疏肝和胃汤联合替普瑞酮胶囊治疗慢性萎缩性胃炎临床研究
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Clinical Study on Shugan Hewei Decoction Combined with Teprenone Capsules for Chronic Atrophic Gastritis
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    摘要:

    目的:观察疏肝和胃汤联合替普瑞酮胶囊治疗慢性萎缩性胃炎(CAG) 肝胃不和证的临床疗效。 方法:将110例CAG肝胃不和证患者以随机数字表法分为治疗组与对照组,每组55例。伴幽门螺杆菌(Hp) 感染者给予四联疗法治疗,对照组在此基础上给予替普瑞酮胶囊治疗,治疗组在对照组基础上给予疏肝和胃汤 治疗,2组均治疗1个月。比较2组临床疗效,中医证候评分,胃泌素(GAS)、胃蛋白酶原(PG) Ⅰ、PGⅡ水 平,PGⅠ/PGⅡ值及炎症指标[白细胞介素-6(IL-6)、超敏C-反应蛋白(hs-CRP)] 水平。结果:治疗后, 治疗组临床疗效总有效率90.91%,高于对照组76.36%(P<0.05)。2组胃脘疼痛或胀满、两胁胀满、嗳气频 作、情志不畅、心烦、善太息评分均较治疗前降低(P<0.05),治疗组上述6项中医证候评分均低于对照 组(P<0.05)。2组血浆GAS、血清PGⅠ水平及PGⅠ/PGⅡ值均较治疗前升高(P<0.05),2组血清PGⅡ水平 均较治疗前降低(P<0.05);治疗组血浆GAS、血清PGⅠ及PGⅠ/PGⅡ值均高于对照组(P<0.05),血清 PGⅡ水平低于对照组(P<0.05)。2 组血清IL-6、hs-CRP 水平均较治疗前降低(P<0.05),治疗组血清 IL-6、hs-CRP水平均低于对照组(P<0.05)。结论:在替普瑞酮胶囊基础上加用疏肝和胃汤治疗CAG肝胃不 和证可提高临床疗效,有效缓解患者的症状,调节机体GAS、PG水平,减轻炎症反应。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Shugan Hewei Decoction combined with Teprenone Capsules on chronic atrophic gastritis (CAG) with syndrome of liver- stomach disharmony. Methods:A total of 110 CAG patients with syndrome of liver- stomach disharmony were divided into the treatment group and the control group according to the random number table method, with 55 cases in each group. The patients infected with helicobacter pylori (Hp) were treated with quadruple chemotherapy, the control group was additionally given Teprenone Capsules for treatment,and the treatment group was additionally given Shugan Hewei Decoction based on the treatment of the control group. Both groups were treated for 1 month. The clinical effects, traditional Chinese medicine (TCM) syndrome scores, levels of gastrin (GAS) and pepsinogen (PG)I and PGII, values of PGI/PGII, and levels of inflammatory indexes including interleukin-6 (IL-6) and hypersensitive-C reactive protein (hs-CRP) were compared between the two groups. Results:After treatment,the total clinical effective rate was 90.91% in the treatment group, higher than that of 76.36% in the control group (P<0.05). The scores of epigastric pain or distension, distension and fullness in both rib- sides, frequent eructation, emotional disorders, vexation, and frequent sighing in both groups were decreased when compared with those before treatment (P<0.05), the above six TCM syndrome scores in the treatment group were lower than those in the control group (P< 0.05). The levels of plasma GAS and serum PGⅠ,and PGⅠ/PGⅡ values in the two groups were increased when compared with those before treatment (P<0.05),and the serum PG II levels were decreased when compared with those before treatment (P<0.05);the levels of plasma GAS and serum PGⅠ,and PGⅠ/ PGⅡ values in the treatment group were higher than those in the control group (P<0.05),and the serum PGⅡ level was lower than that in the control group (P<0.05). The levels of serum IL-6 and hs-CRP in both groups were decreased when compared with those before treatment (P<0.05),and the above 2 levels in the treatment group were lower than those in the control group (P<0.05). Conclusion: Based on Teprenone Capsules, Shugan Hewei Decoction is additionally used to treat CAG with syndrome of liverstomach disharmony, which can enhance the clinical effect, effectively mitigate the symptoms of patients,regulate the levels of GAS and PG of the body and reduce the inflammatory responses.

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陈勇,俞菊英,卜昌荣,陈中原.疏肝和胃汤联合替普瑞酮胶囊治疗慢性萎缩性胃炎临床研究[J].新中医,2023,55(16):91-95

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  • 在线发布日期: 2023-08-31
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