行气止痛克疡汤治疗肝气犯胃型胃溃疡疗效观察.docVIP

行气止痛克疡汤治疗肝气犯胃型胃溃疡疗效观察 　　【摘要】 目的：观察行气止痛克疡汤（自拟）治疗肝气犯胃型胃溃疡疗效。方法：将临床收治的68例肝气犯胃型胃溃疡患者采用随机数字表法分为治疗组和对照组，各34例。治疗组给予行气止痛克疡汤加减并口服西药三联治疗，对照组给予口服西药三联治疗，两组均治疗4周判定疗效。结果：两组症状改善总有效率比较，差异有统计学意义（P0.05）；两组胃镜下检查总有效率比较，差异有统计学意义（P0.05）。结论：肝气犯胃型胃溃疡患者实施中医行气止痛克疡汤并口服西药三联治疗，具有良好的临床效果，疗效优于单纯西药组。 　　【关键词】 行气止痛克疡汤； 西药三联治疗； 胃溃疡 　　中图分类号 R573.1 文献标识码 A 文章编号 1674-6805（2014）3-0009-02 　　Curative Effect Observation of Xingqizhitongkeyang Decoction in the Treatment of Liver Qi Attacking Gastric Ulcer/LIN Bing-mao，QIU Xian-bin，ZHU Shao-jun，et al.//Chinese and Foreign Medical Research，2014，12（3）：9-10 　　【Abstract】 Objective：To observe the effect of Xingqizhitongkeyang decoction in treatment of liver qi attacking gastric ulcer.Method：The clinical 68 cases of liver qi attacking gastric ulcer were randomly divided into the treatment group and the control group，34 cases in each group.The treatment group was given Xingqizhitongkeyang decoction and orally medicine triple therapy，and the control group was given orally medicine triple therapy，two groups were treated for 4 weeks to determine efficacy.Result：The symptoms improve the total effective rate of two groups were compared，the differences were statistically significant（P0.05）；The gastroscope check the total effective rate of two groups were compared，the differences were statistically significant（P0.05）.Conclusion：The effect of Xingqizhitongkeyang decoction and orally medicine triple therapy in treatment of liver qi attacking gastric ulcer is good.It is better than pure western medicine group. 　　【Key words】 Xingqizhitongkeyang decoction； Orally medicine triple therapy； Gastric ulcer 　　First-author’s address：Ciyun Traditional Chinese Medicine Hospital of Huilai County，Huilai 515200，China 　　胃溃疡是我国人群中常见病、多发病之一，该病病程长，易反复发作。表现为节律性中上腹疼痛，疼痛时发时消，属祖国医学中“胃脘痛”、“痞满”等范畴。现代医学在本病的治疗方面主要以抗炎、保护胃黏膜、抑制胃酸等方法，通常以三联[1]或四联[2]疗法为主，可取得一定疗效，但停药后容易复发，而中医治疗胃溃疡方面有独特的优势。本次临床观察应用行气止痛克疡汤加减西药三联治疗肝气犯胃型胃溃疡，疗效显著，副作用小，复发率低，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　2012年1月-2013年11月在笔者所在医院门诊诊治的