胃苏颗粒联合常规西药治疗十二指肠溃疡伴慢性胃炎疗效观察及对胃黏膜功能、炎症因子的影响
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Clinical Observation of Weisu Granules Combined with Routine Western Medicine for Duodenal Ulcer Complicated with Chronic Gastritis and Its Effect on Gastric Mucosa Function and Inflammatory Factors
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    摘要:

    目的:观察胃苏颗粒联合雷贝拉唑钠肠溶片治疗十二指肠溃疡伴慢性胃炎的临床疗效及其对胃黏 膜功能、炎症因子水平的影响。方法:将100 例十二指肠溃疡伴慢性胃炎患者,随机分为观察组和对照组各 50 例。对照组采用阿莫西林胶囊、克拉霉素片、雷贝拉唑钠肠溶片治疗,观察组在对照组的基础上加用胃苏 颗粒治疗,疗程均为2 周。对2 组临床疗效及胃黏膜功能、炎症因子水平进行比较分析。结果:观察组显效率 和总有效率分别为70.0%、98.0%,对照组分别为38.0%、84.0%,2 组比较,差异均有统计学意义(P< 0.05)。治疗后,观察组胃脘疼痛、嗳气、反酸改善时间均短于对照组,差异均有统计学意义(P<0.05)。治 疗前,2 组胃黏膜功能指标胃泌素(GAS)、胃蛋白酶原Ⅱ(PGⅡ)、胃蛋白酶原Ⅰ(PGⅠ) 水平比较,差异无 统计学意义(P>0.05)。治疗后,2 组GAS 水平均较治疗前降低(P<0.05),PGⅡ、PGⅠ水平较治疗前升 高(P<0.05);且观察组上述指标改善较对照组更显著(P<0.05)。治疗前,2 组血清降钙素原(PCT)、白细 胞介素-32 (IL-32)、转化生长因子-β1 (TGF-β1) 水平比较,差异无统计学意义(P>0.05);治疗后,2 组 PCT、IL-32、TGF-β1 水平均较治疗前降低(P<0.05),且观察组上述各项指标均低于对照组(P<0.05)。结 论:胃苏颗粒联合常规西药治疗十二指肠溃疡伴慢性胃炎临床疗效显著,能明显改善患者临床症状,加快修复 胃黏膜,减轻机体炎症反应。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the therapy of Weisu Granules combined with Rabeprazole Sodium Enteric- Coated Tablets on duodenal ulcer complicated with chronic gastritis and its effect on levels of gastric mucosa function and inflammatory factors. Methods:A total of 100 patients with duodenal ulcer complicated with chronic gastritis were randomly divided into the observation group and the control group, with 50 cases in each group. The control group was treated with Amoxicillin Capsules, Clarithromycin Tablets and Rabeprazole Sodium Enteric- Coated Tables, and the observation group was additionally treated with Weisu Granules based on the treatment of the control group. The two groups were treated for two weeks. The clinical effects and levels of gastric mucosa function and inflammatory factors in the two groups were compared and analyzed. Results: The effective rate and total effective rate were 70.0% and 98.0% in the observation group respectively, and 38.0% and 84.0% in the control group respectively, differences being significant(P<0.05). After treatment, the improvement time of gastric cavity pain, belching and acid reflux in the observation group was shorter than that in the control group, differences being significant(P<0.05). Before treatment,there was no significant difference being found in the comparisons of indexes of gastric mucosa function,including levels of gastin(GAS),pepsinogen(PG)Ⅱ and PGⅠ,between the two groups(P>0.05). After treatment,the levels of GAS in the two groups were decreased when compared with those before treatment(P<0.05),and the levels of PGⅡ and PGⅠ were increased(P<0.05);the improvement of above three indexes in the observation group was more significant than that in the control group(P<0.05). Before treatment,there was no significant difference being found in the comparisons of levels of serum procalcitionin(PCT), interleukin- 32(IL- 32) and transforming grouth factor beta 1(TGF- β1) between the two groups(P>0.05);after treatment,the levels of PCT,IL- 32 and TGF-β1 in the two groups were decreased when compared with those before treatment(P<0.05),and the above three levels in the treatment group were lower than those in the control group(P<0.05). Conclusion: The therapy of Weisu Granules combined with routine western medicine has a significant clinical effect on duodenal ulcer complicated with chronic gastritis,which can significantly improve the clinincal symptoms of patients,accelerate the recovery of gastric mucosa,and reduce the inflammatory responses of the body.

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陈杨雷,陈媛媛,张勤.胃苏颗粒联合常规西药治疗十二指肠溃疡伴慢性胃炎疗效观察及对胃黏膜功能、炎症因子的影响[J].新中医,2022,54(24):73-76

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  • 在线发布日期: 2023-01-01
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