健脾和胃法治疗胃食管反流病的疗效观察.docxVIP

健脾和胃法治疗胃食管反流病的疗效观察 黎友隆 (汕尾海丰县老区人民医院中医科) 【摘 要】目的：探讨健脾和胃法治疗胃食管反流病的临床疗效。方法：2014 年5月至2015年5月期间，我院100例胃食管反流病患者，根据随机数字法， 将其分为对照组(奥美拉哇及多潘立酮)和观察组(健脾和胃法)，每组各50 例，比较治疗前后症状积分、证候积分的变化情况，以及各自的临床疗效。结果： 与对照组相比，观察组治疗后症状积分明显降低，治疗的总有效率明显提高， Plt;0.05；与对照组相比，观察组治疗后证候积分明显减少，治疗的总有效率明 显增高，Plt;0.05o结论：健脾和胃法能够明显改善胃食管反流病患者的症状及 证候，发挥较高的临床疗效。 【关键词】健脾和胃法；胃食管反流病；疗效 【中图分类号】R259.71 【文献标识码】B 【文章编号】1003-5028 (2015) 8-0582-02 The efficacy observation of reinforcing spleen and stomach treatment for gastroesophageal reflux disease [Abstract】Objective: To study the clinical efficacy of reinforcing spleen and stomach treatment for gastroesophageal reflux disease. Method: The 100 patients with gastroesophageal reflux disease in our hospital during the peirod from May 2014 to May 2015 were randomized into the control group (omeprazole and domperidone) and the observation group (reinforcing spleen and stomach treatment) according to the random number method, 50 patients per group. The changes of symptom scores and syndrome scores on pre- and post-treatment, and the clinical efficacy in two groups were compared. Results: compared with the control group, the symptom scores on post-treatment were sign讦icantly decreased and the total effective rate of treatme nt was obviously in creased in the observation group (Plt;0.05); compared with the control group, the syndrome scores on post-treatment were significantly decreased and the total effective rate of treatment was obviously in creased in the observatio n group (Plt;0.05). Con clusio n: The reinforcing spleen and stomach treatment can sign讦icantly improve the clinical symptoms and syndrome for gastroesophageal reflux disease patients, and play the higher clinical efficacy. 【Key words]reinforcing spleen and stomach treatment; gastroesophageal reflux disease; efficacy 胃食管反流病作为消化系统的常见疾病之一，由于胃十二指肠内容物返流至 食管，导致患者出现反酸、烧心、吞咽困难等临床症状，继而出现食管粘膜糜烂、 溃疡等病理变化⑴。中医认为，胃食管反流病属于“吐酸”范畴，有报道称， 其发病率约为5.8%,其发病机制较为复杂，并H容易反复，严重影响着患者的 生活质量⑵。本研究中，2014年5月至2015年5月期间，我院胃食管反流病患 者，给予健脾和胃法治疗，取得