中西医结合治疗原发性胆汁反流性胃炎32例疗效观察.docVIP

精品论文 参考文献 中西医结合治疗原发性胆汁反流性胃炎32例疗效观察 程福增 　　（济南市历城区西营镇卫生院内科；山东济南250111） 　　程福增， 男，1960-03-07，山东济南人，主治医师，本科，泰山医学院，主要从事内科工作 　　摘要：目的：对中西医结合治疗原发性胆汁反流性胃炎的效果及安全性进行分析探讨。方法：将我院2014年1月～2015年1月收治的64例原发性胆汁反流性胃病患者随机分为对照组与观察组，对照组32例患者采西药治疗，观察组32例患者采用中西医结合治，对比两组患者的治疗有效率。结果：观察组治疗有效率为93.75%，对照组为78.13%，观察组治疗有效率明显高于对照组（Plt;0.05）。两组患者治疗前症状积分没有明显差异（Pgt;0.05），治疗后均得到明显降低（Plt;0.05），且观察组症状积分低于对照组（Plt;0.05）。两组患者均未出现明显不良反应。结论：对原发性胆汁反流性胃炎患者采用中西医结合治疗可有效缓解患者临床症状，提高治疗效果，值得临床推广应用。 　　关键词：中医；胆汁反流性胃炎；疗效 　　Abstract: Objective: to study the effect and safety of treating primary bile reflux gastritis by western medicine combing with traditional Chinese medicine. Methods: randomly divided 64 cases with primary bile reflux gastritis in our hospital from January 2014 to January 2015 into control group and experimental group, 32 cases in control group were treated by regular western medicine, 32 cases in experimental group were treated by western medicine combining with traditional Chinese medicine, compared the clinical effect of the two groups. Results: the treated effective rate of experimental group was 93.75%, which was much higher than that of control group, 78.13, Plt;0.05, the difference had statistical significance. The symptom of the two groups before treatment did not had statistical difference(Pgt;0.05), the scores of the two groups were reduced after treatment(Plt;0.05), and that of experimental group was lower than that of control group(Plt;0.05). Neither of the two groups had adverse effect during treatment. Conclusion: treating primary bile reflux gastritis by western medicine combing with traditional Chinese medicine can relief clinical symptoms, improve clinical effect, is worthy of clinical application. 　　Key words: Traditional Chinese medicine; bile reflux gastritis; clinical effect 　　胆汁反流性胃炎指的是因为排空延迟或十二指肠、幽门、胃窦运动障碍导致胆汁反流引发的胃黏膜萎缩性病变慢性炎症，临床表现主要有饱胀、中上腹不适、烧灼、钝痛、恶心、呕吐、口苦、心下痞满等[1]。为了对胆汁反流性胃炎的治疗方法进行分析探讨，笔者对我院2014年1月～2015年1月收治的64例原发性胆汁反流性胃病患者进行随机对照研究，现报道如下： 　　1资料与方法 　　1.1一般资料 　　我院在2014年1月～2015年1月期