首页|中药汤剂加减治疗胆汁反流性胃炎的有效率分析

中药汤剂加减治疗胆汁反流性胃炎的有效率分析

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目的 分析中药汤剂加减治疗胆汁反流性胃炎的有效率.方法 方便选取2022年10月—2023年7月于南京市江宁中医院接受治疗的128例胆汁反流性胃炎患者作为研究对象,用随机数表法将其分为两组,各64例.对照组用传统西药治疗,观察组用中药汤剂加减治疗,比较两组临床疗效、中医证候与胃镜积分、症状改善情况、胃肠激素水平.结果 治疗后,观察组治疗总有效率(96.88%)高于对照组(85.94%),差异有统计学意义(χ2=4.873,P=0.027).治疗前,两组患者中医证候积分、胃镜积分、各项症状评分、胃泌素(Gastrin,GAS)以及胃动素(Montilin,MTL)水平对比,差异无统计学意义(P均>0.05).治疗后,观察组中医证候积分、胃镜积分、症状评分、GAS及MTL水平均低于对照组,差异有统计学意义(P均<0.05).结论 在胆汁反流性胃炎患者治疗中,使用中药汤剂治疗并结合患者临床症状调整中药汤剂的剂量能有效改善患者的临床症状,降低患者胃肠激素水平.
Effectiveness of Chinese Herbal Decoction in the Treatment of Bile Reflux Gastritis
Objective To analyze the effectiveness of Chinese herbal decoction in the treatment of bile reflux gastritis.Methods A total of 128 patients with bile reflux gastritis diagnosed and treated in Nanjing Jiangning Hospital of Tradi-tional Chinese Medicine from October 2022 to July 2023 were conveniently selected as the study objects and were di-vided into two groups,with 64 cases in each group according to the method of random number table.The control group was treated with traditional western medicine,and the observation group was treated with Chinese herbal decoction.The curative effect,traditional Chinese medicine(TCM)syndrome and gastroscopy scores,symptom improvement and gastrointestinal hormone levels were compared between the two groups.Results After treatment,the total effective rate of observation group(96.88%)was higher than that of control group(85.94%),the difference was statistically signifi-cant(χ2=4.873,P=0.027).There was no significant difference in TCM syndrome scores,gastroscopy scores,symptom score,gastrin(GAS)and montilin(MTL)levels between the two groups before treatment(all P>0.05).After treatment TCM syndrome scores,gastroscopy scores,symptom scores,GAS and MTL levels of observation group were lower than those of control group,the differences were statistically significant(all P<0.05).Conclusion In the treatment of pa-tients with bile reflux gastritis,useing Chinese herbal decoction and adjusting the dosage of Chinese herbal decoction combined with the clinical symptoms can effectively improve the clinical symptoms of patients and reduce the level of gastrointestinal hormone.

Chinese herbal decoctionBile reflux gastritisEffective rate

孙超、代金钟、李慧

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南京市江宁中医院消化科,江苏南京 211100

江苏省中西医结合医院消化科,江苏南京 210046

中药汤剂 胆汁反流性胃炎 有效率

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(8)
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