首页|生津益胃汤治疗胃阴不足证慢性心力衰竭合并胃肠功能障碍的临床研究

生津益胃汤治疗胃阴不足证慢性心力衰竭合并胃肠功能障碍的临床研究

扫码查看
目的 研究生津益胃汤治疗胃阴不足证慢性心力衰竭(chronic heart failure,CHF)合并胃肠功能障碍的临床疗效.方法 选取 68 例笔者医院收治的胃阴不足证 CHF 合并胃肠功能障碍患者,在积极治疗心力衰竭基础上,对照组予奥美拉唑肠溶胶囊、多潘立酮片、胰酶肠溶胶囊治疗,试验组予生津益胃汤治疗,对比两组的临床疗效、中医症状量化评分、胃肠功能量化评分及血清胃泌素(gastrin,GAS)、血浆胃动素(motilin,MTL)、白细胞介素(interleukin,IL)-6、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)水平.结果 试验组的有效率显著高于对照组,差异有统计学意义(χ2=13.73,P<0.05);治疗后,两组患者的胃肠功能障碍量化评分、中医症状量化评分,血清 IL-6、TNF-α 水平显著低于治疗前,且试验组上述指标均显著低于对照组,差异有统计学意义(P<0.05).两组患者的血清GAS、血浆MTL水平显著高于治疗前,且试验组均显著高于对照组(P<0.05).结论 生津益胃汤对胃阴不足证CHF合并胃肠功能障碍具有明显的疗效,可改善临床表现,调整胃肠激素及炎症因子水平.
Clinical study of Shengjin Yiwei Decoction in treating chronic heart failure complicated with gastrointestinal dysfunction of deficiency of stomach Yin
Objective To study the clinical effect of Shengjin Yiwei Decoction on chronic heart failure(CHF)complicated with gastrointestinal dysfunction in patients with deficiency of stomach Yin.Methods Totally 68 patients with stomach Yin deficiency syndrome CHF complicated with gastrointestinal dysfunction in our hospital were selected.On the basis of active treatment of heart failure,the control group was treated with omeprazole enteric-soluble capsule,domperidone tablet and pancrease enteric-soluble capsule,and the experimental group was treated with Shengjin Yiwei Decoction.The clinical efficacy of the two groups was compared.traditional Chinese medicine symptom quantification score,gastrointestinal function quantification score,serum gastrin(GAS),plasma motilin(MTL),interleukin(IL)-6 and tumor necrosis factor(TNF)-α levels.Results The effective rate of experimental group was significantly higher than that of control group(χ2=13.73,P<0.05).After treatment,the quantitative score of gastrointestinal dysfunction,quantitative score of TCM symptoms,serum IL-6 and serum TNF-α levels in 2 groups were significantly lower than before treatment,and the above indexes in test group were significantly lower than control group(P<0.05).The levels of serum GAS and plasma MTL in 2 groups were significantly higher than before treatment,and the above indexes in test group were significantly higher than those in control group(P<0.05).Conclusion Shengjin Yiwei Decoction has obvious curative effect on stomach and Yin deficiency syndrome CHF complicated with gastrointestinal dysfunction,can improve clinical manifestations,adjust the level of gastrointestinal hormones and inflammatory factors,and is worthy of clinical application.

Shengjin Yiwei DecoctionStomach Yin deficiency syndromeChronic heart failureGastrointestinal dysfunction

马金成、雷振东、李密密

展开 >

丽水市中医院老年医学科,浙江丽水 323000

丽水市中医院神经内科,浙江丽水 323000

生津益胃汤 胃阴不足证 慢性心力衰竭 胃肠功能障碍

浙江省丽水市科技计划

2023SJZC051

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(11)
  • 27