摘要
目的:回顾性分析采用通降活血法治疗慢性萎缩性胃炎(chronic atrophic gastritis,CAG)伴肠上皮化生(intestinal metaplasia,IM)的临床疗效及用药经验。方法:收集2018年7月—2023年6月山西中医药大学附属医院诊治的CAG伴IM患者的完整病案资料,进行回顾性分析,比较治疗前后病理组织学积分变化,观察胃黏膜病变改善的有效率。结果:治疗后,患者的病理组织学积分显著降低,与治疗前比较差异有统计学意义(P<0.05);治疗总有效率为86.51%。结论:通降活血法治疗CAG伴IM有效率较高,不仅可以缓解患者的临床症状、提高生活质量,还为治疗该病提供了新的思路与方法,可有效预防癌变的发生,值得推广与借鉴。
Objective:To analyze the clinical efficacy and medication experience in treating chronic atrophic gastritis(CAG)with intestinal metaplasia(IM)by subduing the adverse Qi flow and activating blood flow through a retrospective study of clinical data.Methods:Collecting the complete data of CAG patients with IM who were diagnosed and treated at the Affiliated Hospital of Shanxi University of Traditional Chinese Medicine from July 2018 to June 2023,and retrospective analysis was carried out to compare the changes in histopathological scores before and after treatment,and observe the effective rate of improvement in gastric mucosal lesions.Results:After treatment,the histopathological score of the patients was significantly reduced(P<0.05),and the total effective rate of treatment was 86.51%.Conclusion:The method of subduing the adverse Qi flow and activating blood flow is effective in treating CAG with IM,which can not only alleviate clinical symptoms and improve quality of life,but also provide new ideas and treatment methods for the treatment of this disease,effectively preventing the occurrence of cancer.It is worth promoting and learning from.
作者
任浩
侯雪玥
文玉利
李阳
陈嘉琳
张三鑫
任顺平
REN Hao;HOU Xueyue;WEN Yuli;LI Yang;CHEN Jialin;ZHANG Sanxin;REN Shunping(Department of Anesthesiology,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing,100091,China;Shanxi University of Traditional Chinese Medicine;Department of Spleen and Stomach Diseases,Affiliated Hospital of Shanxi University of Traditional Chinese Medicine)
出处
《中国中西医结合消化杂志》
CAS
2024年第9期807-810,共4页
Chinese Journal of Integrated Traditional and Western Medicine on Digestion
基金
山西省名中医传承工作室建设项目——任顺平省级名中医传承工作室(No:SXSMZYGZS021)。
关键词
慢性萎缩性胃炎
肠上皮化生
通降活血法
临床疗效
chronic atrophic gastritis
intestinal metaplasia
subduing the adverse Qi flow and activating blood flow
clinical efficacy
