摘要
[目的]观察行健脾清胃汤治疗脾虚湿热型慢性糜烂性胃炎疗效。[方法]使用随机平行对照方法,将84例住院患者按病志号抽签法简单随机分为两组注意饮食,忌烟酒、辛辣刺激食物及其他影响研究的药物。对照组42例胶体果胶铋,150mg/次,4次/d;兰索拉唑,30mg/次,1次/d。治疗组42例健脾清胃汤(薏苡仁30g,生黄芪、海螵蛸各20g,党参、茯苓、蒲公英、芙蓉叶各15g,白术炒12g,姜半夏、黄芩、白及各10g,失笑散9g,川连6g),1剂/d,水煎400m L,早晚分服。连续治疗28d为1疗程。观测临床症状、胃黏膜状况、体征(便溏、尿黄、口苦、胸闷、泛酸、舌苔)、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈21例,有效17例,无效3例,总有效率92.86%。对照组痊愈17例,有效15例,无效10例,总有效率76.19%。治疗组疗效优于对照组(P<0.05)。两组临床体征均有改善(P<0.05),治疗组改善优于对照组(P<0.05)。[结论]行健脾清胃汤治疗脾虚湿热型慢性糜烂性胃炎效果显著,无严重不良反应,值得推广。
[Objective]To observe OK spleen spleen Qingwei heat Treated Chronic erosive gastritis efficacy. [Methods] using random parallel control method, 84 cases of hospitalized patients by disease Zhi No. ballot method is simple and randomized into two groups. Both groups were continuous treatment 28 d for a course of treatment. Diet, avoid alcohol, spicy foods and other impact studies of the drug. The control group 42 cases of colloidal bismuth pectin, 150 mg / times, 4 times / d; lansoprazole, 30 mg / times, 1 time / d. Treatment group 42 cases of spleen Qingwei Tang（Yiyiren 30 g, Shenghuangqi, Haipiaoxiao 20 g, Dangshen,Fuling,Pugongying,Furon gye 15 g, Baizhu12 g,Jianbanxia,Huangqi,Baiji 10 g, Shixiaosan 9g, Chuanlian 6g）, 1/ d, decoction 400 m L, morning and evening hours service. Observation of clinical symptoms, endoscopy, clinical signs（loose stools, dark urine, mouth pain, chest tightness, pantothenic acid, tongue）, adverse reactions. A course of treatment to determine efficacy. [Results] The cure 21 cases, effective in 17 cases, three cases, the total efficiency of 92.86%. Control group, 17 cases recovered, effective 15 cases, ineffective in 10 cases, the total efficiency of 76.19%. Treatment group than the control group（P〈0.05）. Two sets of clinical signs were improved（P〈0.05）, improvement in the treatment group than the control group（P〈0.05）. [Conclusion]Spleen spleen Qingwei heat Treated Chronic erosive gastritis effect is significant, it is worth promoting.
出处
《实用中医内科杂志》
2015年第2期61-63,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
慢性糜烂性胃炎
脾虚湿热
行健脾清胃汤
胶体果胶铋
兰索拉唑
胃黏膜
体征(便溏、尿黄、口苦、胸闷、泛酸、舌苔)
中医药治疗
随机平行对照研究
chronic erosive gastritis
spleen heat
Spleen Qingwei soup
colloidal bismuth pectin
lansoprazole
gastroscopy
clinical signs （loose stools, dark urine, mouth pain, chest tightness, pantothenic acid,tongue）
Chinese medicine treatment
randomized parallel group study
