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时间:2019-05-24
《资生消萎方治疗慢性萎缩性胃炎临床观察》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·1304。现代中西医结合杂志ModernJournalofIntegratedTraditionalChineseandWesternMedicine2011Apt,20(11)资生消萎方治疗慢性萎缩性胃炎临床观察毛军民,石镇东,张尊祥,翁莎(南京军区杭州疗养院,浙江杭州310007)[摘要]目的观察资生消萎方治疗慢性萎缩性胃炎的临床疗效。方法158例患者随机分为治疗组86例和对照组72例,治疗组给予资生消萎方治疗;对照组给予维酶素和胃复春片治疗。比较2组疗效。结果2组治疗前后证候积分比较均有显著性差异(P均<0.01),治疗后证候积分2组比较有显著性差异(P<0.05)
2、;治疗组中医证候总有效率84%,对照组为65%,2组比较有显著性差异(P<0.05);治疗组疾病临床总有效率81%,对照组为61%,2组比较有显著性差异(P<0.05)。结论资生消萎汤治疗慢性萎缩性胃炎有良好的疗效,能明显改善患者临床症状和逆转病理组织变化。[关键词]资生消萎汤;慢性萎缩性胃炎;维酶素;胃复春片[中图分类号]R573.3[文献标识码]A[文章编号]1008—8849(2011)11一l304—03ClinicalobservationofZishengXiaoweiprescriptiononchronicatrophicgastritisMaoJunmin
3、,ShiZhendong,ZhangZunxiang,WengSha(HangzhouSanatoriumofNanjingMilitaryCommand,Hangzhou310007,Zhejiang,China)Abstract:0bjectiveItistoobservethecurativeefectofZishengXiaoweiprescriptiononchronicatrophicgastritis.Methodsl58patientswererandomlydividedintotwogroups.86caseswereintreatmentgroupan
4、dtreatedwithZishengXiao—weiprescription.Theother72caseswereincontrolgroupandtreatedwithWeimeisuandWeifuchun.Thecurativeefectsofthetwogroupswerecompared.ResultsTherewerebothsignificantdifferencesontheZhenghouintegralinthetwogroupsbe—tweenbeforetreatmentandaftertreatment(bothP<0.01).Therewer
5、esignificantdifferenceontheZhenghouintegralaftertreatmentbetweenthetwogroups(P<0.05).ThetraditionalChinesemedicalZhenghoutotaleffectiverateintreatmentgroupwas84%andthatincontrolgroupwas65%,andtherewassignificantdifference(P<0.05).Thediseaseclinicaltotalefec—riverateintreatmentgroupwas8l%an
6、dthatincontrolgroupwas61%,andtherewassignificantdifference(P<0.05).ConclusionZishengXiaoweipreseriptionhasgoodcurativeefectonchronicatrophicgastritis,whichcanobviouslyimprovetheclinicalsymptomofthepatientsanddeterioratethepathologytissuechanges.Keywords:ZishengXiaoweiprescription;chronicat
7、rophicgastritis;Weimeisu;Weifuchun慢性萎缩性胃炎(CAG)是多种原因引起的胃黏膜慢性2.1—18.5(8.5±2.9)a;伴肠上皮化生29例,异型增生5例。炎症,是以固有腺体萎缩、炎症浸润至黏膜下层、胃酸及胃蛋2组一般资料经统计学处理,无显著性差异(P>0.05),具有白酶分泌减少为特点的消化系统常见病、多发病、难治病之可比性。一1.2纳入标准所有病例纳入l临床观察前1个月内经胃镜。张岱山等报道,我国CAG癌变率为3%~5%,且有逐年上升的趋势。随着纤维胃镜检查和直视下活体组织学检
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