本文關鍵詞：芪術溫中湯治療脾胃虛寒型慢性非萎縮性胃炎的臨床觀察　出處：《黑龍江省中醫(yī)藥科學院》2016年碩士論文　論文類型：學位論文

  更多相關文章： 慢性非萎縮性胃炎 脾胃虛寒 芪術溫中湯 臨床觀察

【摘要】：1.目的觀察芪術溫中湯治療脾胃虛寒型慢性非萎縮性胃炎的臨床療效并對其進行客觀評價,探討芪術溫中湯治療脾胃虛寒型慢性非萎縮性胃炎的作用機制。2.方法選擇符合脾胃虛寒型慢性非萎縮性胃炎患者60例納入本研究。隨機分為治療組、對照組各30例,治療組服用芪術溫中湯,對照組服用附子理中丸,觀察并對比治療前后癥狀積分、證候療效、胃鏡結果及遠期療效。3.結果證候療效:治療組與對照組的癥狀積分均有改善,但治療組優(yōu)于對照組。治療組證候療效總有效率為96.7%,對照組為70.0%,總有效率治療組高于對照組,且差異具有統(tǒng)計學意義(P0.05)。胃鏡結果:治療組胃鏡改善總有效率為83.3%,對照組為53.3%,總有效率治療組高于對照組,且差異具有統(tǒng)計學意義(P0.05)。H.pylori根除率:治療組H.pylori陽性者21例,治療后2例,總根除率為90.5%;對照組H.pylori陽性者19例,治療后7例,總根除率為63.2%。H.pylori根除率治療組高于對照組,且差異具有統(tǒng)計學意義(P0.05)。隨訪結果:隨訪第4周末,治療組證候療效總有效率為93.3%,對照組為56.7%,兩組相比差異有統(tǒng)計學意義(P0.05)。療程結束與隨訪第4周末的證候療效進行組間對比,治療組差異無統(tǒng)計學意義(P0.05);對照組差異有統(tǒng)計學意義(P0.05)。4.結論4.1芪術溫中湯治療脾胃虛寒型慢性非萎縮性胃炎臨床療效確切;4.2芪術溫中湯在癥狀改善方面優(yōu)于對照組;4.3芪術溫中湯能改善胃鏡下胃黏膜慢性炎癥,療效優(yōu)于對照組;4.4芪術溫中湯在根除H.pylori感染方面優(yōu)于對照組;4.5芪術溫中湯臨床療效穩(wěn)定,遠期療效優(yōu)于對照組。
[Abstract]:Objective To observe the clinical curative effect of 1. Qizhu Wenzhong Decoction in the treatment of spleen deficiency type chronic non atrophic gastritis and carries on the objective evaluation, to explore the mechanism of.2. method of Qizhu Wenzhong Decoction in the treatment of spleen deficiency type chronic non atrophic gastritis with spleen deficiency type of chronic non atrophic gastritis patients 60 cases were included in this study were divided. For the treatment group, the control group of 30 cases, the treatment group taking Qizhu Wenzhong decoction, the control group taking Fuzilizhong pill, observed and compared before and after treatment of symptoms, syndromes, endoscopy results and long-term efficacy results of.3. syndromes: symptom scores were the treatment group and the control group improved, but the treatment group better than the control group. The treatment group syndrome curative effect the total effective rate was 96.7%, the control group was 70%, the total effective rate of treatment group was higher than control group, and the difference was statistically significant (P0.05). The results of Gastroscope: the treatment group to improve the total efficiency of gastroscope 83.3%, the control group was 53.3%, the total efficiency of the treatment group than the control group, and the difference was statistically significant (P0.05) the eradication rate of.H.pylori: 21 patients in treatment group were H.pylori positive, 2 cases after treatment, the total eradication rate was 90.5%; 19 cases of control group were H.pylori positive, 7 cases after treatment, the total eradication rate for the 63.2%.H.pylori eradication rate in the treatment group than the control group, and the difference was statistically significant (P0.05). Results: the follow-up follow-up fourth week, treatment group and syndrome curative effect the total effective rate was 93.3%, the control group was 56.7%, there was significant difference between two groups (P0.05). The end of the treatment group were compared with follow-up syndrome at the end of the fourth week, the treatment group had no significant difference (P0.05); control group (P0.05) the clinical curative effect of 4.1.4. conclusion: Qizhu Wenzhong Decoction Treatment of spleen deficiency type chronic non atrophic gastritis exactly; 4.2 Qizhu Wenzhong Decoction in improving symptoms. In the control group; 4.3 Qizhu Wenzhong decoction can improve gastric mucosal inflammation, the curative effect is better than that of control group; 4.4 Qizu Wenzhong Decoction in the eradication of H.pylori infection than the control group; 4.5 Qizhu Wenzhong Decoction clinical efficacy of stable, long-term effect is better than the control group.

【學位授予單位】：黑龍江省中醫(yī)藥科學院
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R259
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本文編號：1364397