清热化瘀法为主治疗难治性胃脘痛的临床研究  

Clinical Study of Clearing Away Heat and Removing Blood Stasis on Refractory Peptic Ulcer

作　　者：张琳[1] 郑晓光[1] 刘今秀[1] 

机构地区：[1]黑龙江省中医研究院,哈尔滨150036

出　　处：《中国中西医结合脾胃杂志》1993年第1期29-30,共2页

摘　　要：以泻心汤(黄连、黄芩、大黄)加丹参、莪术、三七粉为基础方,清热化瘀为治疗大法,配合抗生素对173例难治性胃脘痛复合性溃疡、老年性溃疡、溃疡病合并萎缩性胃炎、周期性反复发作溃疡等患者进行了治疗,总治愈率91.3％(158/173)。30例病人采用溃疡面直接喷药的治疗方法,取得了临床症状缓解快、疗程短、治愈率高的疗效。127例病人做了幽门螺旋菌检查,检出率61.4％(78/127),治疗后阴转率87.7％(70/78)。抗菌治疗有效,说明幽门螺旋菌是溃疡病发病因素之一,是影响溃疡愈合的主要因素。随访3年复发率为18％。173 patients with refractory peptic ulcer were treated by Shanhuangxiexing Tang plus Danshen, Eshu, Shanqi Fen coopereting the antibiotic, the total cure rate was 91. 3%(158/173). Among them,30 patients were treated by spraying ulcerative surface with these medicine and had good effect. Helicobacter pylori (HP)were detected in 127 cases. The detectable rate was 61. 4%(78/127). After treatment negative rate was 89. 7% (70/78). The results suggested that HP was one of the peptic ulcerative pathogenic factors and main factor which affected their union.

关 键 词：泻心汤 胃脘痛 活血祛瘀 胃溃疡 中西医结合治疗 

分 类 号：R573.105[医药卫生—消化系统]