首页|自拟柴胡香附方治疗慢性萎缩性胃炎的临床研究

自拟柴胡香附方治疗慢性萎缩性胃炎的临床研究

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目的:探究李培教授自拟柴胡香附方对慢性萎缩性胃炎肝郁脾虚兼湿热证的临床疗效观察,论证其安全性和有效性.方法:选取2021年5月至2022年10月于本院就诊的50例慢性萎缩性胃炎(肝郁脾虚兼湿热证)患者为研究对象,采用柴胡香附方加减进行治疗,比较治疗前后中医症候积分、胃镜征象疗效、病理组织学疗效,记录安全性指标以及不良反应的发生情况.结果:患者治疗总有效率为92%,对治疗前后胃镜及病理评价显示(慢性炎症、萎缩)治疗后低于治疗前且有显著差异(P<0.05);对中医症候积分在治疗前后进行配对t检验显示胃痛、胃脘胀满、泛酸、嗳气和中医症候总积分均是治疗后低于治疗前且有显著差异(P<0.05),烧心在治疗前后无显著差异(P>0.05);用药期间无不良事件发生.结论:柴胡香附方对肝郁脾虚兼湿热型慢性萎缩性胃炎患者的症状明显改善,对病变胃黏膜具有修复作用,用药是有效且安全的.
Clinical Study on the Treatment of Chronic Atrophic Gastritis with Self-formulated Chaihu-Xiangfu Prescription
Objective:To investigate the clinical efficacy,safety,and effectiveness of the self-formulated Chaihu-Xiang-fu prescription devised by Professor Li Pei in treating chronic atrophic gastritis(CAG)with liver stagnation,spleen deficiency,and damp-heat syndrome.Methods:A total of 50 patients with CAG(liver stagnation,spleen deficiency,and damp-heat syn-drome)who visited our hospital from May 2021 to October 2022 were selected as the study subjects.They were treated with the Chaihu-Xiangfu prescription with modifications.The traditional Chinese medicine(TCM)syndrome scores,endoscopic findings,histopathological efficacy,safety indicators,and the occurrence of adverse reactions before and after treatment were compared.Results:The total effective rate of treatment was 92%.Endoscopic and pathological evaluations before and after treatment showed significant reductions in chronic inflammation and atrophy scores(P<0.05).Paired t-tests on TCM syndrome scores before and after treatment revealed significant reductions in epigastric pain,epi-gastric distension,acid regurgitation,belching,and total TCM syndrome scores(P<0.05),while heartburn did not show significant difference(P>0.05).No adverse events occurred during medication.Conclusion:The Chaihu-Xiangfu prescription significantly improves symptoms in patients with CAG with liver stagnation,spleen deficiency,and damp-heat syndrome,repairs lesioned gastric mucosa,and is effective and safe for use.

Chaihu-Xiangfu prescriptionChronic atrophic gastritisLiver stagnation and spleen deficiency syndromeDamp-heat syndrome

滕爽、王黎明、丰纪明、王亚茜、谭巧、贾振乾

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成都中医药大学,四川成都 610075

绵阳市中医医院,四川绵阳 621000

柴胡香附方 慢性萎缩性胃炎 肝郁脾虚证 湿热证

2024

黔南民族医专学报
黔南民族医学高等专科学校

黔南民族医专学报

影响因子:0.235
ISSN:1008-4983
年,卷(期):2024.37(4)