芩参方加减治疗慢性胃炎33例
|
摘要
目的:观察芩参方治疗慢性胃炎的临床疗效。方法:将65例患者随机分为治疗组33例和对照组32例。治疗组予以芩参方加减治疗;对照组予以胃复春治疗。观察两组患者中医症候疗效及临床综合疗效,比较两组患者治疗前后临床症状积分变化情况。结果:中医症候疗效:对照组有效率为71.8%,治疗组有效率为90.9%,两组患者临床疗效比较,差异具有统计学意义(P<0.05)。临床综合疗效:对照组有效率为68.8%,治疗组有效率为81.8%,两组患者临床综合疗效比较,差异具有统计学意义(P<0.05)。两组患者治疗后临床症状积分均较治疗前明显降低,且治疗组明显优于对照组,差异均有统计学意义(P<0.01)。结论:芩参方可明显改善慢性胃炎临床症状,修复慢性胃炎患者受损的胃黏膜,其疗效确切。
Objective: To observe the clinical curative effect of Qinshen Decoction( QSD) on chronic gastritis. Methods: Sixty-five patients with chronic gastritis were randomly divided into the treatment group and the control group,with 33 and 32 cases respectively in each group. The ones in the treatment group were treated with Modified Qinshen Decoction( MQSD),while the ones in the control group were treated with Weifuchun( WFC). Then the two groups' TCM syndrome curative effects and clinical comprehensive curative effects were observed; And their clinical symptomatic score changes before and after the treatment were compared. Results: In terms of TCM syndrome curative effect,the effective rate of the control group was 71. 8%,while that of the treatment group was 90. 9%; And the difference between them had statistical significance( P < 0. 05). In terms of clinical comprehensive curative effect,the effective rate of the control group was 68. 8%,while that of the treatment group was 81. 8%; And the difference between them had statistical significance( P < 0. 05). After the treatment,the two groups' clinical symptomatic scores significantly decreased; The treatment group was much better than the control group; And all the differences between them had statistical significance( P < 0. 01). Conclusion: QSD has a remarkable clinical curative effect on chronic gastritis,can greatly improve the clinical symptoms,and repair damaged gastric mucosa.
Objective: To observe the clinical curative effect of Qinshen Decoction( QSD) on chronic gastritis. Methods: Sixty-five patients with chronic gastritis were randomly divided into the treatment group and the control group,with 33 and 32 cases respectively in each group. The ones in the treatment group were treated with Modified Qinshen Decoction( MQSD),while the ones in the control group were treated with Weifuchun( WFC). Then the two groups' TCM syndrome curative effects and clinical comprehensive curative effects were observed; And their clinical symptomatic score changes before and after the treatment were compared. Results: In terms of TCM syndrome curative effect,the effective rate of the control group was 71. 8%,while that of the treatment group was 90. 9%; And the difference between them had statistical significance( P < 0. 05). In terms of clinical comprehensive curative effect,the effective rate of the control group was 68. 8%,while that of the treatment group was 81. 8%; And the difference between them had statistical significance( P < 0. 05). After the treatment,the two groups' clinical symptomatic scores significantly decreased; The treatment group was much better than the control group; And all the differences between them had statistical significance( P < 0. 01). Conclusion: QSD has a remarkable clinical curative effect on chronic gastritis,can greatly improve the clinical symptoms,and repair damaged gastric mucosa.
引文
[1]中华医学会消化病学分会,房静远,刘文忠,等.中国慢性胃炎共识意见(2012年,上海)[J].中华消化杂志,2013,33(1):5-16.
[2]李新军,付丽梅,刘敏,等.慢性胃炎病理诊断的一致性研究[J].中华消化内镜杂志,2014,31(3):126-129.
[3]由丽娜,高璇,热依汗古丽·乌修尔,等.中西医结合治疗脾胃湿热型幽门螺杆菌相关性慢性胃炎的临床观察[J].中国全科医学,2012,15(16):1891-1892.
[4]李立,周奇,郑光,等.基于文本挖掘技术分析中成药、西药对慢性胃炎的治疗规律[J].中国实验方剂学杂志,2011,17(24):228-231.
