中西医结合治疗幽门螺杆菌相关性慢性糜烂性胃炎临床观察.docVIP

中西医结合治疗幽门螺杆菌相关性慢性糜烂性胃炎的临床观察 　　【摘要】 目的：探讨中医辨证治疗幽门螺杆菌相关性慢性糜烂性胃炎的临床疗效及应用价值。方法：选取2010年3月-2013年3月笔者所在医院收治的94例幽门螺杆菌相关性慢性糜烂性胃炎患者，按照随机数字表法将其分为观察组和对照组，各47例。对照组给予常规西医治疗，观察组在对照组基础上给予中医辨证治疗，观察比较两组患者的临床疗效、幽门螺杆菌根除情况及胃镜疗效。结果：经治疗后，观察组的治疗总有效率93.6%（44/47）明显高于对照组的76.6%（36/47），差异有统计学意义（字2=5.37，P=0.02）。观察组的Hp转阴率95.7%（45/47）明显高于对照组的83.0%（39/47），差异有统计学意义（字2=4.03，P=0.04）。观察组的胃镜检查总有效率97.9%（46/47）明显高于对照组的83.0%（39/47），差异有统计学意义（字2=4.42，P=0.04）。结论：采用自拟疏肝和胃饮辨证治疗伴幽门螺杆菌感染慢性糜烂性胃炎临床疗效较好，值得临床进一步推广使用。 　　【关键词】 疏肝和胃饮； 慢性糜烂性胃炎； 幽门螺杆菌； 中西结合 　　中图分类号 R573.3 文献标识码 B 文章编号 1674-6805（2015）2-0015-03 　　The Clinical Observation of Integrative Chinese and Western Medicine in the Treatment of Helicobacter Pylori-Associated Chronic Erosive Gastritis/XIE Xian-you.//Chinese and Foreign Medical Research，2015，13（2）：15-17 　　【Abstract】 Objective：To investigate the clinical efficacy and application value of TCM differentiation in the treatment of helicobacter pylori-associated chronic erosive gastritis.Method：Ninety-four patients with helicobacter pylori-associated chronic erosive gastritis in our hospital from March 2010 to March 2013 were selected，they were divided into the observation group and the control group according to the random number table method，47 cases in each group.The control group was treated with conventional Western medicine，and the observation group was treated with TCM differentiation on the basis of control group.The clinical efficacy，helicobacter pylori eradication situation and gastroscopic effect between the two groups were observed and compared.Result：The total effective rate of treatment in observation group was 93.6%（44/47），it was significantly higher than 76.6%（36/47） in the control group，the difference was statistically significant（字2=5.37，P=0.02）.The negative conversion ratio of helicobacter pylori in observation group was 95.7%（45/47），it was significantly higher than 83.0%（39/47） in the control group，the difference was statistically significant（字2=4.03，P=0.04）.The gastroscopy total eff