摘要
目的:观察中医辨证疗法在胆汁返流性胃炎实施中的临床效果。方法:对2017年5月-2018年11月间在我院就诊的74例胆汁返流性胃炎患者进行分组治疗,随机数字表法分为中医组和西医组各37例,西医组采用铝碳酸镁,多潘立酮,奥美拉唑联合治疗,中医组采用中医辨证疗法,两组治疗疗程为4周,治疗后观察比较两组中医症状积分、胃镜疗效及炎性指标白细胞介素-8(Interleukin-8,IL-8)、C反应蛋白(C-reactive Protein, CRP)的差异。结果:两组治疗后胃脘痛、泛酸、嘈杂、纳差、嗳气症状积分均较治疗前显著降低(P <0.05)。中医组治疗后各项症状积分较西医组明显降低(P <0.05)。中医组胃镜疗效上优于西医组(P <0.05)。两组IL-8及CRP指标在治疗后均明显低于治疗前,治疗后中医组IL-8及CRP低于西医组(P <0.05)。结论:中医辨证疗法对胆汁返流性胃炎治疗效果良好,安全性高,中医症状积分、胃镜疗效及炎症改善均优于西医疗法,值得临床进一步推广。
Objective:To observe the clinical effect of TCM syndrome differentiation on bile reflux gastritis.Methods:74 patients were divided into two groups.The western medicine group was applied hydrotalcite,domperidone and omeprazole.The TCM group was treated by TCM syndrome differentiation.The treatment course in the two groups was 4 weeks.Results:The scores of epigastric pain,pantothenic acid,noisy,poor appetite and belching symptoms in the two groups were significantly lower than those before treatment(P﹤0.05).The scores of symptoms in the TCM group were significantly lower than those in the western medicine group(P﹤0.05).The efficacy of gastroscopy in TCM group was better(P﹤0.05).After treatment,the levels of IL-8 and CRP in the two groups were significantly lower than before treatment.After treatment,the levels of IL-8 and CRP in the TCM group were lower than those in the western medicine group(P﹤0.05).Conclusion:TCM syndrome differentiation shows a good effect and high safety on bile reflux gastritis.TCM symptom score,gastroscopy effect and inflammation improvement are better than western medicine method,which deserves further clinical promotion.
出处
《中医临床研究》
2020年第13期102-105,共4页
Clinical Journal Of Chinese Medicine
关键词
胆汁返流性胃炎
症状积分
中医辨证
胃镜
Bile reflux gastritis
Symptom points
TCM syndrome differentiation
Gastroscopy
