中医辨证治疗胃食管反流的临床疗效  

Clinical Efficacy of TCM Syndrome Differentiation Treatment of Gastroesophageal Reflux

作　　者：张曼莉 Zhang Man-li(Zhongyangmen Community Health Service Center of Gulou District of Nanjing City,Nanjing 210037,Jiangsu Province,China)

机构地区：[1]南京市鼓楼区中央门社区卫生服务中心,江苏南京210037

出　　处：《中国社区医师》2022年第28期73-75,共3页Chinese Community Doctors

摘　　要：目的:探讨中医辨证治疗胃食管反流的临床效果。方法:选取2018年1月-2020年1月南京市鼓楼区中央门社区卫生服务中心收治的胃食管反流患者120例为观察对象,根据随机数字表法分为对照组与观察组,各60例。对照组给予奥美拉唑治疗,观察组在对照组基础上给予中医分型辨证治疗,两组均治疗4周,比较两组患者临床症状积分、治疗效果、复发情况及不良反应发生率。结果:治疗后,两组患者烧心、反酸、胸痛、吞咽困难症状积分均下降,观察组低于对照组,差异有统计学意义(P<0.05);观察组总有效率高于对照组,差异有统计学意义(P<0.05);随访3、6个月,观察组复发率低于对照组,差异有统计学意义(P<0.05);两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。结论:中医辨证治疗胃食管反流可改善患者临床症状,提高临床疗效,降低复发率,不良反应较少。Objective: To explore the clinical effect of TCM syndrome differentiation in the treatment of gastroesophageal reflux.Methods: A total of 120 patients with gastroesophageal reflux admitted to Zhongyangmen Community Health Service Center of Gulou District of Nanjing City from January 2018 to January 2020 were selected as observation objects, and they were divided into control group and observation group according to the random number table method, with 60 cases in each group. The control group was treated with omeprazole, and the observation group was given TCM classification and syndrome differentiation treatment on the basis of the control group. Both groups were treated for 4 weeks, and the clinical symptom points, treatment effect, recurrence and incidence of adverse reactions of the two groups were compared. Results: After treatment, the scores of heartburn, acid reflux,chest pain, and dysphagia symptoms decreased in the two groups, and the observation group was lower than the control group, with statistically significant differences(P<0.05). The total effective rate of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05). After 3 and 6 months of follow-up, the recurrence rate in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). The incidence of adverse reactions between the two groups showed no statistically significant difference(P>0.05). Conclusion: TCM syndrome differentiation treatment of gastroesophageal reflux can improve the clinical symptoms, enhance clinical efficacy, reduce the recurrence rate, and have fewer adverse reactions.

关 键 词：胃食管反流病 中医辨证 临床分型 奥美拉唑 

分 类 号：R259[医药卫生—中西医结合]