronic fatigue syndrome of spleen-kidney-yang syndrome. [Methods] Using randomized parallel control method, 140 outpatients were randomly divided into two groups randomly according to the order of their visits. Control group, 70 cases of adenosine triphosphate, 60mg / times, 3 times / d; oryzanol, 20mg / times, 3 times / d. The treatment group, 70 cases of spleen Yishen Tang (red ginseng 10g, Atractylodes fried 30g, Rhodiola 15g, Yunling 12g, dodder 15g, psoralen 20g, tangerine peel 12g, cornus, yam 15g, clear Pinellia, licorice Sunburn, add Bupleurum, Sunburn, Bupleurum each 10g; wet Sheng Shichangpu, Atractylodes; yang significantly add ginger, cinnamon; insomnia plus Zaoren fried, Polygalaceae; Depression plus Albizia, bergamot); 1 / d, decoction 400m L, Before and after meals warm clothes; western medicine treatment with the control group. Continuous treatment of 10d for a course of treatment. Observed clinical symptoms, adverse reactions. Continuous treatment of 3 courses to determine the efficacy. [Results] The treatment group cured 12 cases, effective in 23 cases, effective in 24 cases, ineffective in 11 cases, total effective rate 84.29%; control group cured 12 cases, markedly effective in 15 cases, effective in 16 cases, ineffective in 27 cases, the total effective rate was 61.53% The treatment group was better than the control group (P <0.05). [Conclusion] Bupi Yishen Decoction combined with adenosine triphosphate + oryzanol in the treatment of chronic syndrome of syndrome of spleen deficiency and kidney deficiency has satisfactory curative effect and no serious side effects. It is worth popularizing.