中西医结合治疗幽门螺杆菌相关性消化性溃疡72例临床观察

发布时间：2018-08-12 18:49

【摘要】：目的:观察益气养阴活血汤配合奥美拉唑、克拉霉素治疗幽门螺杆菌(Hp)相关性消化性溃疡的临床疗效。方法:将144例患者随机分为2组各72例。对照组采用口服奥美拉唑、克拉霉素治疗;治疗组在对照组治疗基础上加服中药益气养阴活血汤(黄芪、白术、太子参、山药、麦冬、当归、砂仁、蒲公英、沙参、延胡索、丹参、三七)治疗。2组均以15天为1疗程,治疗2疗程。观察临床疗效、胃镜疗效、Hp根除率及不良反应。结果:临床疗效总有效率治疗组为97.22%,对照组为88.89%,2组比较,差异有显著性意义(P0.05)。胃镜疗效总有效率治疗组为88.89%,对照组为77.78%,2组比较,差异有显著性意义(P0.05)。Hp根除率治疗组与对照组比较,差异有显著性意义(P0.05)。结论:益气养阴活血汤配合奥美拉唑、克拉霉素治疗幽门螺杆菌相关性消化性溃疡疗效显著。
[Abstract]:Objective: to observe the clinical effect of Yiqi Yangyin Huoxue decoction combined with omeprazole and clarithromycin on Helicobacter pylori (Hp) associated peptic ulcer. Methods: 144 patients were randomly divided into two groups (72 cases each). The control group was treated with oral omeprazole and clarithromycin, while the treatment group was treated with traditional Chinese medicine Yiqi Yangyin Huoxue decoction (Astragalus, Atractylodes macrocephala, Radix Pseudostellariae, Chinese yam, Radix Ophiopogonis, Radix angelicae Sinensis, Amomum villosum, Taraxacum dandelion, Panax ginseng, Coryd@@ Salvia miltiorrhiza, Panax notoginseng) treatment group (n = 2) were treated with 15 days as a course of treatment and 2 courses of treatment. To observe the clinical effect, gastroscopy effect, HP eradication rate and adverse reactions. Results: the total effective rate was 97.22 in the treatment group and 88.89 in the control group. There was significant difference between the two groups (P0.05). The total effective rate of gastroscopy in treatment group was 88.89 and that in control group was 77.780.The difference was significant (P0.05) .Hp eradication rate in treatment group was significantly higher than that in control group (P0.05). Conclusion: Yiqi Yangyin Huoxue decoction combined with omeprazole and clarithromycin is effective in the treatment of Helicobacter pylori associated peptic ulcer.
【作者单位】：湛江市第二中医医院;
【分类号】：R573.1

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