柴胡清导汤治疗胆汁反流性胃炎的临床观察

Clinical Obervation on Treatment of Bile Reflux Gastritis with Chaihuqingdaotang

目的 :探讨胆汁反流性胃炎的病机特点及柴胡清导汤的临床疗效。方法 :选择 14 4例患者 ,随机分为两组 ,治疗组采用奚九一教授经验方柴胡清导汤 ,对照组采用西药吗丁啉 ,进行系统的临床观察。结果 :两组总有效率分别为 93 .1%、71.92 %(P <0 .0 1) ;治疗组对临床症状、体征的清除时间 ,胆汁反流的控制及胃炎的修复等指标均优于对照组。结论 :根据中医学理论和临床实践 ,提出胆汁反流性胃炎的病机关键为胃失和降 ,病理表现为热郁血瘀 ,病位涉及肝、胆、脾、胃 ,采用疏肝降胃、清热化瘀法组方的柴胡清导汤 ,其临床疗效优于吗丁啉 ,值得探讨运用。

Objective: To evaluate the therpeutic effect of Chaihuqingdaotang in treating bile reflux gastritis. Methods: One hundred and forty-four patients were randomly divided into two groups. Chaihuqingdaotang was formula which had been used for m any times by Professor Xi Jiuyi used in therapeutic group and Motilium was used in co ntrol group. Results: The total effective rate in therapeutic gr oup was 93.10% and 71.92% in control proup (P<0.01). The improvement in symp toms, physical findings and bile reflux in therapeutic group was better t han that of control. Conclusion: Curative effect of Chaihuqingd aotang is better than that of Motilium.