温阳健脾汤治疗脾胃虚弱型慢性萎缩性胃炎的临床疗效观察

发布时间：2018-05-26 10:51

本文选题：温阳健脾汤 + 慢性萎缩性胃炎　；参考：《中华中医药杂志》2017年06期

【摘要】：目的:观察温阳健脾汤治疗脾胃虚弱型慢性萎缩性胃炎(CAG)的临床疗效。方法:收集2014年6月-2015年10月期间就诊于中国中医科学院广安门医院脾胃病科门诊的脾胃虚弱型CAG患者80例,均予以口服温阳健脾汤治疗。患者每2周复诊1次,并填写症状分级量化表,12周为1个疗程,12周后停止服药并规范进行胃镜病理的复查。结果:温阳健脾汤对脾胃虚弱型的CAG患者中医证候的治疗效果显著,其中,痊愈率为18.67%,显效率为45.33%,有效率为25.33%,总有效率高达89.33%。同时病理病变有了不同程度的逆转,其中,胃窦、胃角、胃体3个部位萎缩治疗的总有效率都达到60%以上,肠化生治疗的总有效率均达到73%以上。结论:温阳健脾汤对脾胃虚弱型CAG患者有很好的临床疗效。
[Abstract]:Objective: to observe the clinical effect of Wenyang Jianpi decoction on chronic atrophic gastritis (CAG) with deficiency of spleen and stomach. Methods: from June 2014 to October 2015, 80 CAG patients with asthenia of spleen and stomach of Guanganmen Hospital, Chinese Academy of traditional Chinese Medicine, were collected and treated with Wenyang Jianpi decoction. The patients were reviewed once every 2 weeks and completed the symptom grading scale for 12 weeks. After 12 weeks of treatment, the patients stopped taking the medicine and the gastroscopy pathological examination was standardized. Results: the effect of Wenyang Jianpi decoction on TCM syndromes of CAG patients with deficiency of spleen and stomach was remarkable. The cure rate was 18.67, the effective rate was 45.33, the effective rate was 25.33 and the total effective rate was 89.33. At the same time, the pathological changes were reversed to different degrees, in which the total effective rate of atrophic treatment of gastric antrum, gastric horn and gastric body reached more than 60%, and the total effective rate of intestinal metaplasia treatment was more than 73%. Conclusion: Wenyang Jianpi decoction has good clinical effect on CAG patients with deficiency of spleen and stomach.
【作者单位】：中国中医科学院广安门医院;北京中医药大学;
【分类号】：R259

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