段迎喜主任医师运用疏肝健脾理论治疗胃痞病

Application of Shugan Jianpi Theory (Soothing Liver and Strengthening Spleen) in Treating Gastric Stuffiness by Chief Physician Duan Yingxi

摘要: 目的：分析段迎喜主任医师运用疏肝健脾理论治疗胃痞病患者的临床疗效。方法：选取我院于2022年1月~2022年12月收治的78例胃痞病患者为观察对象，为满足组间比对实验要求，按照随机抽样法将两组患者分为对照组、研究组，各39例。对照组患者给予常规西药治疗，研究组患者则在对照组的基础上联合使用段迎喜主任医师提出的疏肝健脾理论进行治疗，比对两组患者的治疗效果、应激指标、临床症状积分及不良反应发生情况。结果：在治疗周期结束后，相较于对照组，研究组患者整体治疗有效率更高(94.87% vs 79.49%, p = 0.042)，不良反应发生率明显降低(2.56% vs 15.38%, p = 0.048)；此外，研究组P物质(SP)水平升高，热休克蛋白(HSP)水平更低(p均<0.01)，各临床症状积分亦显著低于对照组(p值范围：0.001~<0.01)；研究组的。结论：胃痞病患者采取段迎喜主任医师的疏肝健脾理论进行治疗，可提升治疗有效率，改善应激指标，降低不良反应发生率，值得推广。

Abstract: Objective: To analyze the clinical effect of Chief Physician Duan Yingxi’s application of Shugan Jianpi theory (soothing liver and strengthening spleen) in treating patients with gastric stuffiness (TCM term, corresponding to functional dyspepsia, chronic gastritis, etc. in Western medicine). Methods: 78 patients with gastric stuffiness in our hospital from January 2022 to December 2022 were selected as the observation objects. To meet the requirements of inter-group comparison, the patients were randomly divided into a control group and a study group with 39 cases each. Patients in the control group were treated with routine Western medicine, while patients in the study group were treated with the Shugan Jianpi theory proposed by Chief Physician Duan Yingxi on the basis of the control group. The therapeutic effect, stress indexes, clinical symptom scores, and incidence of adverse reactions were compared between the two groups. Results: After the treatment cycle, the overall therapeutic effective rate of the study group was higher than that of the control group (94.87% vs 79.49%, p = 0.042); the level of substance P (SP) in the study group was higher than that in the control group, and the level of heat shock protein (HSP) was lower than that in the control group (both p < 0.01); the clinical symptom scores of the study group were lower than those of the control group (p value range: 0.001~<0.01); the incidence of adverse reactions in the study group was significantly lower than that in the control group (2.56% vs 15.38%, p = 0.048). Conclusion: The application of Shugan Jianpi theory by Chief Physician Duan Yingxi in the treatment of gastric stuffiness can improve the therapeutic effectiveness rate, optimize stress indexes, and reduce the incidence of adverse reactions, which is worthy of promotion.