三仁汤加味联合四联疗法治疗脾胃湿热型幽门螺杆菌阳性慢性非萎缩性胃炎临床研究
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Clinical Study on Modified Sanren Tang Combined with Quadruple Therapy for Helicobacter Pylori Positive Chronic Non-Atrophic Gastritis of Spleen-Stomach Dampness-Heat Type
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    摘要:

    目的:观察三仁汤加味联合四联疗法治疗脾胃湿热型幽门螺杆菌(Hp) 阳性慢性非萎缩性胃炎的临床疗效。方法:将116 例Hp 阳性慢性非萎缩性胃炎患者按随机数字表法分为对照组和观察组各58 例。对照组给予铋剂四联疗法治疗,观察组在对照组的基础上联合三仁汤加味治疗。2 组疗程均为2 周,比较2 组胃肠道症状分级评分量表(GSRS) 评分、脾胃湿热证症状评分、Hp 根除率及临床疗效。结果:观察组总有效率为94.83%,对照组为81.03%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组GSRS 评分均较治疗前降低(P<0.05),且观察组GSRS 评分低于对照组(P<0.05)。治疗后,2 组胃脘胀痛、口苦、大便黏滞、脘腹灼热、纳呆、身重困倦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)。观察组Hp 根除率为91.38%,对照组为75.86%,2 组比较,差异有统计学意义(P<0.05)。结论:三仁汤加味联合四联疗法治疗脾胃湿热型Hp 阳性慢性非萎缩性胃炎疗效显著,能显著缓解患者临床症状,提高Hp 根除率。

    Abstract:

    Abstract: Objective: To observe the clinical effect of modified Sanren tang combined with quadruple therapy for helicobacter pylori(Hp) positive chronic non-atrophic gastritis of spleen-stomach dampness-heat type. Methods:A total of 116 cases of patients with helicobacter pylori positive chronic non- atrophic gastritis were divided into the control group and the observation group according to the random number table method,with 58 cases in each group. The control group was treated with bismuth quadruple therapy,and the observation group was additionally treated with modified Sanren tang based on the treatment of the control group. Both groups were treated for two weeks. The scores of Gastrointestinal Symptom Rating Scale(GSRS), symptom scores of spleen- stomach dampness- heat syndrome, Hp eradication rates and clinical effects in the two groups were compared. Results:The total effective rate was 94.83% in the observation group and 81.03% in the control group, the difference being significant(P<0.05). After treatment, GSRS scores in the two groups were decreased when compared with those before treatment(P<0.05),and the scores in the observation group was lower than that in the control group(P<0.05). After treatment,the scores of symptoms such as distending pain in stomach duct,bitter mouth,sticky stool,burning sensation in the stomach cavity and abdomen,torpid intake,and heavy body and fatigue in the two groups were decreased when compared with those before treatment(P<0.05),and the above scores in the observation group were lower than those in the control group(P<0.05). The Hp eradication rate was 91.38% in the observation group and 75.86% in the control group, the difference being significant(P<0.05). Conclusion: Modified Sanren tang combined with quadruple therapy for helicobacter pylori positive chronic non-atrophic gastritis of spleen-stomach dampness-heat type has a significant curative effect,which can effectively relieve the clinical symptoms of patients and improve the Hp eradication rate.

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姚渭芬,章小飞.三仁汤加味联合四联疗法治疗脾胃湿热型幽门螺杆菌阳性慢性非萎缩性胃炎临床研究[J].新中医,2022,54(4):25-28

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  • 在线发布日期: 2022-02-24
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