首页|加味逍遥散辅助治疗肝郁脾虚型慢性萎缩性胃炎的效果

加味逍遥散辅助治疗肝郁脾虚型慢性萎缩性胃炎的效果

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目的:探讨加味逍遥散辅助治疗肝郁脾虚型慢性萎缩性胃炎(CAG)的效果。方法:选择 2020 年 9 月—2022 年 9月福州市第二总医院中医科收治的168例肝郁脾虚型CAG患者,根据治疗方法的不同分为A组和B组,各84例。A组使用常规西医治疗,B组同时使用加味逍遥散辅助治疗。比较两组临床疗效、胃肠动力学指标、细胞外调节蛋白激酶(ERK)、磷酸化细胞外信号调节激酶(p-ERK)水平、不良反应发生率。结果:B组治疗总有效率为 86。90%,高于A组的73。81%,差异有统计学意义(P<0。05)。治疗后,两组胃蛋白酶原Ⅰ(PGⅠ)/胃蛋白酶原Ⅱ(PGⅡ)、促胃液素(GAS)、胃动素(MOT)高于治疗前,且B组高于A组,差异有统计学意义(P<0。05)。治疗后,两组ERK、p-ERK水平高于治疗前,且B组高于A组,差异有统计学意义(P<0。05)。B组不良反应发生率为 11。90%,低于A组的 14。29%,但两组间比较,差异无统计学意义(P>0。05)。结论:加味逍遥散辅助治疗肝郁脾虚型CAG的效果显著,能够提高胃肠动力学,调节ERK、p-ERK水平,用药安全性高。
Effect of Supplemented Xiaoyao Powder on Chronic Atrophic Gastritis with Liver Depression and Spleen Deficiency Type
Objective:To investigate the effect of supplemented Xiaoyao Powder in the treatment of chronic atrophic gastritis(CAG)with liver depression and spleen deficiency type.Method:A total of 168 CAG with liver depression and spleen deficiency type patients admitted to the Department of Traditional Chinese Medicine of the Second General Hospital of Fuzhou from September 2020 to September 2022 were selected and divided into group A and group B according to different treatment methods,with 84 cases in each group.Group A was treated with conventional western medicine,group B was also treated with supplemented Xiaoyao Powder.The clinical efficacy,gastrointestinal dynamics,extracellular regulated protein kinase(ERK),phosphorylated extracellular signal-regulated kinase(p-ERK)levels and the incidence of adverse reactions were compared between the two groups.Result:The total effective rate of group B was 86.90%,which was higher than 73.81%of group A,and the difference was statistically significant(P<0.05).After treatment,the levels of pepsinogen Ⅰ(PG-Ⅰ)/pepsinogen Ⅱ(PG-Ⅱ),gastrin(GAS)and motilin(MOT)in two groups were higher than those before treatment,and those in group B were higher than those in group A,the differences were statistically significant(P<0.05).After treatment,the levels of ERK and p-ERK in two groups were higher than those before treatment,and those in group B were higher than those in group A,the differences were statistically significant(P<0.05).The incidence of adverse reactions in group B was 11.90%,which was lower than 14.29%in group A,but there was no statistical significance between the two groups(P>0.05).Conclusion:Supplemented Xiaoyao Powder has a significant effect in the adjuvant treatment of CAG with liver depression and spleen deficiency type,which can improve gastrointestinal dynamics,regulate the levels of ERK and p-ERK,and has high drug safety.

Supplemented Xiaoyao PowderChronic atrophic gastritisGastrointestinal dynamicsAdverse reaction

林红、袁秀勇、蔡舒婷

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福州市第二总医院 福建 福州 350007

加味逍遥散 慢性萎缩性胃炎 胃肠动力学 不良反应

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(5)
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