中西医结合治疗难治性胃溃疡临床观察
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摘要
目的:观察中西医结合治疗难治性胃溃疡的临床效果。方法:选取难治性胃溃疡患者42例,随机分为观察组和对照组各21例,对照组应用质子泵抑制剂四联序贯疗法,观察组在对照组基础上加用中药口服,对比两组的总有效率、症候积分等。结果:观察组的治疗总有效率为95.24%,高于对照组的71.43%,且治疗10 d后的腹胀、嗳气、反酸、纳呆症候积分均低于对照组(P<0.05);观察组治疗10d后的贫血状况较对照组更轻,且随访6个月的复发率低于对照组(P<0.05);两组治疗期间均未出现明显不良反应。结论:中药联合质子泵抑制剂四联序贯疗法治疗难治性胃溃疡疗效显著,能够有效缓解患者的不适症状,值得推广应用。
Observation of the clinical effect of integrated traditional Chinese and western medicine in the treatment of refractory gastric ulcer. Methods Select 42 patients with refractory gastric ulcer were randomly divided into the observation group and the control group of 21 cases.,the western medicine group with a proton pump inhibitor four sequential therapy,combination of traditional Chinese and Western medicine group in the control group based on the application of traditional Chinese medicine decoction,compared two groups of the total efficiency,the symptom of integral. Results The combination of Chinese and Western medicine treatment the total effective rate was 95. 24% higher than that of Western medicine group 71. 43%,and 10 days after treatment of abdominal distension,belching,acid regurgitation,anorexia symptom scores were lower than the western medicine group( P < 0. 05); to be compared with western medicine group more mild anemia status after 10 days of treatment with combination of traditional Chinese and Western medicine,and the follow-up 6 months recurrence the rate is lower than the western medicine group( P < 0. 05); There was no obvious adverse reaction during the treatment of the two groups. Conclusion Combination of traditional Chinese and Western Medicine in the treatment of Refractory gastric ulcer,relieving patients' uncomfortable symptoms,It is worth promoting.
Observation of the clinical effect of integrated traditional Chinese and western medicine in the treatment of refractory gastric ulcer. Methods Select 42 patients with refractory gastric ulcer were randomly divided into the observation group and the control group of 21 cases.,the western medicine group with a proton pump inhibitor four sequential therapy,combination of traditional Chinese and Western medicine group in the control group based on the application of traditional Chinese medicine decoction,compared two groups of the total efficiency,the symptom of integral. Results The combination of Chinese and Western medicine treatment the total effective rate was 95. 24% higher than that of Western medicine group 71. 43%,and 10 days after treatment of abdominal distension,belching,acid regurgitation,anorexia symptom scores were lower than the western medicine group( P < 0. 05); to be compared with western medicine group more mild anemia status after 10 days of treatment with combination of traditional Chinese and Western medicine,and the follow-up 6 months recurrence the rate is lower than the western medicine group( P < 0. 05); There was no obvious adverse reaction during the treatment of the two groups. Conclusion Combination of traditional Chinese and Western Medicine in the treatment of Refractory gastric ulcer,relieving patients' uncomfortable symptoms,It is worth promoting.
引文
[1]侯俊.酪酸杆菌双歧杆菌二联活菌联合常规三联方案治疗难治性HP阳性胃溃疡的疗效观察[J].实用临床医药杂志,2016,20(19):139-140,145.
[2]汤仕龙.奥美拉唑治疗胃溃疡临床疗效分析[J].实用中西医结合临床,2013,13(8):7,40.
[3]王晓平,李晖,吉晓春,等.探析当归补血加味汤治疗老年难治性胃溃疡的临床疗效[J].北方药学,2017,14(3):107-108.
[4]李素娟.当归补血加味汤治疗老年难治性胃溃疡临床观察[J].中医学报,2012,27(12):1657-1658.
[5]何芳,邓冬梅,朱建丽,等.胃舒宁胶囊和三联疗法治疗难治性消化性溃疡疗效观察[J].光明中医,2014,29(6):1202-1203.
[6]张伟.川芎嗪治疗难治性胃溃疡的临床疗效研究[J].泰山医学院学报,2017,38(2):131-132.
[7]满光亮.葛惠男运用益气活血方治疗难治性消化性溃疡经验采撷[J].中国中医急症,2015,24(10):1769-1771.
[8]赵春华.当归补血加味汤治疗老年难治性胃溃疡的临床探讨[J].中西医结合心血管病电子杂志,2016,4(15):151-153.
[2]汤仕龙.奥美拉唑治疗胃溃疡临床疗效分析[J].实用中西医结合临床,2013,13(8):7,40.
[3]王晓平,李晖,吉晓春,等.探析当归补血加味汤治疗老年难治性胃溃疡的临床疗效[J].北方药学,2017,14(3):107-108.
[4]李素娟.当归补血加味汤治疗老年难治性胃溃疡临床观察[J].中医学报,2012,27(12):1657-1658.
[5]何芳,邓冬梅,朱建丽,等.胃舒宁胶囊和三联疗法治疗难治性消化性溃疡疗效观察[J].光明中医,2014,29(6):1202-1203.
[6]张伟.川芎嗪治疗难治性胃溃疡的临床疗效研究[J].泰山医学院学报,2017,38(2):131-132.
[7]满光亮.葛惠男运用益气活血方治疗难治性消化性溃疡经验采撷[J].中国中医急症,2015,24(10):1769-1771.
[8]赵春华.当归补血加味汤治疗老年难治性胃溃疡的临床探讨[J].中西医结合心血管病电子杂志,2016,4(15):151-153.