中医辨证治疗慢性糜烂性胃炎的临床疗效观察.pdfVIP

-72- Clinical Journal of Chinese Medicine 2013 Vol.(5) No.14 中医辨证治疗慢性糜烂性胃炎的临床疗效观察 Clinical observation on treating chronic erosive gastritis in TCM syndrome differentiation treatment 李 婷 （浙江省温岭市中医院，浙江 温岭，317500 ） 中图分类号：R573.3 文献标识码：A 文章编号：1674-7860 （2013 ）14-0072-02 【摘 要】 目的：探讨中医辨证治疗慢性糜烂性胃炎的临床疗效。方法：将94 例慢性糜烂性胃炎患者随机分为观察组和对 照组，每组各47 例，给予对照组患者给予常规西医治疗，观察组患者在此基础上采用中医辨证治疗，比较两组患者的临床疗效。 结果：观察组患者的治疗总有效率为93.6%，显著高于对照组患者的76.6%，组间差异有统计学意义（P0.05 ）。结论：采用中医 辨证治疗慢性糜烂性胃炎临床疗效好，值得临床进一步推广使用。 【关键词】慢性糜烂性胃炎；中医；辨证；临床疗效 【Abstract 】 Objective: To study the clinical effect of TCM syndrome differentiation treatment of chronic erosive gastritis. Methods: 94 cases with chronic erosive gastritis were randomly divided into observation group and control group, 47 cases in each group, the control group was treated by routine modern medicine. Based on the control group, the observation group was given TCM syndrome differentiation treatment. To compare the clinical effect of patients in two groups. Results: The total efficinency of the patients in observation group was 93.6%, significantly higher than that in control group (76.6%). There was significant difference between two groups (P0.05). Conclusion: Taking TCM syndrome differentiation in treatment of chronic erosive gastritis has good clinical curative effect, worthy of further clinical application. 【Keywords 】 Chronic erosive gastritis; TCM; Syndrome differentiation; Clinical effect doi:10.3969/j.issn.1674-7860.2013.14.043 慢性糜烂性胃炎是一种临床常见的消化道疾病，临床主要表 20mg/次，同时给予口服阿莫西林 1.0g/次，2 次/d 。观察组患 现为上腹隐痛、食欲减退、餐后饱胀、反酸等，一旦确诊应立即 者在此基础上采用中医辨证治疗，药方基本组成包括：党参、 采取有效的治疗，不然会有转化成慢性萎缩性胃炎的风险[1] 。目 黄芪、木香、陈皮、白术、白芍各 15g，半夏、元胡各 10g， 前常规抑制胃酸分泌、保护胃粘膜等西医治疗效果并不理想， 甘草、黄连、吴茱萸各 5g。胃胀痛者：加丹参、川楝子各 15g； 笔者在常规西医治疗基础上采用中医辨证治疗慢性糜烂性胃 胃出血者：加炒蒲黄 10g；泛酸者：加佛手、海螵蛸各