瑶医膏药治疗脾胃虚寒型门脉高压性胃病的临床观察

Clinical Research of Yao Minority Medical Plaster on Patients with Portal Hypertensive Gastropathy of Deficiency Cold of Spleen and Stomach Pattern

目的:观察瑶医膏药脐疗治疗脾胃虚寒型门脉高压性胃病的临床疗效。方法:将60例脾胃虚寒型门脉高压性胃病的患者随机分为对照组和治疗组,每组30例;2组均采用常规抑制胃酸分泌、控制心室率、补充维生素、保肝降酶、支持治疗;治疗组同时加用瑶医膏药脐疗。观察临床症状积分、内镜下表现、门静脉血流动力学指标、肝纤维化指标的变化情况。结果:治疗后治疗组在症状积分、临床疗效、内镜下表现、PCIII、门静脉血流动力学指标方面较对照组差异有统计学意义(P<0.05)。结论:瑶医膏药脐疗能显著改善脾胃虚寒型门脉高压性胃病患者的症状、胃黏膜病变、门静脉血流动力学指标,疗效较对照组明显。

Objective： To observe the clinical effect of Yao minority medical plaster at navel on patients with portal hypertensive gastropathy of cold and deficiency of spleen and stomach pattern. Methods： Sixty cases were randomly divided into treatment group and control group with 30 cases in each group. Both of the groups were treated with routine supportive medicine for inhibiting gastric acid secretion,controlling ventricular rate,vitamin supplementation,protecting liver and reducing enzyme,and treatment group additionally received treatment of Yao minority medical plaster at the same time. The symptom score,endoscopic features,portal venous hemodynamics indexes,and renal artery hemodynamics indexes were observed. Results： There was a significant difference between the two groups after the treatment in symptom score,clinical effect,endoscopic features,PCIII,and portal venous hemodynamics indexes（ P〈0. 05）. Conclusion： Yao minority medical plaster therapy may significantly improve the symptoms,gastric mucosal lesions,portal venous hemodynamics indexes and have significant efficacy compared with the control group.