应用中西医联合与单纯西药治疗胃痞病脾胃湿热型患者疗效观察

Spleen and Stomach Syndrome Patients Treated with Chinese and Western Medicine

目的:比较和分析单纯西药与中西药联合治疗胃痞病脾胃湿热型患者的临床疗效。方法:选取该院在2013年1月—2013年12月期间所收治的120例患者作为研究对象。按照患者治疗时间先后顺序分组为西药组和中西医结合组。西药组:采用奥美拉唑肠溶片治疗,20 mg/次,2次/d;莫沙必利分散片,5 mg/次,3次/d。中西医结合组:在西药治疗基础上加用中药针药联合治疗。观察两组患者临床疗效和治疗前后中医证候积分以及主要症状改善情况、复发率、不良反应。结果:治疗前,西药组中医证候积分为(44.1±7.9)分,与中西医结合组(43.9±8.1)分比较无显著性差异(P>0.05);治疗后,西药组中医证候积分为(11.3±4.7)分,中西医结合组则为(5.2±3.6)分;两组与治疗前比较有显著性差异(P<0.05);而中西医结合组明显优于西药组(P<0.05)。此外,西药组治疗有效率和复发率分别为85.00%(51/60)、10.00%(6/60),与中西医结合组95.00%(57/60)、1.67%(1/60)比较有显著性差异(P<0.05);两组患者治疗前后主要症状积分比较无显著性差异(P>0.05);治疗后均得到明显改善,且中西医结合组优于西药组(P<0.05)。两组患者治疗前后均没有出现明显性呕吐和腹泻等不良反应,且尿常规和肝肾功能等表现正常。结论:相比单纯西药来说,采用中西医结合治疗胃痞病脾胃湿热型患者具有较好的效果,且无不良反应发生,值得推广。

Objective：To analyze the effect of pure western medicine with Chinese and western medicine treatment of gastric new disease spleen and stomach syndrome in patients. Methods：In January 2013--December 2013,120 patients were as the re- search object. According to the time order, they were grouped into western medicine treatment group and traditional Chinese com- bined with western medicine group. The western medicine group ： the omeprazole enteric - coated metformin hydroch｜oride treat- ment,20 mg/times,2 times/d; Moser will dispersible tablets, 5 mg/time, 3 times/d. Combined traditional Chinese and westernmedicine group ： on the basis of western medicine combined with traditional Chinese medicine （ TCM）, needle and medicine com- bination therapy. We observed two groups clinical curative effect and treatment of TCM syndrome integral, and main symptoms im- provement, the recurrence rate and adverse reactions. Results ： Before the treatment, western medicine group TCM syndrome integral points （44.1 ＋ 7.9） and combined traditional Chinese and western medicine group （43.9 ＋ 8.1 ） （P 〉 0.05 ）. After treatment, western medicine group （ 11.3 ＋ 4.7 ）, combined traditional Chinese and western medicine group was （5.2 _＋ 3.6 ） points. And combined traditional Chinese and western medicine group was superior to western medicine group （ P 〈 0.05 ）. In addition, west- ern medicine treatment group improced rate and recurrence rate was 85.00% （51/60）, 10.00% （6/60） and those of combined traditional Chinese and western medicine group was 95.00% （ 57/60）, 1.67% （1/60） （ P 〈 0.05 ）. The main symptom integral comparison before and after treatment in both groups （P 〉 0.05 ）. After treatment , they were obviously improved, and combined traditional Chinese and western medicine group was superior to western medicine group （ P 〈 0.05 ）. Two groups patients before and after treatment had no obvious adverse reactions such as vomiting and diarrhea, and routine urine and kidney function appear normal. Conclusion：Compared with the pure western medicine, the combining traditional Chinese and western medicine treatment of stomach spleen and stomach syndrome patients has good effect, and no adverse reactions, worthy of promotion.