参芪益胃汤治疗消化性溃疡随机对照观察

Shenqi Yiwei Decoction in the Treatment of Peptic Ulcer of Random Parallel Observation

[目的]观察参芪益胃汤治疗消化性溃疡疗效。[方法]将120例门诊患者按抽签方法随机分为两组。对照组60例①奥美拉唑胶囊20mg,早晚各1次,口服;②阿莫西林胶囊0.5g,3次/d,口服;③克林霉素胶囊0.3g,3次/d,口服。治疗组60例参芪益胃汤(生晒参15g,黄芪15g,茯苓10g,白术10g,砂仁12g,香附10g,陈皮10g,山楂12g,蒲公英10g,黄连6g,炙甘草6g),随证加减,水煎服,1剂/d,早晚各1次。连续治疗28d为1疗程。观测临床症状、胃镜检查、Hp检查、不良反应。连续治疗1疗程,判定疗效。[结果]治疗组显效46例,有效11例,无效3例,总有效率95.00%。对照组显效31例,有效15例,无效14例,总有效率76.66%。治疗组疗效优于对照组。[结论]参芪益胃汤治疗消化性溃疡临床疗效好、无不良反应,值得临床应用。

[Objective]To observe the effect of Shenqi Yiwei decoction in the treatment of peptic ulcer.[Method]Using randomized controlled methods,120 patients were in the draw method were randomly divided into two groups.A control group of 60 cases of omeprazole capsules 20mg,sooner or later each 1 times,oral amoxicillin capsules;②0.5g,3 / d,oral;③clindamycin hydrochloride capsules 0.3g,3 times / d,oral.The treatment group of 60 cases of Shenqi Yiwei Decoction（Shengshaishen 15g,Huangqi 15g,Fuling 10g,Baishu10g,Sharen12g,Xiangfu10g,Chenpi10g,Shanzha12g,Pugongying10g,Huanglian 6g,Zhigancao 6g）,with the card to add and subtract,decoction,1 does/d,morning and evening for 1 times.Continuous treatment for 28 days to 1 course of treatment.Observation of clinical symptoms,gastroscopy and positive or negative,positive or negative,Hp examination and adverse reaction.Continuous 1 courses of treatment,the curative effect.46 cases of group therapy.[Results]Effective 11 cases,invalid 3 cases,the total efficiency of 95.00%.The control group 31 cases markedly effective,effective 15 cases,invalid 14 cases,the total efficiency of 76.66%.The efficacy of the treatment group than in control group（P〈0.05）.[Conclusion]The clinical curative effect of Shenqi Yiwei Decoction in the treatment of peptic ulcer,less adverse reactions,it is worthy of clinical application.