首页|调脾养胃汤加减联合雷贝拉唑治疗湿热壅滞型反流性胃炎的临床研究

调脾养胃汤加减联合雷贝拉唑治疗湿热壅滞型反流性胃炎的临床研究

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目的 探讨调脾养胃汤加减联合雷贝拉唑治疗湿热壅滞型反流性胃炎的临床效果.方法 选取2013年4月~2015年2月我院收治的胆囊切除术所致反流性胃炎患者88例为研究对象,中医辨证分型为湿热壅滞型,采用随机数表法分为观察组和对照组,各44例,对照组给予雷贝拉唑、枸橼酸莫沙必利片等西药治疗,观察组在此基础上加服自拟调脾养胃汤,均治疗3个月,比较2组治疗有效率,同时应用酶联免疫吸附试验(ELISA)分析2组治疗前后肿瘤坏死因子-α(TNF-α)、白细胞介素-8(IL-8)水平,采用生活质量评分表(QOL)及数字疼痛评分法(NRS)比较2组生活质量及疼痛改善程度,并观察胆汁反流复发及不良反应.结果 观察组治疗有效率93.18%明显高于对照组77.27%(P<0.05);治疗后观察组QOL评分(121.29±1.88)分高于对照组(P<0.05),观察组TNF-α(13.21±1.29)pg/mL、IL-8(8.58±1.64)pg/mL及NRS评分(2.10±0.71)分较对照组低(P<0.05);胆汁检测结果显示观察组治疗后胆汁反流总时间(10.17±1.28)min、反流次数(45.68±1.26)次/d明显低于对照组(P<0.05);观察组不良反应发生率11.36%与对照组4.54%比较无显著差异.结论 调脾养胃汤加减联合雷贝拉唑可有效治疗湿热壅滞型反流性胃炎,减少胆汁反流,改善患者炎症因子水平、生活质量及疼痛,且不良反应轻,值得在临床推广应用.
Clinical study on treatment of damp-heat and resistant gastritis by regulating spleen yangwei decoction combined with rabeprazole
Objective To investigate the clinical effect of regulating Spleen Yangwei Decoction combined with rabeprazole in the treatment of rheumatoid gastritis with hot and humid obstruction.MethodsFrom April 2013 to February 2015, 88 patients with reflux gastritis caused by cholecystectomy in our hospital were selected as the subjects.TCM syndrome differentiation was hot and humid type, and random number table was divided into observation Group and control group of 44 cases, the control group given rabeprazole, citrate xylapril tablets and other Western medicine treatment, observation group on the basis of this plus self-adjusting spleen and stomach soup, are treated for 3 months, (TNF-α) and interleukin-8 (IL-8) levels were measured by enzyme-linked immunosorbent assay (ELISA) in the two groups before and after treatment, and the quality of life scale was used to evaluate the levels of tumor necrosis factor-α (TNF-α) (QOL) and digital pain score (NRS) were compared between the two groups to improve the quality of life and pain, and to observe the recurrence of bile reflux and adverse reactions.ResultsThe effective rate was 93.18% in the observation group and 77.27% higher than that in the control group (P<0.05).The QOL score (121.29±1.88) in the observation group was higher than that in the control group(P<0.05).The results of bile test showed that the levels of pg/mL, IL-8 (8.58±1.64) pg/mL and NRS (2.10±0.71) were lower than those in the control group (P<0.05).There was no significant difference between the observation group (11.36%) and the control group (4.54%).The incidence of adverse reactions in the observation group was significantly lower than that in the control group (P< 0.05).ConclusionModified Spleen Yangwei Decoction combined with rabeprazole can effectively treat rheumatoid reflux gastritis, reduce bile reflux, improve the level of inflammatory factors, quality of life and pain, and mild adverse reactions, it is worth in the clinical promotion application.

regulating spleen and stomach souprabeprazolehot and humid stagnation typereflux gastritis

渭秀平、李琴

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青海省中医院药剂科,青海西宁810000

调脾养胃汤 雷贝拉唑 湿热壅滞型 反流性胃炎

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.(5)
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