柴胡疏肝散加减治疗肝胃不和型慢性胃炎的临床效果分析  

Analysis of Clinical Effect of Modified Chaihu Shugan San in Treatment of Chronic Gastritis with Liver-Stomach Disharmony

作　　者：曾丽苑 Zeng Liyuan(Department of Traditional Chinese Medicine Rehabilitation,Datang Community Health Service Center in Changzhou District of Wuzhou City,Wuzhou 543000,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]广西梧州市长洲区大塘社区卫生服务中心中医康复科,广西壮族自治区梧州543000

出　　处：《中国社区医师》2025年第3期75-77,共3页Chinese Community Doctors

摘　　要：目的:分析柴胡疏肝散加减治疗肝胃不和型慢性胃炎的临床效果。方法:选取2021年5月—2023年5月广西梧州市长洲区大塘社区卫生服务中心收治的92例肝胃不和型慢性胃炎患者作为研究对象,采用随机数字表法分为对照组和观察组,各46例。对照组采用奥美拉唑肠溶胶囊治疗,观察组在对照组基础上采用柴胡疏肝散加减治疗。比较两组生活质量、治疗效果、主要症状积分。结果:治疗前,两组社会功能、心理功能、环境、生理功能评分比较,差异无统计学意义(P>0.05);治疗后,两组社会功能、心理功能、环境、生理功能评分升高,且观察组高于对照组(P<0.05)。观察组治疗总有效率为97.83%,高于对照组(P<0.05)。治疗前,两组胃脘疼痛、腹胀积分比较,差异无统计学意义(P>0.05);治疗后,两组胃脘疼痛、腹胀积分降低,且观察组低于对照组(P<0.05)。结论:柴胡疏肝散加减治疗肝胃不和型慢性胃炎的临床效果显著,能够提高患者的生活质量,减轻症状。Objective:To analyze the clinical effect of modified Chaihu Shugan San in the treatment of chronic gastritis with liver-stomach disharmony.Methods:A total of 92 patients with liver-stomach disharmony type chronic gastritis treated at Datang Community Health Service Center in Changzhou District of Wuzhou City from May 2021 to May 2023 were selected as the study subjects.They were divided into control group and observation group using a random number table method,with 46 cases in each group.The control group was treated with omeprazole enteric coated capsules and the observation group was treated with modified Chaihu Shugan San on the basis of control group.The quality of life,therapeutic effect and main symptom score were compared between two groups.Results:Before treatment,there was no statistically significant difference in the scores of social function,psychological function,environment and physiological function between the two groups(P>0.05).After treatment,the scores of social function,psychological function,environment and physiological function in the two groups increased,and the scores in the observation group were higher than those in the control group(P<0.05).The total effective rate in the observation group was 97.83%,which was higher than that in the control group(P<0.05).Before treatment,there was no statistically significant difference in the scores of gastric pain and abdominal distension between the two groups(P>0.05).After treatment,the scores of gastric pain and abdominal distension in the two groups decreased,and the scores in the observation group were lower than those in the control group(P<0.05).Conclusion:The modified Chaihu Shugan San has significant clinical effects in the treatment of chronic gastritis with liver-stomach disharmony,and can improve patients'quality of life and relieve the symptoms.

关 键 词：柴胡疏肝散 肝胃不和型慢性胃炎 奥美拉唑 

分 类 号：R259[医药卫生—中西医结合]