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

Clinical Effect of Tibetan medicine Sanwei Ganlu Wan,Xisi San and Zhudi Wan in the treatment of reflux esophagitis

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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.
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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