柴胡疏肝散加减治疗肝胃不和型Hp阳性胃溃疡38例

发布时间：2018-05-06 06:33

本文选题：胃溃疡 + 柴胡疏肝散　；参考：《河南中医》2017年04期

【摘要】：目的:观察柴胡疏肝散加减治疗肝胃不和型幽门螺杆菌(Helicobacter pylori,Hp)阳性胃溃疡的临床疗效。方法:选取肝胃不和型Hp阳性胃溃疡患者76例为研究对象,随机分为研究组和对照组,每组各38例。对照组采用阿莫西林、奥美拉唑、克拉霉素治疗,研究组采用柴胡疏肝散加减治疗,观察两组患者中医症候疗效、溃疡愈合疗效及Hp清除情况。结果:研究组患者中医证候有效率为92.1%,对照组中医证候有效率为78.9%,两组比较,差异有统计学意义(P0.05)。研究组溃疡愈合率为97.3%,对照组溃疡愈合率为76.3%,两组比较,差异有统计学意义(P0.05)。研究组患者Hp清除率为86.7%,对照组患者Hp清除率为65.8%,研究组Hp清除率显著高于对照组,组间比较差异有统计学意义(P0.05)。结论:柴胡疏肝散加减治疗肝胃不和型Hp阳性胃溃疡临床疗效确切,提高溃疡愈合率。
[Abstract]:Objective: to observe the clinical effect of Chaihu Shugan Powder on Helicobacter pylori Helicobacter pylori positive gastric ulcer. Methods: 76 patients with HP positive gastric ulcer were randomly divided into study group and control group with 38 cases in each group. The control group was treated with amoxicillin, omeprazole, clarithromycin, and the study group was treated with chaihu Shugan powder. Results: the effective rate of TCM syndrome was 92.1g in the study group and 78.9 in the control group. The difference between the two groups was statistically significant (P 0.05). The healing rate of ulcer was 97.3 in the study group and 76.3in the control group. The difference between the two groups was statistically significant (P 0.05). The HP clearance rate was 86.7 in the study group and 65.8 in the control group. The HP clearance rate in the study group was significantly higher than that in the control group (P 0.05). Conclusion: Chaihu Shugan Powder is effective in treating HP positive gastric ulcer with disharmony of liver and stomach, and can improve the healing rate of ulcer.
【作者单位】：湖北医药学院附属人民医院;
【基金】：国家自然科学基金青年基金资助课题(编号:30801506)
【分类号】：R259

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