益气活血方联合西药治疗慢性萎缩性胃炎气虚血瘀证临床研究
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R573.3+2

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Clinical Study on Yiqi Huoxue Prescription Combined with Western Medicine for Chronic Atrophic Gastritis with Qi Deficiency and Blood Stasis Syndrome
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    摘要:

    目的:观察益气活血方联合西药治疗慢性萎缩性胃炎(CAG) 气虚血瘀证的临床疗效。方法:将80 例CAG 气虚血瘀证患者按随机数字表法分为对照组和治疗组各40 例。对照组给予西药治疗,治疗组在对照组基础上给予益气活血方治疗,2 组均治疗14 d。比较2 组临床疗效、症状消失时间、中医证候积分及血清炎症因子水平。结果:治疗组总有效率97.50%,高于对照组82.50%(P<0.05)。治疗后,2 组中医证候积分均较治疗前降低(P<0.05),治疗组中医证候积分低于对照组(P<0.05)。治疗组胃脘胀满、胃脘疼痛、倦怠乏力消失时间均短于对照组(P<0.05)。治疗后,2 组血清白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平均较治疗前降低(P<0.05),治疗组血清IL-6、TNF-α 水平均低于对照组(P<0.05)。结论:益气活血方联合西药治疗CAG 气虚血瘀证疗效确切,可有效改善患者的临床症状,减轻机体炎症反应。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Yiqi Huoxue Prescription combined with western medicine for chronic atrophic gastritis(CAG) with qi deficiency and blood stasis syndrome. Methods:A total of 80 cases of CAG patients with qi deficiency and blood stasis syndrome were divided into the control group and the treatment group according to the random number table method, with 40 cases in each group. The control group was treated with western medicine, and the treatment group was additionally treated with Yiqi Huoxue Prescription based on the treatment of the control group. Both groups were treated for 14 days. The clinical effects, disappearance time of symptoms, traditional Chinese medicine(TCM) syndrome scores and levels of inflammatory factors in serum were compared between the two groups. Results: The total effective rate was 97.50% in the treatment group, higher than that of 82.50% in the control group(P<0.05). After treatment,TCM syndrome scores in the two groups were decreased when compared with those before treatment(P<0.05),and the TCM syndrome score in the treatment group was lower than that in the control group(P<0.05). The disappearance time of gastric fullness,gastric pain and hypodynamia in the treatment group was shorter than that in the control group(P<0.05). After treatment, the levels of interleukin- 6(IL- 6) and tumor necrosis factor- α(TNF- α) in serum in the two groups were decreased when compared with those before treatment(P<0.05), and the levels of IL- 6 and TNF- α in serum in the treatment group were lower than those in the control group(P<0.05). Conclusion: Yiqi Huoxue Prescription combined with western medicine has a definite curative effect in treating CAG with qi deficiency and blood stasis syndrome,which can effectively improve the clinical symptoms of patients and relieve the inflammatory responses in the body.

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李海雷,牛祎明,芦龙青,罗宏伟.益气活血方联合西药治疗慢性萎缩性胃炎气虚血瘀证临床研究[J].新中医,2022,54(22):89-92

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  • 在线发布日期: 2022-11-27
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