不同类型的慢性胃炎患者临床特征及中医辨证治疗
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摘要
目的分析不同类型慢性胃炎患者的临床特征,并探讨中医辨证对症治疗本病的临床效果。方法选取我院2015年2月-2016年3月期间收治的74例慢性胃炎患者为研究对象,分析上述患者不同中医类型的临床特征,将之随机分为观察组和对照组,各37例。对照组患者予常规西医治疗,观察组则分析患者中医类型后实施中医辨证治疗,分别对2组患者的近期疗效、不良反应、治疗前后的症状评分进行客观比较。结果观察组患者的临床总有效率为91.89%,对照组患者的临床总有效率为72.97%,差异有统计学意义(P <0.05);观察组发生的不良反应包括恶心呕吐、胃痛,总发生率为5.40%,对照组包括恶心呕吐、胃痛、头晕头痛等不良反应,总发生率为24.32%,对照组的发生率明显高于观察组(P <0.05);治疗后,不同类型的患者评分明显降低(P <0.05),以观察组脾胃湿热型的改善最为明显。结论合理分析不同类型的慢性胃炎患者临床特征,予以针对性的辨证治疗可以有助于改善患者的临床症状,兼顾不同类型的身体调节,临床疗效确切。
Objective To analyze the clinical characteristics of different types of chronic gastritis, and to explore the clinical effect of TCM syndrome differentiation for the treatment of the disease. Methods The study included 74 cases of chronic gastritis patients admitted to our hospital from February 2015 to March 2016. The clinical characteristics of the patients with different TCM types, and then randomly divided into observation group(n = 37) and control group(n = 37), the control group were only treated with conventional western medicine treatment, the observation group is a TCM syndrome differentiation treatment according to the patient's TCM syndrome type. The short-term effects, adverse reactions and symptoms before and after treatment were compared between the two groups. Results The total clinical effective rate of the patients in the observation group was 91.89%, the total clinical effective rate of the control group was 72.97%, the difference is statistically significant(P <0.05). The incidence of adverse reactions in the observation group included nausea and vomiting and stomachache, atotal incidence rate of 5.40%. The control group included nausea and vomiting, stomachache, dizziness and headache, the incidence rate was 24.32%. The incidence of control group was significantly higher than that of the observation group(P <0.05). After treatment, the scores of different types of patients were significantly decreased(P <0.05), and the improvement of spleen-stomach damp-heat type was the most obvious in the observation group. Conclusion A reasonable analysis of the clinical characteristics of different types of chronic gastritis and targeted dialectical treatment can help to improve the clinical symptoms of patients. It can give consideration to different types of body adjustment, and its clinical curative effect is exact.
Objective To analyze the clinical characteristics of different types of chronic gastritis, and to explore the clinical effect of TCM syndrome differentiation for the treatment of the disease. Methods The study included 74 cases of chronic gastritis patients admitted to our hospital from February 2015 to March 2016. The clinical characteristics of the patients with different TCM types, and then randomly divided into observation group(n = 37) and control group(n = 37), the control group were only treated with conventional western medicine treatment, the observation group is a TCM syndrome differentiation treatment according to the patient's TCM syndrome type. The short-term effects, adverse reactions and symptoms before and after treatment were compared between the two groups. Results The total clinical effective rate of the patients in the observation group was 91.89%, the total clinical effective rate of the control group was 72.97%, the difference is statistically significant(P <0.05). The incidence of adverse reactions in the observation group included nausea and vomiting and stomachache, atotal incidence rate of 5.40%. The control group included nausea and vomiting, stomachache, dizziness and headache, the incidence rate was 24.32%. The incidence of control group was significantly higher than that of the observation group(P <0.05). After treatment, the scores of different types of patients were significantly decreased(P <0.05), and the improvement of spleen-stomach damp-heat type was the most obvious in the observation group. Conclusion A reasonable analysis of the clinical characteristics of different types of chronic gastritis and targeted dialectical treatment can help to improve the clinical symptoms of patients. It can give consideration to different types of body adjustment, and its clinical curative effect is exact.
