中医辨证分型治疗胃食管反流病150例的临床研究.docVIP

中医辨证分型治疗胃食管反流病150例的临床研究 马良 (山东省平度市第四人民医院内科山东平度266736) 【 】目的：分析和探讨采取中医辨证分型治疗胃食管反流病的临床效 果。方法：观察我院自2013年12月至2014年12月间收治的胃食管反流病患者 150例作为研究对象，采取随机数字法分为观察组和对照组，其中对照组给予奥 美拉唑治疗，观察组患者均根据中医辨证分型并对证进行治疗，观察两组患者的 治疗效果。结果：治疗组的总体治愈率是37.3%,显效率是81.3%,总有效率89.3%； 观察组的沿愈率为56%，显效率93.3%，总有效率是98.7%，两组患者比较具有 明显差异(P0.05)；两组患者的治疗后临床症状积分比较具有明显差异(P 0.05)；两组痊愈率和显效率以及胃镜检查分级改善情况比较差异其有统计学意 义(P0.05)。结论：采取中医辨证分型在治疗胃食管反流病方面具有好的临床 效果，且能够促进食管黏膜的修复。 【关键词】中医辨证分型；胃食管反流病；奥美拉唑；治疗疗效 【 】R2 【 】B 【 】1003-5028 (2015) 6-0506-01 TCM treatment of gastroesophageal reflux disease genotyping clinical study of 150 cases Ma Liang 【Abstract】 Objective: To analyze and discuss the clinical effect of taking TCM Typing treatment of gastroesophageal reflux disease. Methods: Since our hospital between December 2013 to December 2014 were treated 150 cases of GERD patients as research subjects, taken randomly divided into observation group and control group, the control group received omeprazole treatment, observation group patients were treated according to syndrome differentiation type and permit treatment groups were observed. RESULTS: The overall cure rate of the treatment group was 37.3%, which was 81.3 percent efficiency, total efficiency 89.3%; the cure rate was 56% in the observation group, which was 93.3%, the total efficiency is 98.7%, comparing two groups of patients with a significant differences (P lt;0.05); the two groups after the treatment of patients with a clinical symptom score relatively significant difference (P lt;0.05); the two groups cure rate and significant efficiency improvement and endoscopy grade difference was statistically significant (P lt;0.05 )? Conclusion: TCM Typing take good clinical results in the treatment of gastroesophageal reflux disease have respect and be able to promote the repair of esophageal mucosa. 【Key words】 TCM Typing;Gastroesophageal reflux disease;Omeprazole; Treatment efficacy 胃食管反流病是指胃内容物反流至食管后引起的患者不适和其他并发症的 疾病。胃食管反流病的流行病学显示:在西方国家的胃食管反流病发病率高达 51%,近些年内亚洲人随着饮食的改变发病率也逐年上升。胃食管反