和胃降逆法对反流性食管炎患者24h食管pH的影响  

Influence of Hewei Jiangni method on 24-hour esophageal pH value in reflux esophagitis

作　　者：玄明实[1] 袁红霞[1] 于强[2,3] 

机构地区：[1]天津中医药大学,300193 [2]天津医科大学南开临床学院,300100 [3]天津市中西医结合医院

出　　处：《天津中医药大学学报》2009年第1期9-11,共3页Journal of Tianjin University of Traditional Chinese Medicine

基　　金：天津市卫生局中医;中西医结合科研基金资助项目(07021)。

摘　　要：[目的]观察应用和胃降逆法治疗反流性食管炎,24h食管pH监测的变化情况。[方法]将60例反流性食管炎(RE)患者随机分为对照组(30例)和治疗组(30例),对照组给予西医治疗,治疗组给予中医和胃降逆法治疗,分别观察两组治疗前后24h食管pH监测的变化情况。[结果]在减低食管黏膜24h pH<4总次数、pH<4总时间、pH<4百分时间以及Demeester积分等方面,西医治疗与中医和胃降逆法对于反流性食管炎患者的作用相当;中医和胃降逆法对于食管黏膜24h最长反流持续时间的减低较西医治疗更为显著,西医治疗对于反流时间持续≥5min次数的减低较中医和胃降逆法更为显著。[结论]和胃降逆法能够有效降低食管pH值,治疗反流性食管炎疗效确切。[Objective] To observe influence on change of 24-hour esophageal pH value in reflux esophagitis（RE） treated by Hewei Jiangni Method. [Methods] 60 RE patients were divided into control group （30 cases） and treatment group （30 cases）, control group was treated by west medicine, treatment group was treated by Hewei Jiangni, and observing the change of 24-hour esophageal pH Value separately in two groups. [Results] Hewei Jiangni method of Tridational Chinese Medicine（TCM） and west medicine had the same influence on reducing the times of pH〈4,whole time of pH〈4,time% of pH〈4 and Demeester in 24-hour, the influence on reducing the longest refux time in 24-hour by west medicine was not stronger than Hewei Jinagni method, the influence on reducing the times of refux continuance time ≥Smin by Hewei Jiangni method was not stronger than west medicine. [Conclusion] Hewei Jiangni method could reduce the 24-hour esophageal pH value effectively, and the therapeutic efficacy in treating RE was affirmed.

关 键 词：和胃降逆法 反流性食管炎 24h食管pH 

分 类 号：R256.3[医药卫生—中医内科学]