健胃愈疡颗粒对幽门螺杆菌阳性消化性溃疡患者生活质量的影响

Effects of Jianwei Yuyang Granule on quality of life of patients with helicobacter pylori-positive peptic ulcer

目的:探讨中成药健胃愈疡颗粒(柴胡、党参、白芍、延胡索等)对幽门螺杆菌(Helicobacter pylori,Hp)阳性消化性溃疡(peptic ulcer,PU)患者疗效及生活质量的影响。方法:将46例中医辨证属肝郁脾虚证且Hp阳性的PU患者随机分为健胃愈疡颗粒组和对照组(灭滴灵,阿莫西林和奥美拉唑),观察Hp根除率、胃镜疗效、中医证候疗效及一年复发率,并根据McMaster问卷对生活质量进行评估。结果:治疗组Hp的根除率(45.8%)显著低于对照组(P<0.05),两组胃镜疗效、一年复发率无显著差别(均P>0.05),治疗组中医证候疗效、生活质量的改善优于对照组(均P<0.05)。结论:中药健胃愈疡颗粒可以有效地促进肝郁脾虚证Hp阳性PU患者的溃疡愈合,改善临床证候,提高生活质量。

AIM ： To investigate Jianwei Yuyang Granule （ Radix Bupleuri, Radix codonopsis, Radix paeoniae alba,Rhizoma corydalis, etc. ） the effects of on curative effect and quality of life of Helicobacter pylori （Hp） -positive peptic ulcer（PU） patients. METHODS： 46 Hp-positive PU patients whose differentiation of symptoms and signs of the traditional Chinese medicine was the stagnation of liver-QI with deficiency of the spleen type were divided randomly into Jianwei Yuyang Granule group and western medicine control group （Metronidazole, amoxycillin and ondansetron）. Eradicative rate of Hp ,curative effect under gastroscope ,clinical curative effect in Chinese medicine syndrome were observed and quality of life were evaluated by McMaster questionnaire. RESULTS ： Compared with western medicine control group, Hp eradicative rates was lower （ P 〈 0. 05 ）, no difference in curative effect under gastroscope and one-year relapse rate （P 〉 0. 05 ）, Jianwei Yuyang Granule gained an advantage against western medicine with regard to effect on traditional Chinese medicine syndrome and quality of life（P 〈0. 05 ）. CONCLUSION ： Jianwei Yuyang Granule could promote ulcer healing and improved quality of life of patients with Hp positive PU and syndrome of stagnation of liver-QI with deficiency of the spleen.