首页|藏药三味甘露丸、喜思散、朱迪丸治疗反流性食管炎的临床效果

藏药三味甘露丸、喜思散、朱迪丸治疗反流性食管炎的临床效果

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目的 探究藏药三味甘露丸、喜思散、朱迪丸治疗反流性食管炎的临床疗效.方法 将2020年3月至2022年3月收治的192例反流性食管炎患者以随机数表法分成对照组和观察组两组.对照组应用常规西药治疗,观察组运用藏药进行治疗,20d为一个疗程.对比整体疗效、症状评分、食管黏膜分级、不良反应,以及随访6个月调查病人反流性食管炎复发状况.结果 治疗总有效率观察组96.88%高于对照组89.58%(P<0.05).治疗1个疗程后,两组嗳气反流、胃灼热、胸骨后疼痛不适、内镜下食管黏膜分级评分均较治疗前明显降低,且观察组1.14±0.71分、0.51±0.50分、0.74±0.44分、0.96±0.48分均低于对照组1.33±0.64分、0.84±0.37分、1.02±0.41分、1.10±0.51分(P<0.05).不良反应观察组发生率1.04%与对照组2.08%对比P>0.05.疾病复发率观察组6.25%低于对照组16.67%(P<0.05).结论 藏医常用药物治疗反流性食管炎临床疗效良好,可以改善局部充血糜烂灶及相关的病症体征,并能够减少疾病复发,且安全性良好.
Clinical Effect of Tibetan medicine Sanwei Ganlu Wan,Xisi San and Zhudi Wan in the treatment of reflux esophagitis
Objective To explore the clinical efficacy of Tibetan medicine Sanwei Ganlu Wan,Xisi San and Zhudi Wan in the treatment of reflux esophagitis.Methods A total of 192 patients with reflux esophagitis admitted from March 2020 to March 2022 were divided into control group and observation group by using a random number table method.The control group was treated with conventional Western medicine,and the observation group was treated with Tibetan medicine for a course of treatment for 20 days.The overall efficacy,symptom score,esophageal muco-sal grading,adverse reactions were compared,and a 6-month follow-up was carried out to investigate the recurrence of reflux esophagitis.Results The total effective rate of treatment in the observation group was 96.88%,higher than that in the control group(89.58%,P<0.05).After one course of treatment,belching reflux,heartburn,retrosternal pain and discomfort,and endoscopic esophageal mucosal grading scores in both groups were significantly lower than those before treatment,and the corresponding scores of 1.14±0.71,0.51±0.50,0.74±0.44 and 0.96±0.48 in the ob-servation group were lower than those in the control group(1.33±0.64,0.84±0.37,1.02±0.41,and 1.10±0.51)(P<0.05).The incidence of adverse reactions was 1.04%in observation group and 2.08%in the control group,with no difference(P>0.05).The recurrence rate of the disease was 6.25%in observation group and 16.67%in the control group(P<0.05).Conclusion The commonly used Tibetan medicine have good clinical efficacy in the treatment of reflux esophagitis,which can improve the local congestion and related symptoms and signs,reduce disease recur-rence,and have good safety.

Tibetan MedicineReflux esophagitisMaxiu SuonaiSanwei Ganlu WanXisi SanZhudi Wan

巴桑顿珠、白张、央美

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西藏藏医药大学,拉萨 850000

藏医药 反流性食管炎 麻秀索乃 三味甘露丸 喜思散 朱迪丸

2024

西藏科技
西藏科技信息研究所

西藏科技

影响因子:0.202
ISSN:1004-3403
年,卷(期):2024.46(7)
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