首页|补气化瘀方治疗慢性萎缩性胃炎伴肠上皮化生的临床疗效观察

补气化瘀方治疗慢性萎缩性胃炎伴肠上皮化生的临床疗效观察

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目的 探讨补气化瘀方治疗慢性萎缩性胃炎伴肠上皮化生的临床疗效.方法 选取 2019 年 4 月至 2020 年 6 月于浙江中医药大学附属金华中医院脾胃病科门诊就诊及住院的慢性萎缩性胃炎伴肠上皮化生患者 60 例,随机分为补气化瘀组和对照组,每组 30 例.补气化瘀组患者给予补气化瘀方治疗;对照组患者给予叶酸片治疗.治疗6个月后观察两组患者治疗前后的临床综合疗效、中医证候评分、病理改变评分及血清胃蛋白酶原(pepsinogen,PG)Ⅰ、PGⅡ及PGⅠ/PGⅡ(PGR)变化情况.结果 补气化瘀组患者的临床综合疗效明显优于对照组(90%vs.70%,P<0.05).治疗结束后,两组患者的中医证候评分、胃黏膜病理评分均较治疗前降低(P<0.05).补气化瘀组患者的肠上皮化生评分明显高于对照组(P<0.05);PGⅠ、PGR 水平较治疗前升高、PGⅡ水平较治疗前降低(P<0.05),补气化瘀组患者的各项指标均优于对照组(P<0.05).结论 补气化瘀方治疗慢性萎缩性胃炎伴肠上皮化生的临床疗效确切,不仅可改善患者的病理组织学病变,还可提高患者的血清PGⅠ水平及PGR值、降低PGⅡ水平.
Clinical observation of Buqi Huayu prescription on chronic atrophic gastritis with intestinal metaplasia
Objective To explore the clinical effect of Buqi Huayu prescription on chronic atrophic gastritis with intestinal metaplasia.Methods A total of 60 patients with chronic atrophic gastritis and intestinal metaplasia in the Department of Spleen and Stomach Diseases,Jinhua Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University from April 2019 to June 2020 were selected and randomly divided into Buqi Huayu prescription group and control group,with 30 cases in each group.Patients in Buqi Huayu prescription group were treated with Buqi Huayu prescription;Patients in control group were treated with folic acid tablets.After 6 months of treatment,the clinical comprehensive efficacy,traditional Chinese Medicine syndrome score,pathological change score,serum pepsinogen(PG)Ⅰ,PGⅡ,PGⅠ/PGⅡ(PGR)were observed before and after treatment in two groups.Results The clinical curative effect of Buqi Huayu prescription group was significantly better than that of control group(90%vs.70%,P<0.05).After treatment,traditional Chinese Medicine syndrome score and gastric mucosa pathology score of two groups were lower than before treatment(P<0.05).The intestinal metaplasia score of Buqi Huayu prescription group was significantly higher than that of control group(P<0.05).The levels of PGⅠ and PGR were higher than before treatment,while the levels of PGⅡ were lower than before treatment(P<0.05).All the indexes in Buqi Huayu prescription group were better than those in control group(P<0.05).Conclusion Buqi Huayu prescription is effective in the treatment of chronic atrophic gastritis with intestinal metaplasia.It can not only improve the pathological changes of patients,but also increase the level of serum PGⅠ and PGR,and decrease the level of PGⅡ.

Buqi HuayuChronic atrophic gastritisTraditional Chinese Medicine syndrome score

邓志燕、李跃文、鄢雪辉

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浙江中医药大学附属金华中医院脾胃病科,浙江金华 321017

补气化瘀 慢性萎缩性胃炎 中医证候评分

金华市中医药科学技术研究计划

2019jzk017

2024

中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
年,卷(期):2024.62(9)
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