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1、胃安素治疗慢性萎缩性胃炎的临床与实验研究世界华人消化杂志1998年第2期第0卷研究原著作者:危北海1张占海2杨丽彩1刘晋牛1赵敏2赵荣來1李乾构2单位:1北京市中医研究所100023;2北京中医医院关键词:胃炎,萎缩性/中医药疗法:补益脾肾;地黄/治疗应用;黄茂/治疗应用;白术/治疗应用ClinicalandexperimentalstudyofWeiAnSuinchronicatrophicgastritisWEIBei-Hail,ZHANGZhan-Hai2,YANGLi-Cail,LIUJin
2、-Shengl,ZHAOMin2,ZHAORong-Lai1andLIQian-Gou21BeijingInstituteofTraditionalChineseMedicine,Beijing100010,China2BeijingHospitalofTraditionalChineseMedicineSubjectheadingsgastritisatrophic/zhongyiyaoliaofa;reinforcingspleen&kidney;astragalusmembranaceus/t
3、herapeuticuse;atractylodesmacrocephala/therapeuticuse;rehmanniaglutinosa/therapeuticuseAbstractAIMToevaluatethetherapeuticeffectofWeiAnSuCapsule(WASC)inthetreatmentofchronicatrophicgastritis(CAG).METHODSSixtycasesofCAGdiagnosedendoscopicallyandhistopat
4、hologicallyweredividedintotwogroups・GroupA(31cases)wastreatedwithWASC,andgroupB(29cases)withWeiMeiSuTablet.Gastricmucosalhistomorphologywasobservedunderendoscope,lightandelectronmicroscope・TheexperimentalchronicatrophicgastritismodelwithSpleenandKidney
5、deficiencyinmaleWistarratswasestablishedsuccessfullybythemethodofmulti-elementarydamages,suchasactiveimmunity,sodiumdeoxychlateandcoldbileandirregularfeedingwereadministered,thepreventivenexperimewascarriedoutsimultareously.Onthe50thday,allanimalswerek
6、illed,andgastricmucosawereobserved.RESULTSThepreventiveandtherapeuticeffectinGroupAwasbetterthaninGroupB.ThetotaleffectivenessrateofGroupAwas96.7%,andGroupB75.8%,differencebeingsignificant(P<0.05).Bettereffectswerealsoachievedinrelievingsymptoms,reduci
7、ngactiveinflammationofgastricmucosa,andrecoveringtheadrenocosticalfunctioningroupAthaningroupB.CONCLUSIONWASChadpreventiveandtherapeuticeffectforchronicatrophicgastritis.中国图书资料分类号R573.32摘要目的研究中药胃安素对慢性萎缩性胃炎及癌前病变的防治作用.方法临床研究,以市售维腮素为对照药,采用随机双盲法,共观察慢性萎缩性胃炎
8、60例,通过内镜观察、胃粘膜病理检查及对尿17-拜、血流变、血淸Hp抗体、胃粘膜尿素酶、SOD筹指标的检测,观察屮药胃安索对慢性萎缩性胃炎及胃癌前病变的治疗作用.实验研究,釆用2月龄Wistar大鼠,以主动免疫、去氧胆酸钠白由饮用、寒凉胆汁灌胃、饥饱失常的综合法,造成萎缩性円炎屮医辩证为脾肾两虚型动物模型,造模同时进行预防实验.造模成功后进行治疗实验,50d后处死动物,进行円粘膜病理检查及各项相关指标的检测(对照跖为三九胃泰和维酶素).结果临床研究结果显示,胃安素及维