摘要
[目的]观察养胃汤联合西药治疗慢性萎缩性胃炎疗效。[方法]使用随机平行对照方法,将97例住院患者按抽签法随机分为两组。对照组47例硫糖铝,1g/次,3次/d,饭前1h及睡前口服;阿莫西林,1.0g/次,3次/d;奥美拉唑,20mg/次,早晚口服。治疗组50例养胃汤(三七粉3g,炙甘草、吴茱萸各5g,砂仁、沙参各6g,当归、炒白术、佛手各10g,黄芪、茯苓各15g,党参、山药各20g;胃肠痞满加重加厚朴15g,陈皮12g;胃肠疼痛加重加白芷10g;嗳气加重加旋复花10g,代赭石15g,竹茹10g;纳差加重加荷叶10g,藿香、佩兰各15g),1剂/d,水煎200mL,2次/d,空腹口服;西药治疗同对照组。连续治疗90d为1疗程。观测临床症状、胃黏膜状况、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效39例,有效7例,无效4例,总有效率92.00%。对照组显效20例,有效12例,无效15例,总有效率68.09%。治疗组疗效优于对照组(P<0.01)。症状改善情况两组均有改善(P<0.05),治疗组优于对照组(P<0.05)。[结论]养胃汤联合西药治疗慢性萎缩性胃炎效果显著,值得推广。
[ Objective ] To observe the nourishing the stomach soup combined western medicine treatment of chronic atrophic gastritis. [ Methods ] Using random parallel control method, 97 cases of hospitalized patients were randomly divided into two groups according to the draw method. 47 cases were sucralfate, 1 g/time, 3 times/d, 1 h before meals and before bed oral;Amoxicillin, 1.0 g/time, 3 times/d;Omeprazole, 20 mg/time, sooner or later. Treatment group （ 50 cases of nourishing the stomach soup （ Sanqifen 3g, Zhigancao, Wuzhuyu 5g, Sharen, Shashen each 6g, Danggui, Chaibaizhu, Foshou each 10g, Huangqi, Fuling each 15g, Dangshen, Shanyao 20 g; gastrointestinal new full aggravating and HoupulSg, Chenpi 12g; gastrointestinal pain worse and Baizhi 10 g;belching aggravating add Xuanfuhua 10 g, Daizheshi 15 g, Zhurn 10g, NaCha aggravated with Heye 10g, Huoxiang, Peilan each 15g ）, 1/d, boiling water 200 ml, 2 times/d, on an empty stomach oral;Western medicine treatment with the control group. Continuous treatment of 90 d to 1 course of treatment. Observation of clinical symptoms and adverse reactions. As a course treatment, judge curative effect. [ Results ] the treatment group 39 cases were markedly effective, effective 7 cases, 4 cases were ineffective, the total effective rate was 92.00%. Control group 20 cases had marked effect, 12 cases, 15 cases were invalid, the total effective rate was 68.09%. The treatment group curative effect is better than that of control group （ P 〈0.01 ） . Symptoms improve the situation in the two groups were improved （ P〈O.05 ）, the treatment group is better than that of control group （ P〈0.05 ） . [ Conclusion ] Nourishing the stomach soup combined western medicine treatment of chronic atrophic gastritis effect is remarkable, is worth promoting.
出处
《实用中医内科杂志》
2014年第7期124-126,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
慢性萎缩性胃炎
养胃汤
硫糖铝
阿莫西林
奥美拉唑
随机平行对照研究
Chronic atrophic gastritis
Nourishing the stomach soup
Sucralfate
Amoxicillin
Omeprazole
Random parallel control study
