加味益胃汤联合西药治疗幽门螺杆菌相关性胃炎患者对中医症状评分Hp根除率及预后影响.docVIP

加味益胃汤联合西药治疗幽门螺杆菌相关性胃炎患者对中医症状评分Hp根除率及预后影响 　　【摘要】 目的：?τ拿怕莞司?相关性胃炎者行加味益胃汤和西药联合治疗的中医症状评分、幽门螺杆菌（Helicobacterpylori，Hp）根除率和预后情况进行研究。方法：分析114例2015年4月-2016年4月就诊于本院的Hp相关性胃炎患者资料，采用随机数字表法分为对照组和观察组，每组57例。对照组患者行单纯西药三联疗法，观察组患者在对照组基础上联合加味益胃汤医治，比较两组中医症状评分、不良反应、Hp根除率和预后情况。结果：经医治，观察组嗳气、胃脘胀满与神疲乏力评分改善效果优于对照组，差异均有统计学意义（P0.05）；观察组Hp根除率98.25%，高于对照组的73.68%，且预后半年复发率为1.75%，低于对照组的19.30%，差异均有统计学意义（P0.05）。结论：Hp相关性胃炎者行加味益胃汤和西药联合治疗能够改善临床症状，不良反应少，且有利于根除HP和降低预后疾病复发率，具有一定临床应用价值。 　　【关键词】 幽门螺杆菌相关性胃炎； 三联法； 加味益胃汤； 中医症状； 复发 　　Effect of Modified Yiwei Decoction Combined with Western Medicine on TCM Symptoms Scores，Hp Eradication Rate and Prognosis for Patients with Helicobacter Pylori Related Gastritis/WAN Hui-fang.//Medical Innovation of China，2017，14（17）：026-029 　　【Abstract】 Objective：To explore the effects of Modified Yiwei Decoction combined with western medicine on the TCM symptoms scores，helicobacterpylori（Hp） eradication rate and prognosis of patients with helicobacterpylori related gastritis.Method：From April 2015 and April 2016，the clinical data of 114 patients with Hp related gastritis who had received treatment in our hospital were analyzed，divided all the patients into observation group and control group according to the random number table method，57 cases in each group.The control group was treated with triple therapy of western medicine，and the observation group was treated with additionally Modified Yiwei Decoction on the basis of the control group.The scores of TCM symptoms，adverse reactions rate，eradication rate of Hp and prognosis of two groups were compared.Result：After treatment，the improvement scores of the symptoms，such as warm air，fullness of gastral cavity and fatigue in the observation group were all better than those of the control group，the differences were statistically significant（P0.05）.Hp eradication rate of the observation group was 98.25%，higher than that in the control group，which was 73.68%，and the recurrence rate at after half-year was registered of the observation