首页|自拟养胃汤治疗脾胃虚弱型慢性萎缩性胃炎的疗效分析

自拟养胃汤治疗脾胃虚弱型慢性萎缩性胃炎的疗效分析

扫码查看
目的 分析自拟养胃汤治疗脾胃虚弱型慢性萎缩性胃炎患者的临床效果。方法 34 例脾胃虚弱型慢性萎缩性胃炎患者,随机分为观察组和对照组,各 17 例。对照组给予常规西药治疗,观察组在对照组基础上给予自拟养胃汤治疗。比较两组患者中医证候积分和病理学特征评分、胃内膜腺体功能[胃泌素-17(G-17)、胃动素(MOT)、白细胞介素-2 受体(sIL-2R)、内皮素(ET)]、免疫功能(CD4+、CD8+、CD4+/CD8+)。结果 治疗后,观察组患者的胃脘胀满、胃脘疼痛、形体消瘦、大便稀溏积分分别为(0。57±0。36)、(0。72±0。14)、(1。81±0。34)、(0。71±0。41)分,显著低于对照组的(1。62±0。78)、(1。45±0。34)、(2。86±0。45)、(1。38±0。48)分,差异有统计学意义(P<0。05)。治疗后,观察组患者的异型增生、腺体萎缩、肠上皮化生、慢性炎症评分分别为(0。84±0。12)、(3。24±0。31)、(2。84±0。55)、(2。11±0。19)分,显著低于对照组的(1。61±0。54)、(4。38±0。53)、(4。31±0。90)、(2。97±0。36)分,差异有统计学意义(P<0。05)。治疗后,观察组患者的G-17、MOT、CD4+、CD4+/CD8+水平显著高于对照组,sIL-2R、ET、CD8+水平显著低于对照组,差异有统计学意义(P<0。05)。结论 通过自拟养胃汤治疗脾胃虚弱型慢性萎缩性胃炎,能够明显改善患者的临床症状,修复胃黏膜,疗效确切,可以在临床推广使用。
Analysis of efficacy of self-made Yangwei decoction on chronic atrophic gastritis patients with deficiency of spleen and stomach syndrome
Objective To analyze the clinical effect of self-made Yangwei decoction on chronic atrophic gastritis patients with deficiency of spleen and stomach syndrome.Methods 34 cases of chronic atrophic gastritis patients with deficiency of spleen and stomach syndrome were randomly divided into an observation group and a control group,with 17 cases in each group.The control group was treated with conventional western medicine,and the observation group was treated with self-made Yangwei decoction on the basis of the control group.The traditional Chinese medicine syndrome score,histopathologic score,gastric endometrial glandular function[gastrin-17(G-17),motilin(MOT),soluable interleukin-2 receptor(sIL-2R),endothelin(ET)]and immune function(CD4+,CD8+,CD4+/CD8+)were compared between the two groups.Results After treatment,the scores of gastric fullness,pain,weight loss and loose stool in the observation group were(0.57±0.36),(0.72±0.14),(1.81±0.34)and(0.71±0.41)points,which were significantly lower than(1.62±0.78),(1.45±0.34),(2.86±0.45),(1.38±0.48)points in the control group.The difference was statistically significant(P<0.05).After treatment,the scores of dysplasia,gland atrophy,intestinal metaplasia and chronic inflammation in the observation group were(0.84±0.12),(3.24±0.31),(2.84±0.55)and(2.11±0.19)points,which were significantly lower than(1.61±0.54),(4.38±0.53),(4.31±0.90)and(2.97±0.36)points in the control group.The difference was statistically significant(P<0.05).After treatment,the levels of G-17,MOT,CD4+,CD4+/CD8+ in the observation group were significantly higher than those in the control group,while the levels of sIL-2R,ET,CD8+ in the observation group were significantly lower than those in the control group.The difference was statistically significant(P<0.05).Conclusion Self-made Yangwei decoction is effective for the treatment of chronic atrophic gastritis with deficiency of the spleen and stomach syndrome.It can obviously improve the clinical symptoms of the patients and repair gastric mucosa,so it can be widely used in clinical practice.

Self-made Yangwei decoctionDeficiency of spleen and stomach syndromeChronic atrophic gastritisHelicobacter pylori

孙晓鹏、贾淑兰

展开 >

118000 丹东市中医院脾胃病科

自拟养胃汤 脾胃虚弱 慢性萎缩性胃炎 幽门螺杆菌

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(7)
  • 10