二金汤辅助西药治疗胆汁反流性胃炎临床研究
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R573.3

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Clinical Study on Erjin Tang Combined with Western Medicine for Bile Reflux Gastritis
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    摘要:

    目的:观察二金汤辅助西药治疗胆汁反流性胃炎(BRG) 对胃肠激素、胆汁反流的影响。方法:选取112 例BRG 患者,以简单随机数字表法分为对照组与治疗组各56 例。对照组给予常规西药治疗,治疗组在对照组基础上给予二金汤辅助治疗。比较2 组临床疗效及治疗前后中医证候积分、BRG 程度分级、胃肠激素水平。结果:治疗组临床总有效率96.43%,高于对照组83.93%(P<0.05)。与同组治疗前比较,治疗后2 组中医证候积分、胃泌素(GAS) 水平均降低(P<0.05),表皮生长因子(EGF)、生长抑素(SS) 水平均升高(P<0.05);与对照组治疗后比较,治疗组治疗后中医证候积分、GAS 水平均较低(P<0.05),EGF、SS 水平均较高(P<0.05)。与同组治疗前比较,2 组治疗后BRG 程度分级明显改善(P<0.05);与对照组治疗后比较,治疗组治疗后BRG 程度分级改善更明显(P<0.05)。结论:针对BRG 患者给予二金汤辅助西药治疗疗效显著,可有效缓解临床症状,减轻胆汁反流,改善胃肠激素水平。

    Abstract:

    Abstract:Objective:To observe the effect of Erjin tang combined with western medicine for bile reflux gastritis(BRG) on gastrointestinal hormones and bile reflux. Methods:A total of 112 cases of patients with BRG were divided into the control group and the treatment group according to the simple random number table method, with 56 cases in each group. The control group was treated with conventional western medicine,and the treatment group was additionally treated with Erjin tang based on the treatment of the control group. The Chinese medicine syndrome scores, degrees of BRG and levels of gastrointestinal hormones before and after treatment as well as the clinical effects in the two groups were compared. Results:The total clinical effective rate was 96.43% in the treatment group,higher than that of 83.93% in the control group (P<0.05). After treatment,the Chinese medicine syndrome scores and gastrin(GAS) levels in the two groups were decreased when compared with those before treatment(P<0.05),and the levels of epidermal growth factor(EGF) and somatostatin(SS) were increased(P<0.05);the Chinese medicine syndrome score and GAS level in the treatment group were lower than those in the control group(P<0.05),and levels of EGF and SS were higher(P<0.05). After treatment,the degrees of BRG in the two groups were significantly improved when compared with those before treatment(P<0.05);the improvement of degree of BRG in the treatment group was more obvious than that in the control group(P<0.05). Conclusion:The therapy of Erjin tang combined with western medicine has a significant curative effect in the treatment of patients with BRG, which can alleviate the clinical symptoms,reduce the degree of bile reflux and improve the levels of gastrointestinal hormones.

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危贵君,张莎莎,朱晟易,唐忠明.二金汤辅助西药治疗胆汁反流性胃炎临床研究[J].新中医,2021,53(23):55-58

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  • 在线发布日期: 2021-12-10
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