参赭培气合吴茱萸汤治疗肝胃虚寒型反流性食管炎的临床观察  

The Clinical Observation of ShenZhePeiQi Combined with WuZhuYu Decoction In Liver Stomach Deficiency-cold Type of Reflux Esophagitis

作　　者：谢相智[1] 许国磊[1] 吴欣芳[1] 白桦[1] 

机构地区：[1]中国中医科学院广安门医院南区内一科,北京102600

出　　处：《世界中医药》2017年第6期1291-1293,共3页World Chinese Medicine

基　　金：中国中医科学院所级课题(编号:y2014-04)--胃食管反流病肝郁脾虚证临床疗效观察

摘　　要：目的:观察参赭培气合吴茱萸汤加减治疗肝胃虚寒型反流性食管炎的临床疗效。方法:随机将82例肝胃虚寒型反流性食管炎患者分为观察组和对照组,每组各41例。对照组予雷贝拉唑治疗,观察组予以参赭培气合吴茱萸汤加减治疗。观察治疗后症状积分变化、胃镜下结果比较。结果:临床疗效比较:观察组总有效率92.68%优于对照组73.17%,差异有统计学意义(P<0.05);2组胃镜结果比较:观察组与对照组总有效率无统计学意义,但观察组总有效率高于对照组(P>0.05);2组症状积分比较:治疗后观察组患者胃痛、噎膈、恶心呕吐3个症状积分与对照组比较差异有统计学意义(P<0.05)。结论:参赭培气合吴茱萸汤加减治疗肝胃虚寒型反流性食管炎,其疗效优于单纯西药治疗治疗。Objective： To observe the clinical efficacy of ShenZhePeiQi Combined with WuzhuYu decoction in liver stomach deft- ciency-cold type of reflux esophagitis Methods ： Totally 82 cases of liver stomach deficiency-cold type of refiux esophagitis patients were randomly divided into a treatment group and a control group, 41 cases in each. The control group was given Rabeprazole en- teric-coated capsules, and treatment group ShenZhePeiQi Combined with WuzhuYu decoction. Changes of symptoms were observed after treatment, and endoscopic results were compared. Results：The total efficiency of the treatment group was 92. 68%, while the control group 73. 17%. The treatment group＇s curative effect was better than that of the control group （ P 〈 0. 05）. The two groups＇ endoscopy results comparison： the treatment group and the control group＇s total efficiency was not statistically significant （ P 〉 0. 05 ）, but the total efficiency of the treatment group was better than that of the control group ; Comparison of the two groups＇ symptoms score ： there was significant difference in the 3 symptoms of stomach pain, dysphagia, nausea and vomiting （ P 〈 0. 05 ）. Conclusion： In the treatment of liver stomach deficiency-cold type of reflux esophagitis, the curative effect of ShenZhePeiQi Com- bined with WuzhuYu decoction is better than that by western medicine treatment.

关 键 词：参赭培气汤 吴茱萸汤 肝胃虚寒 反流性食管炎 

分 类 号：R256.4[医药卫生—中医内科学]