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任顺平教授治疗慢性萎缩性胃炎的疗效观察及经验分析

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目的:探析任顺平教授活血通络方治疗慢性萎缩性胃炎的疗效观察及经验分析。方法:采用回顾性研究和自身对照的方法,共收集262例慢性萎缩性胃炎患者病例资料,患者均口服活血通络方治疗6个月,记录治疗前后的胃镜结果及胃黏膜活检结果,以OLGA评分为标准,分别记录相应积分,观察治疗前后胃黏膜萎缩程度的变化。结果:本研究中慢性萎缩性胃炎患者胃黏膜以中、重度萎缩为主,治疗后胃黏膜萎缩程度评分较治疗前有显著好转(P<0。05),其中30-39岁与40~49岁年龄段患者胃黏膜萎缩逆转程度较为显著(P<0。05)。结论:活血通络方可有效阻止慢性萎缩性胃炎的进一步发展,并可逆转不同萎缩程度的胃黏膜。
Observation and experience analysis of professor REN Shunping's curative effect on chronic atrophic gastritis
Objective:To explore the effect and experience of professor REN Shunping's Huoxue Tongluo de-coction in the treatment of chronic atrophic gastritis.Methods:A total of 262 cases of chronic atrophic gastritis were collected by retrospective study and self-control method.All patients were treated with Huoxue Tongluo De-coction for 6 months.Gastroscopy and gastric mucosal biopsy results were recorded before and after treatment.OLGA score was used as the standard,and the corresponding scores were recorded to observe the changes in the degree of gastric mucosal atrophy before and after treatment.Results:In this study,the gastric mucosa of patients with chronic atrophic gastritis was mainly moderate and severe atrophy.After treatment,the gastric mucosal at-rophy degree score was significantly improved compared with that before treatment(P<0.05),and the degree of gastric mucosal atrophy reversal was more significant in patients aged 30-39 years and 40-49 years(P<0.05).Conclusion:Huoxue Tongluo Decoction can effectively prevent the further development of chronic atrophic gastri-tis and reverse the gastric mucosa in different atrophic degrees.

chronic atrophic gastritismethod of promoting blood circulation and removing blood stasiscur-ative effect observationREN Shunpingexperience

任浩、李阳、文玉利、侯雪玥、张三鑫、陈嘉琳、任顺平

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中国中医科学院西苑医院麻醉科(北京,100091)

山西中医药大学

山西中医药大学附属医院脾胃病科

慢性萎缩性胃炎 活血化瘀法 疗效观察 任顺平 经验

山西省名中医传承工作室建设项目任顺平省级名中医传承工作室项目

SXSMZYGZS021

2024

中国中西医结合消化杂志
华中科技大学同济医学院,中国中西医结合学会消化系统疾病专业委员会,中华中医药学会脾胃病专业委员会

中国中西医结合消化杂志

CSTPCD
影响因子:1.363
ISSN:1671-038X
年,卷(期):2024.32(7)