首页|小陷胸汤加减联合兰索拉唑治疗脾虚湿热证老年反流性食管炎临床观察

小陷胸汤加减联合兰索拉唑治疗脾虚湿热证老年反流性食管炎临床观察

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目的 观察小陷胸汤加减联合兰索拉唑治疗脾虚湿热证老年反流性食管炎临床疗效.方法 抽取湖北省中医院住院部2017年1月至2017年12月间住院的34例老年患者,参考中西医诊断标准,按随机数字表法分成治疗组和对照组各17例,对照组患者住院期间静脉滴注30 mg/d兰索拉唑1周,出院后继续口服30 mg/d兰索拉唑3周,治疗组在对照组基础上,联合口服中药小陷胸汤加减,联合组和单纯西药组的患者均连续用药4周.观察患者反流等临床症状缓解程度、主症反流消失时间、反流程度积分等情况.结果 治疗后,联合组中医证候积分明显优于对照组,且反流消失时间积分优于单纯西药组,半年后复查内镜反流程度积分小于对照组.差异均有统计学意义.结论 小陷胸汤加减联合兰索拉唑治疗脾虚湿热证老年反流性食管炎,可快速缓解症状,促使食管黏膜修复愈合,临床疗效显著.
Clinical Observation on Xiaoxianxiongtang Modified Decoction Combined with Lansoprazole in Treating Senile Reflux Esophagitis of Syndrome of Dampness-heat due to Spleen Deficiency
Objective To observe the clinical efficacy of Xiaozhanxiong modified decoction combined with lansoprazole in the treatment of syndrome of dampness-heat due to Spleen deficiency in elderly patients with reflux esophagitis. Methods Thirty-four elderly patients hospitalized from January 2017 to December 2017 in the inpatient department of Hubei Provincial Hospital of Traditional Chinese Medicine were enrolled. According to the diagnostic criteria of Chinese and Western medicine, they were divided into treatment group and control group with 17 cases in each group by the random number table method. During hospitalization, 30 mg/d lansoprazole was intravenously infused for 1 week. After discharge, 30 mg/d oral lansoprazole was continued for 3 weeks. The treatment group was combined with oral Chinese medicine Xiaoxianxiongtang modified decoction on the basis of the control group. Patients in the each group were treated continuously for 4 weeks. Observe the degree of clinical symptom relief such as reflux, the time of disappearance of main symptom reflux, and the score of reflux degree. Results After treatment, the scores of TCM syndromes in the combined group were significantly better than those in the control group, and the time of disappearance of reflux was better than that of the western medicine group. The score of endoscopic reflux was less than that of the control group after half a year. The differences were statistically significant. Conclusion Xiaoxianxiong modified decoction combined with lansoprazole in the treatment of syndrome of dampness-heat due to Spleen deficiency in elderly patients with reflux esophagitis can quickly relieve symptoms and promote healing of esophageal mucosa. The clinical effect is significant.

Xiaoxianxiongtang modified decoctionSenile Reflux EsophagitisClinical Observation

杨明

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湖北中医药大学,湖北 武汉

小陷胸汤化裁 老年反流性食管炎 临床观察

2019

世界最新医学信息文摘(连续型电子期刊)
世界图书出版有限公司

世界最新医学信息文摘(连续型电子期刊)

影响因子:0.139
ISSN:1671-3141
年,卷(期):2019.19(93)
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