引文
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[6]田光芳,刘敏.连朴饮加减联合四联疗法治疗幽门螺杆菌相关性胃炎脾胃湿热证临床研究[J].中国中医药信息杂志,2015,22(3):32-35.
[7]哲剑虹.中西医结合治疗脾胃湿热型慢性胃炎临床研究[J].中医学报,2017,32(6):1055-1058.
[8]陈庆.活血止痛中药配合西药治疗急性胃炎患者临床疗效观察及对血清胃泌素和胃动素的影响[J].陕西中医,2015,36(8):956-958.
[9]赵钢,冯媛媛,刘宣,等.慢性胃炎中医证型分布及幽门螺杆菌感染情况分析[J].上海中医药杂志,2017,51(6):21-23
[10]陈慕豪,王立恒,邬美萍.辨证论治配合西药治疗幽门螺杆菌相关性慢性胃炎临床研究[J].陕西中医,2017,38(5):547-548.
[11]陈麒.自拟复胃散加减治疗慢性胃炎103例临床观察[J].四川中医,2016,34(8):107-109.
[12]颜万全.中药三联用药法治疗胃炎临床研究[J].中医学报,2016,31(3):436-438.
[13]唐才东,吴琼英.中医辨治慢性胃炎36例临床观察[J].四川中医,2015,33(9):98-99.
[14]申珊.理中汤联合西药治疗脾胃虚寒型慢性胃炎的临床疗效观察[J].中医药信息,2015,32(5):101-103.
[2]徐大志,王艳,张维,等.慢性胃炎常见中医证候及证候要素的文献分析[J].湖南中医药大学学报,2015,35(7):54-56
[3]KAI H,ITO M,KITADAI Y,et al.Chronic gastritis with expression of inducible nitric oxide synthase is associated with high expression of interleukin-6 and hypergastrinaemia[J]Aliment Pharmacol Ther,2015,19(12):1309-1314.
[4]金烨,张士敏,韦婧,等.幽门螺杆菌相关性胃炎患者中医证型及其与中医体质的相关性研究[J].陕西中医,2017,38(10):1380-1381
[5]王元英,佘久宁,周习武,等.中西医结合治疗慢性胃炎患者幽门螺杆菌感染的疗效观察[J].中华医院感染学杂志2015,25(14):3196-3198.
[6]田光芳,刘敏.连朴饮加减联合四联疗法治疗幽门螺杆菌相关性胃炎脾胃湿热证临床研究[J].中国中医药信息杂志,2015,22(3):32-35.
[7]哲剑虹.中西医结合治疗脾胃湿热型慢性胃炎临床研究[J].中医学报,2017,32(6):1055-1058.
[8]陈庆.活血止痛中药配合西药治疗急性胃炎患者临床疗效观察及对血清胃泌素和胃动素的影响[J].陕西中医,2015,36(8):956-958.
[9]赵钢,冯媛媛,刘宣,等.慢性胃炎中医证型分布及幽门螺杆菌感染情况分析[J].上海中医药杂志,2017,51(6):21-23
[10]陈慕豪,王立恒,邬美萍.辨证论治配合西药治疗幽门螺杆菌相关性慢性胃炎临床研究[J].陕西中医,2017,38(5):547-548.
[11]陈麒.自拟复胃散加减治疗慢性胃炎103例临床观察[J].四川中医,2016,34(8):107-109.
[12]颜万全.中药三联用药法治疗胃炎临床研究[J].中医学报,2016,31(3):436-438.
[13]唐才东,吴琼英.中医辨治慢性胃炎36例临床观察[J].四川中医,2015,33(9):98-99.
[14]申珊.理中汤联合西药治疗脾胃虚寒型慢性胃炎的临床疗效观察[J].中医药信息,2015,32(5):101-103.
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