黄芪建中汤加减联合西药治疗脾胃虚寒型胃痛临床研究
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R256.39

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Clinical Study on Modified Huangqi Jianzhong Tang Combined with Western Medi⁃ cine for Stomachache of Deficiency-Cold of the Spleen and Stomach Type
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    摘要:

    目的:观察黄芪建中汤加减联合西药治疗脾胃虚寒型胃痛的临床疗效。方法:选取130 例脾胃虚寒型胃痛患者为研究对象,依据入院顺序编号单双数分为治疗组和对照组各65 例。对照组给予阿莫西林、甲硝唑及雷贝拉唑治疗,治疗组在对照组基础上加用黄芪建中汤加减治疗,2 组均连续治疗3 个月。比较2 组临床疗效及治疗前后中医证候积分,血清转化生长因子-α(TGF-α)、表皮生长因子(EGF)、白细胞介素-17(IL-17)、胃泌素水平及血浆胃动素水平,统计2 组复发率。结果:治疗组总有效率为96.92%,高于对照组的87.69% (P<0.05)。治疗后,治疗组主症、次症及舌脉积分均低于对照组(P<0.05)。治疗后,治疗组血清TGF-α、EGF 水平及血浆胃动素水平均高于对照组(P<0.05),血清IL-17、胃泌素水平均低于对照组(P<0.05)。随访6 个月,治疗组复发率为1.59%,对照组复发率为14.04%,2 组比较,差异有统计学意义(P<0.05)。结论:黄芪建中汤加减联合西药治疗脾胃虚寒型胃痛,可改善患者的临床症状,减轻炎症反应,促进胃黏膜修复,降低复发率。

    Abstract:

    Abstract:Objective:To observe the clinical effect of modified Huangqi Jianzhong tang combined with western medicine for stomachache of deficiency- cold of the spleen and stomach type. Methods: A total of 130 cases of patients with stomachache of deficiency- cold of the spleen and stomach type were selected as the study subjects and divided into the control group and the treatment group by the odd- even number grouping method according to the order of admission,65 case in each group. The control group was treated with amoxicillin,metronidazole and rebeprazole,and the treatment group was additionally treated with modified Huangqi Jianzhong tang based on the treatment of the control group. Both groups were treated for three months. The Chinese medicine syndrome scores, the levels of transforming growth factor- α(TGF- α), epidermal growth factor(EGF),interleukin- 17(IL- 17),gastrin in serum and the levels of motilin in plasma before and after treatment as well as the clinical effect in the two groups were compared. The recurrence rates in the two groups were counted. Results:The total effective rate was 96.92% in the treatment group,higher than that of 87.69% in the control group (P<0.05). After treatment, the scores of main symptoms, secondary symptoms as well as tongue and pulse in the treatment group were lower than those in the control group(P<0.05). After treatment,the levels of TGF-α and EGF in serum as well as motilin in plasma in the treatment group were higher than those in the control group(P<0.05),and the levels of IL- 17 and gastrin in serum were lower than those in the control group(P<0.05). After follow- up for six months, the recurrence rate was 1.59% in the treatment group and 14.04% in the control group,there being significance in the difference (P<0.05). Conclusion:Modified Huangqi Jianzhong tang combined with western medicine for stomachache of deficiencycold of the spleen and stomach type can improve clinical symptoms,relieve inflammatory responses,promote recovery of gastric mucosa and reduce recurrence rates.

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黄晓映.黄芪建中汤加减联合西药治疗脾胃虚寒型胃痛临床研究[J].新中医,2020,52(20):28-31

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  • 在线发布日期: 2020-10-19
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