功能性烧心是功能性胃肠病之一,西医治疗较为棘手,缺乏理想的药物,本着"读经典,做临床"的思想,使用经方治疗该病,取得了理想的疗效.

目的:探讨甘露消毒丹治疗登革热湿热蕴结证患者的临床效果.方法:选取2016年8月至2016年10月福建医科大学孟超肝胆医院收治的40例登革热湿热蕴结证患者展开研究,随机将其分为观察组(n=20)与对照组(n=20),对照组予常规治疗,观察组在常规治疗上添加甘露消毒丹进行治疗,比较观察组与对照组临床治疗效果及血常规恢复情况.结果:观察组患者的治疗效果(90％)明显优于对照组(80％),治疗后,观察组患者白细胞及淋巴细胞恢复情况优于对照组,两组数据对比,差异具有统计学意义(P＜0.05).结论:登革热湿热蕴结证者采用甘露消毒丹进行治疗,能有效提升患者临床治疗效果,在不同程度上改善其白细胞、淋巴细胞指标,值得医院在临床治疗中应用.

Objective: Clinical effects of the Longdan Xiegan decoction on drug-induced liver disease of the Shi’re syndrome were investigated. Methods: 60 cases in our hospital were selected and randomized into the observed group (30 cases) and the control group (30 cases). The control group took conventional treatment; the observed group received the Longdan Xiegan decoction more. Results: Clinical effcacy in the observed group was 93.33%, much better than 76.67% in the control group. Indexes of liver function were improved better in the observed group (P<0.05). Conclusion: The Longdan Xiegan decoction can improve clinical effcacy and liver function, is worthy of promotion.

Objective To retrospectively analyze the clinical effect of plasma exchange in the treatment of liver failure.Methods 154 patients with liver failure treated in our hospital from December 2012 to December 2013 as the research object,the implementation of plasma exchange treatment,after liver function,curative effect,survival time of patients with different disease and survival rate and incidence of adverse reactions.Results In the treatment of patients with total effective rate was 72.73%,liver failure early in the late treatment effects are obvious differences,the data between the groups exist significant difference(P<0.05),after treatment,in addition to ALB indicators had no significant change(P>0.05),other indicators are showing a significant change,between groups of data exist significant difference(P<0.05),in plasma exchange for patients,adverse reactions,a total of 31 times,accounted for the total number of 8.03%. Early patients survival rate was 85.6%,medium was 62.5%,the last stage is 21.3%,the data between the groups exist significant difference(P<0.05)and survival time between groups of data differences and highest early and mid time of late is the lowest.Conclusion For patients with liver failure,the use of plasma exchange for treatment,can achieve satisfactory results,less adverse reactions, clinical effect is good.

目的:探讨健脾通络方治疗湿热蕴结型痛风性关节炎的临床疗效.方法:选取痛风性关节炎患者60例,随机分为治疗组和对照组各30例.对照组患者采用口服碳酸氢钠等一般治疗,治疗组患者在对照组治疗基础上加用健脾通络方治疗.比较两组患者的临床疗效、中医证候积分及血尿酸、血沉、C反应蛋白水平.结果:治疗组总有效率为93.3％,明显高于对照组的70.00％,两组总有效率比较差异有统计学意义(P＜0.05);治疗前两组患者中医证候积分差异无统计学意义(P＞0.05),治疗后两组中医证候积分差异有统计学意义(P＜0.05);两组患者治疗前血尿酸、血沉、C反应蛋白水平比较差异无统计学意义(P＞0.05),治疗后两组患者血尿酸、血沉、C反应蛋白水平比较差异有统计学意义(P＜0.05).结论:健脾通络方联合西药治疗湿热蕴结型痛风性关节炎较单纯西药治疗效果更佳,且无明显副作用,值得临床推广应用.

目的探讨滋水平肝汤治疗阴虚阳亢型原发性高血压临床疗效。方法选择符合阴虚阳亢型原发性高血压诊断标准的患者60例,按随机、对照分为对照组30例,治疗组30例。在低脂低盐饮食基础上,对照组口服氨氯地平、阿司匹林肠溶片、辛伐他汀药物,治疗组在对照组用药基础上加服滋水平肝汤治疗,均以4周为1个疗程。观察两组治疗前后患者症状与体征、血脂水平及睾酮、雌二醇性激素水平的变化,疗程结束后进行疗效判定。结果两组间总疗效比较:治疗组总有效率90%,对照组总有效率66.7%,组间比较有显著性差异(P<0.05);两组间降压总有效率比较:治疗组总有效率93.33%,对照组总有效率73.30%,组间比较有显著性差异(P<0.05);两组间中医证候积分、血脂水平、睾酮及雌二醇性激素水平比较有显著性差异(P<0.05)。结论滋水平肝汤联合西医常规药物治疗阴虚阳亢型原发性高血压,在改善患者临床症状与体征、降低血压、调节血脂、提高睾酮、雌二醇性激素水平等方面有更好的疗效,且使用安全、价格低廉、无明显副作用,值得进一步临床研究。