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黄芪健中汤治疗脾胃虚寒型胃溃疡的疗效观察(1)
http://www.100md.com 2012年1月15日 刘永秋
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     【摘要】 目的 观察黄芪健中汤治疗脾胃虚寒型胃溃疡的临床疗效。方法 将86例胃溃疡患者随机分为治疗组和对照组各43例。对照组口服奥美拉唑胶囊和卡拉霉素,治疗组口服黄芪健中汤。两组均以8周为1疗程。结果 8周后复查胃镜,治疗组溃疡愈合率93.0%,明显高于对照组的76.7%,两组愈合病例1年后复发率治疗组为5.7%,对照组为17.8%,治疗组均优于对照组,差异有统计学意义(P<0.05),两组均无严重不良反应,不良反应发生率相当,差异无统计学意义(P>0.05)。结论 黄芪健中汤治疗脾胃虚寒型胃溃疡疗效显著,不良反应发生率及复发率低,优于单纯西药治疗。

    【关键词】

    胃溃疡;脾胃虚寒型;黄芪健中汤;西药

    

    Clinical observation of Chinese medicine Huangqijianzhong decoction in the treatment of gastric ulcer with insufficiency of spleenyang and gastralyang.

    LIU Yongqiu.Department of traditional Chinese medicine, Jimo People’s Hospital, Jimo, 266200, China

    

    【Abstract】 Objective

    To observe the clinical effect of Chinese medicine Huangqijianzhong decoction in the treatment of gastric ulcer with insufficiency of spleenyang and gastralyang. Methods 86 cases with insufficient of spleenyang and gastralyang gastric ulcer were randomly divided into two groups: Huangqi jianzhong decoction treatment group (observation group,n=43) and conventional western medicine group (control group,n=43), patients of the treatment group were given huangqi jianzhong decoction and the control group were treated by omeprazole capsules and kalafungin, and treatment cycles of the two groups were both 8 weeks. Results In the observation group, 35 patients were cured, and total effective rate was 93.0%,while in the control group, 28 cases were cured, and total effective rate was 76.7%, and there was significant difference between two groups (P<0.05). There were not obvious adverse reactions in two groups. After a period of 12 months followup, 2 cases recurred (recurrence rate 5.7%) in observation group, and 5 cases recurred in conventional control group (recurrence rate 17.8%), and there was significant difference between two groups (P<0.05). Conclusion Chinese medicine huangqi jianzhong decoction is very effective in the treatment of insufficient spleenyang and gastralyang gastric ulcer with lower adverse reaction rate and recurrence rate comparing to treating by western medicine merely.

    【Key words】

    Gastric ulcer;Insufficiency of spleenyang and gastralyang; Huangqijianzhong decoction; Western medicine ......

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