中西医结合治疗胆汁反流性胃炎192例

Treating 192 cases of bile reflux gastritis in the integrative medicine

目的：研究中西医结合治疗胆汁反流性胃炎的I临床效果。方法：192例患者分成对照组和治疗组，对照组予铝碳酸镁咀嚼片、奥美拉唑、莫沙必利。如合并幽门螺杆菌（HP）感染者给予抗HP治疗。治疗组在对照组西药治疗基础上，用中药和胃降逆汤治疗，随证加减，观察疗效。结果：治疗组i02例，总有效率98．03％。对照组90例，总有效率82．22％。两组1年内复发率：治疗组复发2例，占1．97％；对照组复发17例，占18．88％。治疗组复发率明显低于对照组（P〈0．05）。结论：中西医结合方法治疗胆汁反流性胃炎的疗效优于西医，值得推广。

Objective： To study clinical effects of treating bile reflux gastritis in the integrative medicine. Methods： Divide 192 patients into control group and treatment group, taking aluminum magnesium carbonate chewable tablets, omeprazole, mosapride in control group. The treatment group based on the control group taking TCM and Weijiangni decoction therapy, observe the effect. Result： In treatment group 102 cases, the total efficiency for 98.02%. In control group 90 cases, the total efficiency for 82.22%. In 1 year the recurrence rate of two groups： The treatment group recurrence rate for 2 cases, 1.97%; The control group recurrence rate for 17 cases, 18.88%. In treatment group the recurrence rate is less than the control group （P〈0.05）. Conclusion： Treating bile reflux gastritis in the integrative medicine is better than the werstern medicine, is worth being clinically applied.