益胃消疣汤治疗疣状胃炎（阴虚痰瘀互结型）的临床探究.pdfVIP

提 要 目的：观察益胃消疣汤治疗疣状胃炎(verrucosa gastritis，VG )，中医辨证为 阴虚痰瘀互结型的临床疗效，并从理论和临床研究两个方面探讨益胃消疣汤治疗VG 的机制。方法：临床选择符合纳入标准的VG患者63例，随机分为两组，治疗组（32 例）给予益胃消疣汤，对照组（31例）给予胃复春片，两组均以8周为一疗程，观察 两组的临床疗效。结果：临床研究显示，治疗组中医证候痊愈率+显效率为62.50％， 胃镜疗效痊愈率+显效率为53.13％，Hp清除率为68.00％；对照组中医证候痊愈率+ 显效率为19.35％，胃镜疗效痊愈率+显效率为16.13％，Hp清除率为30.77％。两组疗 效对比，均有非常显著性差异（P0.01）。治疗组能明显消除或改善胃脘隐痛、痞闷 等症状，其疗效优于对照组。结论：益胃消疣汤是治疗阴虚痰瘀互结型疣状胃炎的有 效方剂，其机理可能与杀灭幽门螺杆菌（Hp）、调节机体免疫、改善微循环、增强粘 膜屏障功能等有关。 关键词 益胃消疣汤；疣状胃炎(verrucosa gastritis，VG )；阴虚痰瘀互结； 临床研究 Clinical Study of Treating Verrucosa Gastritis With Yi-wei-xiao-you-tang of Phlegm-stasis Cementation and Deficiency of Yin Specialty：Gastroenterology Internal Medicine of TCM. Author ：Sun Wenqing Tutor：Professor Lu Guangchao Abstract Objective ：To observe the effect of Yi-wei-xiao-you-tang (YWXYT) on VerrucosaGastritis(VG)of phlegm-stasiscementation and deficiency of yin and explore the mechanism of it.Methods ：63 patients with VG were divided into two groups at random:the treatment group and the control group.The treatment group was given YWXYT and the control group was given Wei-fu-chun (WFC).Symptoms and signs of each group were observed before and after the treatment,including gastroscopic observing,Hp-killing rate. Results ：The treatment group’s main effective rate of the syndrome of TCM 、main effective rate of the gastroscopic observing and Hp-killing rate were 62.50 ％，53.13 ％，68.00 ％;the control group’s were 19.35 ％，16.13 ％，30.77 ％.There is a very significant difference （P0.01 ）between the two groups. YWXYT can improve more significantly the symptoms such as gaste