首页|加味补中益气汤对脾胃虚弱型HP阳性慢性萎缩性胃炎患者的临床疗效

加味补中益气汤对脾胃虚弱型HP阳性慢性萎缩性胃炎患者的临床疗效

扫码查看
目的 探讨加味补中益气汤对脾胃虚弱型HP阳性慢性萎缩性胃炎患者的临床疗效.方法 132 例患者随机分为对照组和观察组,每组 66 例,对照组给予常规治疗,观察组在对照组基础上加用加味补中益气汤,疗程 12 周.检测临床疗效、HP清除率、miR-32、TGF-β1、IL-6、PGⅠ、PGⅡ、EGF、生长抑素、胃泌素、胃动素、胃镜病理评分、中医证候评分变化.结果 观察组总有效率、HP清除率高于对照组(P<0.05).治疗后,2 组miR-32、TGF-β1、IL-6、胃镜病理评分、中医证候评分降低(P<0.05),PGⅠ、PGⅡ、EGF、生长抑素、胃泌素、胃动素升高(P<0.05),以观察组更明显(P<0.05).结论 加味补中益气汤可减轻脾胃虚弱型HP阳性慢性萎缩性胃炎患者炎症反应,调节胃肠激素水平,改善症状,提高疗效.
Clinical effects of Supplemented Buzhong Yiqi Decoction on patients with HP-positive chronic atrophic gastritis of Spleen-Stomach Deficiency Pattern
AIM To explore the clinical effects of Supplemented Buzhong Yiqi Decoction on patients with HP-positive chronic atrophic gastritis of Spleen-Stomach Deficiency Pattern.METHODS One hundred and thirty-two patients were randomly assigned into control group(66 cases)for 12-week intervention of conventional treatment,and observation group(66 cases)for 12-week intervention of both Supplemented Buzhong Yiqi Decoction and conventional treatment.The changes in clinical effects,HP clearance rate,miR-32,TGF-β1,IL-6,PGⅠ,PGⅡ,EGF,somatostatin,gastrin,motilin,gastroscopy pathological score and TCM symptom score were detected.RESULTS The observation group demonstrated higher total effective rate and HP clearance rate than the control group(P<0.05).After the treatment,the two groups displayed decreased miR-32,TGF-β1,IL-6,gastroscopy pathological score,TCM symptom score(P<0.05),and increased PGⅠ,PGⅡ,EGF,somatostatin,gastrin,motilin(P<0.05),especially for the observation group(P<0.05).CONCLUSION For the patients with HP-positive chronic atrophic gastritis of Spleen-Stomach Deficiency Pattern,Supplemented Buzhong Yiqi Decoction can alleviate inflammation,regulate gastrointestinal hormone levels,improve symptoms,and enhance efficacy.

Buzhong Yiqi Decoctionconventional treatmentHP-positive chronic atrophic gastritisSpleen-Stomach Deficiency

甘辉虎、金连宁、黄红根、周文博

展开 >

新余市中医院, 江西 新余 338025

补中益气汤 常规治疗 HP阳性慢性萎缩性胃炎 脾胃虚弱

江西省中医药科研课题

2019A486

2024

中成药
国家食品药品监督管理局,信息中心中成药信息站,上海中药行业协会

中成药

CSTPCD北大核心
影响因子:1.217
ISSN:1001-1528
年,卷(期):2024.46(2)
  • 19