半夏泻心汤加味辅助治疗幽门螺杆菌相关性消化性溃疡临床研究
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Clinical Study on Modified Banxia Xiexin Tang in Adjuvant Therapy of Helicobacter Pylori-Related Peptic Ulcer
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    摘要:

    目的:观察中西医结合半夏泻心汤加味辅助治疗幽门螺杆菌相关性消化性溃疡的效果。方法:将幽门螺杆菌相关性消化性溃疡患者80 例随机分为2 组,每组40 例。对照组给予常规西药治疗,观察组在对照组的基础上加用半夏泻心汤加味治疗,疗程均为1 个月。观察比较2 组临床疗效、幽门螺杆菌阴转率、不良反应,以及治疗前后疼痛、反酸、恶心、嗳气等相关症状评分。结果:治疗后,2 组临床疗效经秩和检验,差异有统计学意义(P<0.05),观察组疗效优于对照组。幽门螺杆菌阴转率观察组为92.50%,对照组为75.00%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组疼痛、反酸、恶心、嗳气等症状评分均较治疗前降低(P<0.05),且观察组各项评分均低于对照组(P<0.05)。治疗过程中,2 组食欲减退、便秘、发热、头痛等不良反应率比较,差异均无统计学意义(P>0.05)。结论:中西医结合半夏泻心汤加味辅助治疗幽门螺杆菌相关性消化性溃疡,可显著改善患者症状,提高幽门螺杆菌阴转率,疗效优于单纯西药治疗。

    Abstract:

    Abstract:Objective:To observe the effect of integrated Chineseand western medicine therapy with adjuvant therapyof modified Banxia Xiexin tang forhelicobacter pylori-related peptic ulcer. Methods : A total of 80 cases of patients with helicobacter pylori- related peptic ulcer were randomly divided into two groups,40 cases in each group. The control group was given routine western medicine, and the observation group was additionally treated with modified Banxia Xiexin tang based on the treatment of the control group. Both groups were treated for one month. The clinical effect, the negative conversion rate of helicobacter pylori, adverse reactions, as well as the scores of pain, acid regurgitation, nausea, belching and other related symptoms before and after treatment were observed and compared between the two groups. Results:After treatment,the comparison of clinical effect between the two groups showed significance in the difference(P< 0.05),the curative effect in the observation group was better than that in the control group. The negative conversion rate of helicobacter pylori was 92.5% in the observation group and 75.00% in the control group,the difference being significant(P< 0.05). After treatment,the symptom scores of pain,acid regurgitation,nausea,belching in the two groups were decreased when compared with those before treatment(P<0.05),and each score in the observation group was lower than that in the control group(P<0.05). During treatment,when compared the incidence of poor appetite,constipation,fever,headache and other adverse reactions between the two groups, there was no significance in differences(P>0.05). Conclusion: Integrated Chinese and western medicine therapy withthe adjuvant therapy of modified Banxia Xiexin tang in treating helicobacter pylori- related peptic ulcer can significantly relieve symptoms and improve the negative conversion rate of helicobacter pylori,whose curative effect is better than that of simple western medicine.

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王芳,王双养,唐跃华.半夏泻心汤加味辅助治疗幽门螺杆菌相关性消化性溃疡临床研究[J].新中医,2020,52(18):28-30

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  • 在线发布日期: 2020-09-20
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