中西医结合治疗慢性萎缩性胃炎疗效观察.docxVIP

中西医结合治疗慢性萎缩性胃炎疗效观察 陈伐宇 (四川省仁寿县妇幼保健院中医科) 【摘 要】目的探讨中西医结合治疗慢性萎缩性胃炎的临床疗效。方法 研究对 象为2008年9月-2010年8月我院收治的被确诊为慢性萎缩性胃炎的患者72例， 釆用随机抽号法分为治疗组及对照组，每组36例。两组均采用PPI三联疗法(奥 美拉? 20mg+阿莫西林1.0計克拉霉素0.5g)治疗，每天2次，疗程为一周。治 疗组在此基础上给予益气活血汤口服治疗，疗程为3个月，观察两组临床症状及 疗效。结果治疗前两组上腹部灼痛、胀痛、食欲不振、恶心、暧气等症状出现 率相近，无统计学差异(Pgt;0.05)；治疗后两组上述症状出现率均有显著差异， 具有统计学意义(P值均lt;0.05)；治疗组总有效率为97.2%,对照组总有效率 为63.9%,两组有显著差异，具有统计学意义(Plt;0.05)o结论在慢性萎缩性 胃炎的治疗中中西医结合治疗疗效明显优于单纯西药治疗，安全可靠，值得临床 上推广应用。 【关键词】中西医结合治疗；慢性萎缩性胃炎；疗效 Integrative Treatment of Chronic Atrophic Gastritis [Abstract 】Objective To investigate the combi nation therapy of chr onic atrophic gastritis clinical efficacy. Methods The subjects for the September 2008 ?2010 in August in our hospital was diagnosed with chronic atrophic gastritis in patients with 72 cases, the use of random numbers divided into treatment group and control group, n 二 36 cases. Both groups were PPI triple therapy (omeprazole 20mg + clarithromycin and amoxicillin l.Og + 0.5g) treated twice daily treatment for one week. On this basis, the treatment group given oral treatment Yiqihuoxue soup, treatment for three months, and efficacy of clinical symptoms were observed. Results Before treatment, upper abdominal burning, pain, loss of appetite, nausea, belching and other symptoms was similar, no significant differenee (Pgt; 0.05); After treatment, the symptoms were significantly different rates, with statistics sign讦icance (P lt;0.05); treatment group, the total effective rate was 97.2% in the control group, the total effective rate was 63.9%, a significant differenee between the two groups, with statistical significanee (P lt;0.05). Conclusion In the treatment of chronic atrophic gastritis in Integrative therapy was better than western medicine, safe and reliable, worthy of clinical application. 【Key words] Integrative Medicine; chronic atrophic gastritis; efficacy 慢性萎缩性胃炎为常见胃部疾病。动脉硬化、胃血流量不足、烟酒茶的 嗜好等都容易损害胃粘膜的屏障机能而引起慢性萎缩性胃炎。慢性萎缩性胃炎时, 胃粘膜萎缩而被肠的上皮细胞取代即肠化生；炎症继续演变，则细胞生长不典型， 即间变；其至细胞增生而致癌变。由于本病发病率高，口临床上常反复