首页|"虚-瘀-毒"理论下的补脾逐瘀解毒方治疗慢性萎缩性胃炎患者的效果及其对胃蛋白酶原、炎症因子水平的影响

"虚-瘀-毒"理论下的补脾逐瘀解毒方治疗慢性萎缩性胃炎患者的效果及其对胃蛋白酶原、炎症因子水平的影响

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目的 探讨"虚-瘀-毒"理论下的补脾逐瘀解毒方治疗慢性萎缩性胃炎患者的效果及其对胃蛋白酶原(PG)、炎症因子水平的影响.方法 选取86例慢性萎缩性胃炎患者作为研究对象,随机将其分为对照组和研究组,每组43例.对照组行常规治疗,研究组在对照组基础上增加"虚-瘀-毒"理论下的补脾逐瘀解毒方,两组均治疗8周.比较两组患者临床疗效、中医证候积分、PG和炎症因子水平.结果 治疗8周后,研究组总有效率和PGⅠ、PGⅡ水平均高于对照组,胃脘胀痛、胸肋疼痛、乏力、嗳气分值和白细胞介素-6、肿瘤坏死因子-α、C反应蛋白、肿瘤特异性生长因子水平均低于对照组(均P<0.05).结论 "虚-瘀-毒"理论下的补脾逐瘀解毒方能够有效地减轻慢性萎缩性胃炎患者的临床症状,改善胃黏膜损伤情况,减轻炎症反应,提高治疗效果.
Effectiveness of the formula of spleen-tonifying,stasis-dispelling,and toxins-removing under the theory of"deficiency-stasis-toxins"in the treatment of patients with chronic atrophic gastritis and its effects on the pepsinogen and inflammatory factors leve
Objective To explore the effectiveness of the formula of spleen-tonifying,stasis-dispelling,and toxins-removing under the theory of"deficiency-stasis-toxins"in the treatment of patients with chronic atrophic gastritis and its effects on the pepsinogen(PG)and inflammatory factors levels.Methods A total of 86 patients with chronic atrophic gastritis were selected as the study subjects and randomly divided into a control group or a study group,with 43 cases in each group.The control group was given conventional treatment,based on which the study group was given the formula of spleen-tonifying,stasis-dispelling,and toxins-removing under the theory of"deficiency-stasis-toxins"additionally,and both groups were treated for 8 weeks.The clinical efficacy,traditional Chinese medicine syndromes scores,and levels of PG and inflammatory factors were compared between the two groups.Results After 8 weeks of treatment,the total effective rate and levels of PG Ⅰ and PG Ⅱ in the study group were higher than those in the control group.The scores of epigastric distending pain,chest and rib pain,fatigue,and belching,as well as levels of interleukin-6,tumor necrosis factor-α,C-reactive protein,and tumor-specific growth factor,were lower than those in the control group(all P<0.05).Conclusion The formula of spleen-tonifying,stasis-dispelling,and toxins-removing under the theory of"deficiency-stasis-toxins"can effectively ameliorate the clinical symptoms,improve the damage of gastric mucosa,reduce inflammatory response,and improve the treatment effect in patients with chronic atrophic gastritis.

The theory of"deficiency-stasis-toxins"The formula of spleen-tonifying,stasis-dispelling,and toxins-removingChronic atrophic gastritisPepsinogenInflammatory factor

武瑞平、牛栋良、李晶晶

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河南省鹤壁市中医院综合内科,鹤壁市 458030

河南省鹤壁市中医院肝胆脾胃科,鹤壁市 458030

河南省鹤壁市中医院老年病科,鹤壁市 458030

"虚-瘀-毒"理论 补脾逐瘀解毒方 慢性萎缩性胃炎 胃蛋白酶原 炎症因子

2024

内科
广西壮族自治区医学科学情报研究所

内科

影响因子:0.905
ISSN:1673-7768
年,卷(期):2024.19(2)
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