治疗慢性萎缩性胃炎的中药疗法研究  

Research on Traditional Chinese Medicine therapy for chronic atrophic gastritis

作　　者：王春浩[1] Wang Chunhao(Wuqiao County People’s Hospital,Cangzhou,Hebei 061800,China)

机构地区：[1]河北省吴桥县人民医院,河北沧州061800

出　　处：《首都食品与医药》2025年第4期156-159,共4页Capital Food Medicine

摘　　要：目的分析对于慢性萎缩性胃炎患者通过运用中医中药进行治疗的临床价值。方法随机抽取本院2022年1月-2024年2月收治的74例慢性萎缩性胃炎病例作为研究样本,借助随机数表法予以平均分组,即对照组(n=37)、观察组(n=37),对照组患者采用胃复春片进行治疗,观察组患者采用辛开苦降中药疗法进行治疗,比较两组的中医证候变化、中医疗效、胃镜复查结果以及病理积分等,并比较随访中的药物不良反应情况。结果施治前观察组中医证候总积分为(20.62±2.35)分,对照组为(20.63±2.34)分,两组平行比较,差异微小,P>0.05(t=0.653,P=0.208),施治后观察组中医证候总积分为(3.85±0.19)分,对照组为(7.52±0.23)分,与对照组做平行对比,观察组较低,P<0.05(t=8.026,P=0.002);中医疗效组间平行对比中,观察组总有效率达到97.30%,对照组仅为83.78%,P<0.05(χ^(2)=5.175,P=0.020);施治前观察组胃镜黏膜积分为(12.63±1.35)分,对照组为(12.65±1.33)分,两组平行比较,差异微小,P>0.05(t=0.217,P=0.896),施治后观察组胃镜黏膜积分为(2.06±0.03)分,对照组为(4.15±0.10)分,与对照组做平行对比,观察组较低,P<0.05(t=5.026,P=0.012);施治前观察组病理积分为(7.63±0.95)分,对照组为(7.64±0.93)分,两组平行比较,差异微小,P>0.05(t=0.126,P=0.133),施治后观察组病理积分为(1.53±0.20)分,对照组为(3.05±0.23)分,与对照组做平行对比,观察组较低,P<0.05(t=5.172,P=0.010);药物不良反应率观察组为2.70%,对照组为5.41%,P>0.05(χ^(2)=1.026,P=0.098)。结论对于慢性萎缩性胃炎患者,采用辛开苦降中药疗法治疗可获得确切疗效,能够有效改善患者的临床症状,且用药安全性良好,辛开苦降法能够恢复脾胃气机升降协调,可作为慢性萎缩性胃炎患者的优选治疗方案应用并推广。Objective To analyze the clinical value of using Traditional Chinese Medicine for the treatment of patients with chronic atrophic gastritis.Methods 74 cases of chronic atrophic gastritis from January 2022 to February 2024 were randomly selected as research samples in our hospital.They were divided into two groups using a random number table method:a control group(n=37)and an observation group(n=37).Patients in the control group were treated with Weifuchun tablets,while patients in the observation group were treated with Xin Kai Ku Jiang Traditional Chinese Medicine therapy.The changes in Traditional Chinese Medicine syndromes,Traditional Chinese Medicine efficacy,gastroscopy results,and pathological scores were compared between the two groups,and the adverse drug reactions during follow-up were also compared.Results Before treatment,the total score of Traditional Chinese Medicine symptoms in the observation group was(20.62±2.35)points,while the control group was(20.63±2.34)points.The difference between the two groups was small(P>0.05)(t value=0.653,P value=0.208).After treatment,the total score of Traditional Chinese Medicine symptoms in the observation group was(3.85±0.19)points,while the control group was(7.52±0.23)points.Compared with the control group,the total score of Traditional Chinese Medicine symptoms in the observation group was lower(P<0.05)(t value=8.026,P value=0.002).In the parallel comparison of Traditional Chinese Medicine efficacy between groups,the total effective rate of the observation group reached 97.30%,while the control group was only 83.78%,with P<0.05(χ^(2) value=5.175,P value=0.020).The pre treatment gastroscopy mucosal score observation group was(12.63±1.35)points,while the control group was(12.65±1.33)points.The difference between the two groups was small(P>0.05)when compared in parallel(t value=0.217,P value=0.896).After treatment,the gastroscopy mucosal score observation group was(2.06±0.03)points,while the control group was(4.15±0.10)points.Compared with the control group

关 键 词：慢性萎缩性胃炎 中医 辛开苦降法 脾胃气机 

分 类 号：R573.32[医药卫生—消化系统]