半夏泻心汤加减治疗慢性胃炎临床分析.docVIP

半夏泻心汤加减治疗慢性胃炎临床分析 　　[摘要] 目的 探讨半夏泻心汤加减治疗慢性胃炎的临床疗效。 方法 127例慢性胃炎患者，随机分为中药组65例，对照组62例。中药组采用半夏泻心汤加减治疗，对照组采用奥美拉唑胶囊和铝碳酸镁咀嚼片治疗，比较两组患者的疗效及症状改变情况。 结果 中药组总有效率为87.69%，对照组为72.58%，两组比较差异有统计学意义（P ＜ 0.05）。两组患者治疗后的疗效及症状改变情况比较，差异有统计学意义（P ＜ 0.05）。 结论 半夏泻心汤加减治疗慢性胃炎疗效显著，值得在临床进一步应用。 　　[关键词] 半夏泻心汤；慢性胃炎；经方；临床疗效 　　[中图分类号] R573.3 [文献标识码] A [文章编号] 1674-4721（2012）03（a）-0107-02 　　 　　Clinical analysis of Banxia Xiexin Decoction treatment of chronic gastritis 　　ZHANG Huikai 　　Gastroenterology Department, the TCM Hospital of Zhengzhou City in Henan Province, Zhengzhou 450007, China 　　[Abstract] Objective To study the clinical curative effect of Banxia Xiexin Decoction in treating chronic gastritis. Methods One hundred twenty-seven cases of chronic gastritis patients, who were divided into Chinese traditional medicine group (n = 65), and the control group (n = 62). The Chinese traditional medicine group patients were treated with Banxia Xiexin Decoction, while control group used Omeprazole capsule and Aluminum Magnesium Carbonate Chewable tablets, and then the two groups of patients with the effect and symptoms changed the situation were compared. Results Chinese traditional medicine group total effectiveness was 87.69%, in the control group was 72.58%. The comparisons difference of two groups was statistically significant (P ＜ 0.05). In two group patients after curative effect and symptoms changes, the difference was statistically significant (P ＜ 0.05). Conclusion Banxia Xiexin Decoction in the treatment of chronic gastritis have remarkable curative effect, and it′s worth further clinical application 　　[Key words] Banxia xiexin decoction; Chronic gastritis; Classical prescriptions; Clinical curative effect 　　 　　慢性胃炎是常见的消化性疾病，临床以胃痛、痞胀、嗳气、吞酸为常见症状。病情反复发作，缠绵难愈。单纯西医治疗效果不明显。半夏泻心汤为张仲景的《伤寒论》中的名方，该方具有辛开苦降的作??，是治疗“心下痞”的代表方[1]。本研究对2010年10月～2011年10月笔者所在医院收治慢性胃炎患者65例，采用半夏泻心汤加减治疗，并与西药治疗结果进行比较，报道如下： 　　1 资料与方法 　　1.1 一般资料 　　2010年10月～2011年10月笔者所在医院收治慢性胃炎患者127例，其中，男72例，女55例，年龄28～75岁，平均（38.4±11.2）岁；病程