自拟中药理气和胃汤联合西药治疗消化性溃疡的临床研究.docVIP

精品论文 参考文献 自拟中药理气和胃汤联合西药治疗消化性溃疡的临床研究 李泉 孟莉莉 郝桂娟 　　[摘 要]目的：探究自拟中药理气和胃汤联合西药治疗消化性溃疡的临床疗效。方法：将我院消化内科自2012年1月至2014年3月间收治的84例消化性溃疡患者随机平均分为观察组及对照组，每组各42例，其中对照组实施西医常规治疗，如抑制胃酸分泌、保护胃黏膜及抗感染等，观察组在对照组的基础上联合自拟中药理气和胃汤，对比分析两组患者的临床治疗效果、临床主要症状消失时间及幽门螺旋杆菌清除率。结果：治疗2个疗程后，两组患者的临床治疗效果差异明显，观察组临床有效率为97.6%，明显高于对照组（73.8%），具有统计学意义；临床症状方面，观察组患者临床症状缓解时间明显短于对照组，亦存在差异性（Plt;0.05）；幽门螺旋杆菌清除率方面，观察组清除率高达88.1%，而对照组为61.9%，存在差异性（Plt;0.05）。结论：中西医结合治疗消化性溃疡临床效果显著，且能够明显加快治疗进程，提高幽门螺旋杆菌清除率，有利于改善患者预后，预防复发。 　　[关键词]中西医结合 消化性溃疡 幽门螺杆菌 理气和胃汤 　　DOI:10.3760/cma.j.issn.1672-7088.2014.27.48 　　作者单位：李泉： 262700 山东寿光，寿光市中医医院 　　孟莉莉，郝桂娟： 262521 山东青州，青州市王府卫生院 　　 [作者简介] 李泉（1975-），男，现任寿光市中医医院主治医师，研究方向：消化内科。 　　孟莉莉（1972-），女，现任青州市王府卫生院内科主治医师，研究方向：内科临床。 　　郝桂娟（1984-），女，现任青州市王府卫生院医师，研究方向：内科临床。 　　The Clinical Effect of Homemade Chinese Medicine Liqi Hewei Decoction together with Western Medicine in the Treatment of Peptic Ulcer 　　Li Quan, Meng Lili, Hao Guijuan 　　Abstract: Objective To explore the clinical effect of traditional Chinese medicine together with western medicine in the treatment of peptic ulcer. Methods 84 peptic ulcer patients treated by the Internal Digestive Department of the authorsrsquo; hospital from January 2012 to March 2014 were randomly divided into the observation group and control group, 42 cases in each group. The control group were treated by conventional western medicine treatment，and the observation group were treated by traditional Chinese medicine together with western medicine. The clinical curative effect, symptomsrsquo; disappearing time and clearance of Helicobacter pylori were compared after the treatment. Results After two period of treatment, clinical therapeutic effect of two groups have significant differences: the clinical effective rate of observation group was 97.6%, which is significantly higher than the control group (73.8%)；in the aspect of clinical symptoms，the clinical symptom relief time of the observation group was obviously shorter than the control group，and it is statistica