中西医结合治疗慢性萎缩性胃炎82例疗效观察.docVIP

中西医结合治疗慢性萎缩性胃炎82例疗效观察[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 162例慢性萎缩性胃炎患者随机分为对照组和观察组，对照组80例采用西医治疗，观察组82例在对照组基础上加用中药。治疗结束后对两组患者的临床效果进行比较。结果 观察组临床总有效率为92.7%（76/82），高于对照组的临床总有效率68.8%（55/80），具有显著差异(P＜0.01)。结论 中西医结合治疗慢性萎缩性胃炎临床疗效显著，优于西药治疗。 [关键词] 慢性萎缩性胃炎； 中西医结合； 疗效 [中图分类号] R573.3+2[文献标识码] A[文章编号] 1005-0515（2011）-01-009-01 Observation of treating Chronic Atrophic Gastritis with Integrated Chinese and Western Medicine Wang Hongbo (Digestive System Dept. Sui County Chinese Medicine Hospital Shangqiu, Henan Zip Code: 476900) [Abstract]Objective Discuss the clinical effect of Integrated Chinese and Western Medicine treatment on Chronic Atrophic Gastritis. Method 162 Chronic Atrophic Gastritis patients were divided into observation group and control group randomly. The control group contains 82 patients accepted Western medicine treatment; the observation group which consists of 82 patients was given western medicine treatment plus Chinese medicine. After the treatment finished, clinical effect of these two groups are compared with each other. Result Clinical response rate of observation group is 92.7% (76/82), higher than clinical response rate of control group 68.8% (55/80), there is significant difference between the two group (P＜0.01). Conclusion Clinical effect of Integrated Chinese and Western Medicine treatment on Chronic Atrophic Gastritis is significant, more efficient than Western Medicine treatment. [Keywords] Chronic Atrophic Gastritis; Integrated Chinese and Western Medicine treatment; Clinical effect 慢性萎缩性胃炎(chronic atrophic gastritis，CAG) 是以胃黏膜腺体萎缩为特征的一种常见的消化系统疾病，目前尚未有特效药物治疗。我院消化科门诊采用中西医结合治疗慢性萎缩性胃炎82例，疗效满意，现报告如下： 1 资料和方法 1.1一般资料 2009年1月至12月在本院就诊的CAG患者162例，随机分成观察组和对照组。纳入标准：①符合慢性萎缩性胃炎西医诊断标准和中医证候诊断标准[1,2]，并经纤维胃镜检查确定为CAG患者方可入选；②患者年龄18～70岁。排除标准：①合并有肝肾等严重危及生命的疾病和精神病患者；②经病理活检检查诊断癌变或疑似癌变者；③拒绝签署知情同意书或者依从性差者。观察组82例，其中男48例，女34例；年龄46.4岁；病程6月-8年，平均2.8年；胃镜及病理分级：轻度40例、中度27例、重度15例；对照组80例，其中男46例，女34例；年龄45.7岁；病程5月-7年，平均2.6年；胃镜及病理分级：轻度37例、中度30例、重度13例，两组一般资料无显