中西医结合治疗幽门螺杆菌相关性慢性胃炎106例.docVIP

精品论文 参考文献 中西医结合治疗幽门螺杆菌相关性慢性胃炎106例 金昌市中医医院中西医结合科 737100 【摘 要】目的：观察中西医结合治疗幽门螺杆菌相关性慢性胃炎的临床效果。方法：106例幽门螺杆菌相关慢性胃炎病例随机分为观察组和对照组各53例。对照组给予三联疗法，连续治疗四周;观察组在对照组治疗的基础上，加用半夏泻心汤加味治疗。2周后分别观察两组在改善主要症状、病变复发情况。结果：观察组总有效率为94.0%，明显优于对照组的85.0%，差异有统计学意义（P＜0.05），两组复发情况比较差异无显著性（P＞0.05）结论：中西医结合治疗幽门螺杆菌相关性慢性胃炎具有较好的临床疗效。 【关键词】幽门螺杆菌相关性慢性胃炎；中西医结合疗法；半夏泻心汤 【中图分类号】R573.3 【文献标识码】B 【文章编号】1674-8999（2015）9-0857-01 【Abstract】Objective: To observe the clinical effect of combined treatment of Chinese and Western medicine in the treatment of Helicobacter pylori associated chronic gastritis. Methods: 106 cases of Helicobacter pylori associated chronic gastritis were randomly divided into observation group and control group with 53 cases in each group. The control group was treated with triple therapy, and the observation group was treated with the treatment of the control group. After 2 weeks, the two groups were observed in the improvement of the main symptoms and the recurrence of the disease. Results: the total effective rate of observation group was 94.0%, obviously superior to 85.0% in the control group, the difference is statistically significant (P lt; 0.05). The patients in the two groups, the difference no significant (P gt; 0.05) conclusion: Traditional Chinese medicine and Western medicine combination has good clinical efficacy in the treatment of Helicobacter pylori associated chronic gastritis. 【Key words】Helicobacter pylori associated chronic gastritis combined with Chinese and Western medicine combined with western medicine for the treatment of heart and Stomach Decoction 慢性胃炎是有各种病因引起的胃黏膜性炎症，在中医上慢性胃炎称为“胃痛”或“胃脘痛”[1]。笔者运用中西医结合的方法治疗幽门螺杆菌（HP）相关慢性胃炎106例，疗效满意，现报到如下： 1 资料与方法 1.1临床资料：本组106例慢性胃炎患者为我院2010年5月-2012年5月的门诊病例，均符合中医病症诊断疗效标准和8年制临床医学专用教材laquo;内科学raquo;的慢性胃炎诊断标准。106例随机分观察组合对照组。观察组53例，其中男39例，女14例，年龄17-65岁。平均41.5孙，病程6个月-4年。对照组53例，其中男34例，女19例，年龄18-64岁，平均40.5孙，病程5个月-4.5年。所有患者均有不同程度上腹部隐痛、食欲减退、嗳气泛酸、噪杂恶心等。HP检测根据C14-OBT呈阳性，均经纤维胃镜证实为慢性胃炎，且排除恶变。2组在年龄、性别、病程等方面比较，差异无统计学意义(P＞0.05),