摘要
目的:对比中药和西药对消化性溃疡的近期及远期治疗效果。方法:将消化性渍疡患者140例随机分为治疗组、对照组。治疗组予护膜愈疡汤,观察对该病的临床效果和远期复发率。结果:治疗组临床治愈54例,显效14例,有效4例,无效2例,总有效率97.30%(95%CI=90.09%~94.60%);对照组临床治愈24例,显效18例,有效14例,无效10例,总有效率84.85%(95%CI=76.20%~93.50%);两组综合疗效比较(u=4.2476,P〈0.001),差异显著;治疗组1年复发率18.52%(95%CI=8.01%-28.56%),对照组1年复发率58.33%(95%CI=38.61%~78.05%),两组复发率比较(X^2=12.3647,P〈0.01),差异显著。结论:中药治疗组对消化性溃疡的治疗效果优于西药对照组,其收益为OR=0.16(95%CI=0.03~0.74),NNT=8(95%CI=4.6—31.6);且远期效果较西药对照组有明显的优势,其收益为OR=0.16(95%CI=0.06~0.47),NNT=3(95%CI=1.61~5.68)。
Objective: To compare the the short term efficacy and the prostecdtive efficacy between Chinesse medicine and western medicine on peptic ulcer. Method: 140 cases suffered from peptic ulcer were divided into treatment group and control group randomly. Then observe the clinical effect and long-term recurrence rate. Result : In treatment group 54 cases were recovered, 14 cases were excellent, d cases were effective and 2 cases were ineffective. The total effective rate was 97.30% (95% CI =90.09% -94.60% ). In control group 24 cases were recovered, 18 cases were excellent, 14 cases were effective and 10 cases were ineffective. The total effective rate was 84.85% (95% CI = 76. 20% -93.50% ). There was significant difference between the two groups (u = 4. 247 6,P 〈0. 001 ). The recurrence rate of 1 year was 18.52% (95% CI = 8.01% -28.56% ) in the treatment group, and 58.33% (95% CI = 38.61% -78.05% ) in the control group. The difference of recurrance rate between the two groups was significant markedly (X^2 = 12. 364 7, P 〈 0.01 ). Conclusion : The curative effect of TCM is better than that of western medicine on peptic ulcer, OR = 0. 16 ( 95% CI = 0. 03 - 0. 74 ), NNT = 8 (95% CI =4. 6 -31.6). And the prostecdtive efficacy of TCM is superior to that of western medicine, OR = 0. 16 (95% CI =0.06 -0. 47), NNT =3 (95% CI = 1.61 -5.68).
出处
《山西中医》
2009年第2期11-13,共3页
Shanxi Journal of Traditional Chinese Medicine