首页|益胃清中汤联合西药治疗脾胃湿热证慢性胃炎患者的疗效观察

益胃清中汤联合西药治疗脾胃湿热证慢性胃炎患者的疗效观察

Efficacy of Yiwei Qingzhong Decoction Combined with Western Medicine in the Treatment of Chronic Gastritis with Dampness-Heat Syndrome of Spleen and Stomach

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目的:观察脾胃湿热证慢性胃炎患者应用益胃清中汤联合西药治疗的效果.方法:选取永新县中医院 2018 年 5 月—2021 年 5 月收治的 76 例慢性胃炎(脾胃湿热证)患者,按随机数字表法分为 2 组,各 38 例.对照组行四联疗法治疗,观察组行四联疗法联合益胃清中汤治疗,比较2 组疗效、Hp根除率、不良反应及中医证候积分.结果:观察组 94.74%的总有效率高于对照组的71.05%(P<0.05);观察组97.37%的Hp根除率高于对照组的73.68%(P<0.05);观察组治疗后6周嗳气反酸、上腹胀满及胃痛评分较对照组更低(P<0.05);不良反应发生率观察组较对照组更低(P<0.05).结论:脾胃湿热证慢性胃炎患者应用益胃清中汤联合西药治疗有利于提高疗效,可有效根除Hp,且不良反应少,可确保治疗安全性.
Objective:To study the efficacy of Yiwei Qingzhong decoction combined with western medicine in the treatment of chronic gastritis with dampness-heat syndrome of spleen and stomach.Methods:Selecting Yongxin hospital of TCM from May 2018 to May 2021 treated 76 cases of patients with chronic gastritis(dampness-heat syndrome of spleen and stomach),grouped according to random number table method,the control group(38 cases)treated with quadruple therapy,the treatment group(38 cases)treated with quadruple therapy in combination with Yiwei Qingzhong decoction,compared two groups of curative effect,Hp eradicate rate,adverse reaction and TCM syndrome integral.Results:The total effective rate of treatment group was 94.74%,which was higher than that of control group 71.05%(P<0.05).Hp eradication rate of 97.37%in the treatment group was higher than that of 73.68%in the control group(P<0.05).The scores of belching and acid regurgitation,upper abdominal distension and stomachache in the treatment group were lower than those in the control group at 6 weeks after treatment(P<0.05).The incidence of adverse reactions in the treatment group was lower than that in the control group(P<0.05).Conclusion:Yiwei Qingzhong decoction combined with western medicine in the treatment of chronic gastritis with dampness-heat syndrome of spleen and stomach is beneficial to improve the curative effect,can effectively eradicate Hp,and has less adverse reactions,which can ensure the safety of treatment.

Dampness-Heat Syndrome of Spleen and StomachYiwei Qingzhong DecoctionChronic GastritisCombination TherapyHelicobacter Pylori

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永新县中医院 江西 永新 343400

脾胃湿热证 益胃清中汤 慢性胃炎 联合治疗 幽门螺杆菌

2024

江西中医药大学学报
江西中医学院

江西中医药大学学报

影响因子:0.575
ISSN:2095-7785
年,卷(期):2024.36(3)
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