[5]王玉桦,方显明.中医药治疗慢性胃炎的临床研究进展[J].世界中西医结合杂志,2012,7(6):550-552.
[6]邓永启.中西医结合治疗慢性胃炎研究进展[J].实用中医内科杂志,2009,23(1):22-24.
[7]陆瑞峰,王俊,李琰等.周阿高教授经验方治疗慢性胃炎临床观察[C].亳州:中华中医药学会民间传统诊疗技术与验方整理研究分会第五次学术年会论文集,2012:209-210.
[8]中国中西医结合学会消化系统疾病专业委员会.慢性胃炎的中西医结合诊治方案[J].中国中西医结合杂志,2005,25(2):172-175.
[9]郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:134-139.
[10]刘静,余梅香,谷玲霞,等.中西医结合治疗幽门螺杆菌阳性慢性胃炎[J].中国实验方剂学杂志,2013,19(12):285-287.
[11]张艳辉,朱朝敏,赵瑞秋,等.以反复腹痛为主要表现的慢性胃炎的临床特点和治疗[J].实用儿科临床杂志,2011,26(19):1506-1508.
[12]周阿高.中医学[M].2版.上海:上海科学技术出版社,2012:177-178.
[13]陆再英,钟南山.内科学[M].7版.北京:人民卫生出版社,2010:382-385.
[14]陈润花,张厂,苏泽琦,等.幽门螺杆菌相关性慢性胃炎中医证候分类研究[J].北京中医药大学学报,2014,37(3):156-159.
[15]王俊,周阿高.慢性便秘基础理论及临床方药研究的文献综述[J].中医文献杂志,2012,30(3):50-53.
[16]陆瑞峰,王俊,李琰,等.芩参方治疗脾胃湿热型慢性胃炎68例疗效观察[J].河北中医,2013,35(10):1469-1470.
[2]李新军,付丽梅,刘敏,等.慢性胃炎病理诊断的一致性研究[J].中华消化内镜杂志,2014,31(3):126-129.
[3]由丽娜,高璇,热依汗古丽·乌修尔,等.中西医结合治疗脾胃湿热型幽门螺杆菌相关性慢性胃炎的临床观察[J].中国全科医学,2012,15(16):1891-1892.
[4]李立,周奇,郑光,等.基于文本挖掘技术分析中成药、西药对慢性胃炎的治疗规律[J].中国实验方剂学杂志,2011,17(24):228-231.
[5]王玉桦,方显明.中医药治疗慢性胃炎的临床研究进展[J].世界中西医结合杂志,2012,7(6):550-552.
[6]邓永启.中西医结合治疗慢性胃炎研究进展[J].实用中医内科杂志,2009,23(1):22-24.
[7]陆瑞峰,王俊,李琰等.周阿高教授经验方治疗慢性胃炎临床观察[C].亳州:中华中医药学会民间传统诊疗技术与验方整理研究分会第五次学术年会论文集,2012:209-210.
[8]中国中西医结合学会消化系统疾病专业委员会.慢性胃炎的中西医结合诊治方案[J].中国中西医结合杂志,2005,25(2):172-175.
[9]郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:134-139.
[10]刘静,余梅香,谷玲霞,等.中西医结合治疗幽门螺杆菌阳性慢性胃炎[J].中国实验方剂学杂志,2013,19(12):285-287.
[11]张艳辉,朱朝敏,赵瑞秋,等.以反复腹痛为主要表现的慢性胃炎的临床特点和治疗[J].实用儿科临床杂志,2011,26(19):1506-1508.
[12]周阿高.中医学[M].2版.上海:上海科学技术出版社,2012:177-178.
[13]陆再英,钟南山.内科学[M].7版.北京:人民卫生出版社,2010:382-385.
[14]陈润花,张厂,苏泽琦,等.幽门螺杆菌相关性慢性胃炎中医证候分类研究[J].北京中医药大学学报,2014,37(3):156-159.
[15]王俊,周阿高.慢性便秘基础理论及临床方药研究的文献综述[J].中医文献杂志,2012,30(3):50-53.
[16]陆瑞峰,王俊,李琰,等.芩参方治疗脾胃湿热型慢性胃炎68例疗效观察[J].河北中医,2013,35(10):1469-1470.