内镜介入加中药治疗疣状胃炎220例疗效观察

Therapeutic observation on 220 cases of verrucose gastritis by endoscopic treatment combined with Chinese herbs

[目的]探讨内镜介入和中药治疗疣状胃炎的临床价值.[方法]经胃镜诊断明确的220例疣状胃炎患者随机分为西药组和中西药组,各110例,两组均采用内镜介入方法,共治疗疣状隆起病变536枚,术后分别给予西药和中西药结合治疗,1～2个月后观察镜下病变形态学变化、幽门螺杆菌(Hp)转阴及腹痛、烧心、反酸等症状变化.[结果]全部病例治疗后疣状隆起消失率达94.7%,西药组及中西药组分别为93.6%及94.6%,Hp转阴率分别为93.6%及95.5%,两组疗效比较差异无统计学意义(P＞0.05).临床症状缓解率西药组为78.6%,中西药组为91.8%,中西药组明显优于西药组(P＜0.05).[结论]疣状胃炎采用内镜介入方法治疗安全、有效、可靠;在改善临床症状方面,中西药组明显优于西药组.

[Objective] To discuss the therapeutic values of endoscopic treatment combined with Chinese herbs on verrucose gastritis. [Methods] Two hundred and twenty cases of verrucose gastritis diagnosed by endoscope were separated on 2 equal groups （A and B）,and all treated under the endoscope. Patients in group A was treated by western medicine only, while in another group treated by Chinese herbs combined with western medicine. Targets changes, morphology, helicobacter plori, clinical symptoms and so on were observed 1-2 months later. [Results] The disapperance rate of verruciform protuberance was 94.7 % in all cases after therapy. The disapperance rate in group A and B was 93. 6% and 94.6% respectively without significant difference between them （P〉0.05）. The remission of clinical symptoms was 78. 6 % in group A, and 91. 8 % in group B with significant difference between them （P〈0. 05）. [Conclusion] The endoscopic treatment on verrucose gastritis is a safe, effective and reliable method. Chinese herbs combined with western medicine are better to improve patient＇s clinical symptoms than single western medicine.