首页|乌梅丸治疗寒热错杂型慢性萎缩性胃炎伴幽门螺杆菌阳性临床研究

乌梅丸治疗寒热错杂型慢性萎缩性胃炎伴幽门螺杆菌阳性临床研究

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目的 观察乌梅丸治疗寒热错杂型慢性萎缩性胃炎(CAG)伴幽门螺杆菌(Hp)阳性的临床疗效.方法 将60例寒热错杂型CAG伴Hp阳性患者按照随机数字表法为对照组(30例)和治疗组(30例),对照组予常规四联疗法治疗,治疗组在对照组治疗基础上加乌梅丸治疗,2组均治疗14 d.比较2组临床疗效、Hp清除率及不良反应发生率,比较2组治疗前后中医证候评分和白细胞介素1 β(IL-1β)、白细胞介素6(IL-6)水平.结果 治疗组总有效率为96.67%(29/30),对照组为73.33%(22/30),治疗组总有效率高于对照组(P<0.05).治疗后,2组各项主症、次症评分及IL-1β、IL-6水平均较本组治疗前降低(P<0.05),且治疗组均低于对照组(P<0.05).治疗组Hp清除率为96.67%(29/30),对照组为73.33%(22/30),治疗组Hp清除率高于对照组(P<0.05).治疗组不良反应总发生率为3.33%(1/30),对照组为33.33%(10/30),治疗组不良反应总发生率低于对照组(P<0.05).结论 乌梅丸治疗寒热错杂型CAG伴Hp阳性患者能提高临床疗效和Hp清除率,改善临床症状,抑制IL-1β、IL-6水平.
Clinical efficacy of Wumei Pill for helicobacter pylori positive chronic atrophic gastritis of cold and heat miscellaneous type
Objective To explore the clinical efficacy of Wumei Pill for helicobacter pylori(Hp)-positive chronic atrophic gastritis(CAG)of cold and heat miscellaneous type.Methods Sixty patients with Hp-positive CAG of cold and heat miscellaneous type were randomly assigned into treatment group(n=30)and control group(n=30).All patients were managed by routine quadruple therapy,and those in treatment group were additionally treated with Wumei Pill.treated for 14 days,the aim was to compare Hp clearance rate,incidence of adverse reactions,traditional Chinese medicine(TCM)syndrome score,interleukin 1β(IL-1β),interleukin 6(IL-6).The curative effect was assessed.Results The overall effective rate in the treatment group was significantly higher than that in the control group(96.67%[29/30]vs 73.33%[22/30],P<0.05).After treatment,TCM symptom(main symptom and secondary symptoms)scores,IL-1 β and IL-6 levels in groups were significantly decreased(P<0.05),which decreased notably in the treatment group compared with the control group(P<0.05).The Hp clearance rate was significantly higher in the treatment group compared with the control group(96.67%[29/30]vs 73.33%[22/30]),P<0.05).The total incidence of adverse reactions in the treatment group was significantly lower than that in the control group(3.33%[1/30]vs 33.33%[10/30],P<0.05).Conclusion Wumei Pill can improve clinical efficacy,Hp clearance rate and clinical symptoms,and inhibit IL-1 β and IL-6 levels in patients with Hp-positive CAG of cold and heat miscellaneous type.

Atrophic gastritisWumei PillCold and heat miscellaneous

毛乐、周丽平、李成龙

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江苏省南京市浦口区中医院中医内科,江苏 南京 211800

江苏省南京市浦口区中医院消化内科,江苏 南京 211800

胃炎,萎缩性 乌梅丸 寒热错杂

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(12)