补中益气汤加减治疗慢性萎缩性胃炎临床观察.docVIP

补中益气汤加减治疗慢性萎缩性胃炎临床观察 　　【摘要】 目的 探讨补中益气汤加减治疗慢性萎缩性胃炎（CAG）的效果。方法 127例慢性萎缩性胃炎患者， 随机分为观察组（64例）和对照组（63例）。对照组采用西医常规治疗， 观察组患者采用补中益气汤加减进行治疗。观察比较两组患者的治疗效果。结果 治疗后， 观察组患者中显效25例， 有效30例， 无效9例， 总有效率为85.94%；对照组患者中显效20例， 有效25例， 无效18例， 总有效率为71.43%。两组患者的总有效率比较差异具有统计学意义（χ2=3.99， P0.05）。结论 对慢性萎缩性胃炎患者实施补中益气汤加减进行治疗， 患者的治疗效果较好， 值得在以后的临床工作中加以推广应用。 　　【关键词】 补中益气汤加减；慢性萎缩性胃炎；治疗效果 　　DOI：10.14163/j.cnki.11-5547/r.2017.36.057 　　Clinical observation on Buzhong Yiqi decoction add and subtract in the treatment of chronic atrophic gastritis YANG Gui-ju， WANG Wei-qiu. Department of Pharmacy， Jining Traditional Chinese Medicine Hospital， Jining 272000， China 　　【Abstract】 Objective To discuss the effect of Buzhong Yiqi decoction add and subtract in the treatment of chronic atrophic gastritis （CAG）. Methods A total of 127 chronic atrophic gastritis patients were randomly divided into observation group （64 cases） and control group （63 cases）. The control group was treated with conventional therapy of western medicine， and the observation group was treated with Buzhong Yiqi decoction add and subtract. The treatment effect in two groups was observed and compared. Results After treatment， the observation group had 25 excellent cases， 30 effective cases and 9 ineffective cases， with total effective rate as 85.94%， while the control group had 20 excellent cases， 25 effective cases and 18 ineffective cases， with total effective rate as 71.43%. Both groups had statistically significant difference in total effective rate （χ2=3.99， P0.05）. Conclusion Application of Buzhong Yiqi decoction add and subtract in treating patients with chronic atrophic gastritis provides good treatment effect， and is worthy of promotion and application in further clinical work. 　　【Key words】 Buzhong Yiqi decoction add and subtract； Chronic atrophic gastritis； Treatment effect 　　慢性萎缩性胃炎（chronic atrophic gastritis， CAG）是一种由于嗜酒、动脉硬化、胃供血不足等引起胃黏膜屏障机能障碍的病症， 是临床上一种常见、多发的消化系统疾病[1， 2]。其临床表现主要为上腹不适、消化不良、恶心、胃内游离盐酸减少或缺乏、贫血等症状。该疾病病理表现为胃黏膜固有腺体数