慢性胃溃疡75例临床疗效探究.docVIP

慢性胃溃疡75例临床疗效探究 　　[摘要] 目的 观察中西医结合治疗慢性胃溃疡的临床疗效。方法 整群选取该院2014年1月―2015年3月收治的慢性胃溃疡患者150例，随机分为对照组75例和观察组75例，治疗组采用奥美拉唑治疗，观察组采用中西医结合治疗。通过比较患者的治疗效果和治疗1年后的复发率，进行结果分析。 结果 经治疗后，观察组患者总有效率为96.00%，明显高于对照组82.67%，比较差异具有统计学意义（χ2=3.98，P0.05）；观察组患者1年后的复发率为11.76%，明显低于对照组46.88%，比较差异有统计学意义（χ2=7.32，P0.05）。 结论 中西医结合治疗慢性胃溃疡疗效显著，治疗后复发率低，远期疗效好，具有较高的安全性和有效率，值得临床应用推广。 　　[关键词] 慢性胃溃疡；中西医结合；临床疗效 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2015）11（b）-0171-02 　　[Abstract] Objective To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of chronic gastric ulcer. Methods Patients with chronic gastric ulcer admitted to our hospital from January 2014 and March 2015 were included and divided into control group and observation group randomly with 75 in each one. The treatment group was treated with omeprazole， while the observation group were treated with integrated traditional Chinese and western medicine. The efficacy for the patients and the one-year recurrence rate was compared and the outcome was analyzed. Results After treatment， total effective rate was 96.00% in the observation group and 82.67% in the control group， and the difference was statistically significant （χ2=3.98， P0.05）； the one-year recurrence rate was 11.76% in the observation group and 46.88% in the control group， and the difference was statistically significant （χ2=7.32， P0.05）. Conclusion Integrated traditional Chinese and western medicine in the treatment of chronic gastric ulcer is worthy of clinical application and promotion because it has low recurrence rate， good long-term efficacy， high safety and effectiveness. 　　[Key words] Chronic gastric ulcer； Integrative treatment； Clinical efficacy 　　慢性胃溃疡在临床中是一种较为常见的疾病，其发病机制近年来一直被探讨，却仍然没有被完全认识。西医认为慢性胃溃疡的主要发病机制是幽门螺旋杆菌感染、胃蛋白酶和胃酸对胃黏膜的消化作用；中医认为慢性胃溃疡的发生是由于饮食不规律、脾胃失调、肝气犯胃等原因引起[1]。该研究整群选取该院2014年1月―2015年3月收治的慢性胃溃疡患者150例进行对比研究，观察分析采用中西医结合方法治疗慢性胃溃疡的临床疗效，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　整群选取该院2014年1月―2015年3月收治的慢性胃溃疡患者150例，所有患者均符合《诊断学》中诊断与纳入标准的慢