清热化湿汤联合西药治疗脾胃湿热型消化性溃疡临床观察
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Clinical Observation of Qingre Huashi Tang Combined with Western Medicine for Peptic Ulcer with Dampness Heat in Spleen and Stomach
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    摘要:

    目的:观察清热化湿汤联合西药治疗脾胃湿热型消化性溃疡的临床效果。方法:纳入114例辨证属脾胃湿热证的幽门螺杆菌阳性消化性溃疡患者,随机分为对照组与观察组各57例。对照组给予埃索美拉唑镁肠溶片、克拉霉素片、氨苄西林胶囊三联疗法抗幽门螺杆菌治疗2周后,再给予泮托拉唑钠肠溶片治疗2周,观察组在对照组用药的基础上每天给予清热化湿汤治疗,2组均治疗4周。治疗前后对2组患者的中医症状与胃、十二指肠黏膜损伤情况进行评分,并评估2组患者的临床疗效。结果:治疗后,观察组总有效率高于对照组,差异有统计学意义(P<0.01)。2组胃脘灼热疼痛、嘈杂泛酸、口干口苦、纳呆恶心、口甜黏浊、身重肢倦积分与胃、十二指肠黏膜损伤评分均较治疗前降低,差异均有统计学意义(P<0.05),观察组各项中医症状积分与胃、十二指肠黏膜损伤评分均低于对照组,差异均有统计学意义(P<0.05)。结论:清热化湿汤联合西药治疗消化性溃疡脾胃湿热证可有效改善患者的临床症状,促进损伤的黏膜修复,提高临床疗效。

    Abstract:

    Objective:To observe the clinical effect of Qingre Huashi tang combined with western medicine for treating peptic ulcer with dampness heat in spleen and stomach.MethodsSelected 114 cases of patients with helicobacter pylori positive peptic ulcer with dampness heat in spleen and stomach based on syndrome differentiation,and divided them into the control group and the observation group randomly,57 cases in each group.The control group was firstly given triple therapy of anti-helicobacter pylori with esomeprazole magnesium enteric-coated tablets, clarithromycin tablets, and ampicillin capsules for 2 weeks, then given pantoprazole sodium enteric-coated tablets therapy for another 2 weeks, while the observation group was additionally receivedQingre Huashi tang everyday based on the treatment of the control group for 4 weeks.Treatment for both groups lasted for four weeks.Scored the Chinese medicine symptoms and gastric and duodenal mucosal injuries of two groups,and evaluated clinical curative effect of patients in both groups.ResultsAfter treatment,the total effective rate in the observation group was higher than that in the control group,the difference being significant(P<0.01).The scores of epigastric burning pain,gastric upset and discomfort,dry mouth and bitter taste,dementia and nausea,sweet taste and sticky mouth,and heavy body and tired limbs as well as the gastric and duodenal mucosal injury scores in two groups were lower than those before treatment,difference beings significant(P < 0.05).The scores of Chinese medicine symptoms and the gastric and duodenal mucosal injury scores in the observation group were both lower than those in the control group,differences being significant(P < 0.05).ConclusionQingre Huashi tang combined with western medicine for peptic ulcer with dampness heat in spleen and stomach can effectively improve the clinical symptoms of patients,help to promote mucosal recovery and clinical curative effect.

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沈文娟.清热化湿汤联合西药治疗脾胃湿热型消化性溃疡临床观察[J].新中医,2018,50(2):25-28

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  • 在线发布日期: 2018-02-08
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