摘要
目的运用放大内镜结合窄带成像(NBI-ME)技术评价疏肝理气法治疗肝胃不和型慢性萎缩性胃炎(CAG)的临床效果。方法选择2017年12月至2020年12月江苏省江阴市中医院门诊收治的82例肝胃不和型CAG患者作为研究对象,根据随机数字表法分为对照组和研究组,每组41例。对照组采用常规西医治疗,研究组在对照组的基础上采用疏肝理气法治疗,两组均治疗3个月。观察两组治疗前后中医证候评分、NBI-ME内镜分级情况,比较两组临床疗效及不良反应发生率。结果治疗后,研究组临床疗效优于对照组(P<0.05)。两组中医证候评分均较治疗前降低,且研究组低于对照组(P<0.05)。治疗后两组NBI-ME内镜分级情况均优于治疗前,且研究组优于对照组(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论疏肝理气法治疗肝胃不和型CAG效果显著,对肠上皮化生结节具有一定的逆转作用,安全可靠。
Objective Evaluation of clinical efficacy of soothing liver and regulating qi in the treatment of chronic atrophic gastritis(CAG)with syndrome of disharmony of liver and stomach by narrowband imaging-magnification endoscopy technology.Methods A total of 82 CAG patients with syndrome of disharmony of liver and stomach admitted to Jiangyin Hospital of Traditional Chinese Medicine Hospital,Jiangsu Province from December 2017 to December 2020 were selected as the research subjects,according to random number table method,the patients were divided into control group and study group,with 41 cases in each group.The control group was treated with conventional Western medicine,and the study group was treated with the method of soothing liver and regulating qi on the basis of the control group.Both groups were treated for three months.The traditional Chinese medicine syndrome score and the condition of NBI-ME endoscopy grading before and after treatment were observed in the two groups,the clinical efficacy and incidence of adverse reactions were compared between the two groups.Results After treatment,the clinical efficacy of the study group was better than that in the control group(P<0.05).The traditional Chinese medicine syndrome scores in both groups were lower than those before treatment,which in the study group were lower than that in the control group(P<0.05).After treatment,the condition of NBI-ME endoscopy grading in the two groups were better than those before treatment,which in the study group was better than that in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The effect of soothing liver and regulating qi in the treatment of CAG with syndrome of disharmony of liver and stomach is significant,which has certain reverse effect,safe,and reliable.
作者
李丽
汤瑜
LI Li;TANG Yu(Department of Gastroenterology,Jiangyin Hospital of Traditional Chinese Medicine,Jiangsu Province,Wuxi214400,China)
出处
《中国医药导报》
CAS
2021年第35期154-157,共4页
China Medical Herald
基金
江苏省第五期“333工程”科研资助立项项目(BRA2018263)。
关键词
放大内镜结合窄带成像技术
疏肝理气法
肝胃不和型
慢性萎缩性胃炎
Narrowband imaging-magnification endoscopy technology
Soothing liver and regulating qi
Syndrome of disharmony of liver and stomach
Chronic atrophic gastritis
作者简介
李丽(1986.9-),女,硕士,研究方向:中医内科脾胃病。
