黄芪建中汤联合西药“三联法”治疗脾胃虚寒型胃溃疡的临床效果观察  

Observation of Clinical Effect of Huangqi Jianzhong Decoction Combined with Western Medicine Triple Therapy in Treatment of Gastric Ulcer of Spleen-Stomach Deficient Cold Type

作　　者：陈琳 Chen Lin(Department of Traditional Chinese Internal Medicine,Xuancheng Traditional Chinese Medicine Hospital,Xuancheng 242000,Anhui Province,China)

机构地区：[1]宣城中医院中医内科,安徽宣城242000

出　　处：《中国社区医师》2024年第6期95-97,共3页Chinese Community Doctors

摘　　要：目的:观察黄芪建中汤联合西药“三联法”治疗脾胃虚寒型胃溃疡的临床效果。方法:选取2021年10月—2022年10月宣城中医院收治的80例脾胃虚寒型胃溃疡患者作为研究对象,采用随机数字表法分为对照组与观察组,各40例。对照组给予常规西药“三联法”治疗,观察组在对照组基础上给予黄芪建中汤治疗。比较两组治疗效果。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P=0.034)。治疗前,两组纳差、腹痛、乏力、便溏、嗳气评分比较,差异无统计学意义(P>0.05);治疗后,两组纳差、腹痛、乏力、便溏、嗳气评分低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组复发率低于对照组,幽门螺杆菌(Hp)清除率高于对照组,差异有统计学意义(P<0.05)。结论:黄芪建中汤联合西药“三联法”治疗脾胃虚寒型胃溃疡的临床效果显著,可改善患者的临床症状,修复胃黏膜,提高Hp清除率,降低复发率。Objective:To observe the clinical effect of Huangqi Jianzhong decoction combined with western medicine triple therapy in treatment of gastric ulcer of spleen-stomach deficient cold type.Methods:From October 2021 to October 2022,80 patients with gastric ulcer of spleen-stomach deficient cold type treated in Xuancheng Traditional Chinese Medicine Hospital were selected as the study subjects.They were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group was treated with conventional western medicine triple therapy,and the observation group was treated with Huangqi Jianzhong decoction on the basis of the control group.The treatment effects were compared between the two groups.Results:The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.034).Before treatment,there was no significant difference in the scores of anorexia,abdominal pain,fatigue,loose stools and belching between the two groups(P>0.05);After treatment,the scores of anorexia,abdominal pain,fatigue,loose stools and belching in the two groups were lower than those before treatment,and the scores in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The recurrence rate in the observation group was lower than that in the control group,and the clearance rate of Helicobacter pylori(Hp)in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Huangqi Jianzhong decoction combined with western medicine triple therapy has a significant clinical effect in treatment of gastric ulcer of spleen-stomach deficient cold type,and can improve the clinical symptoms of patients,repair the gastric mucosa,improve the clearance rate of Hp,and reduce the recurrence rate.

关 键 词：黄芪建中汤 胃溃疡 脾胃虚寒型 

分 类 号：R573.1[医药卫生—消化系统]