半夏泻心汤联合西药治疗胃炎随机平行对照研究

Gastritis Randomized Parallel Group Study Banxiaxiexin Tang Combined Western Medicine

[目的]观察半夏泻心汤联合西药治疗胃炎疗效。[方法]使用随机平行对照方法,将112例住院及门诊患者按抛硬币法分为两组。对照组50例西药治疗,阿莫西林,0.5g/次,3次/d,口服;奥美拉唑,20mg/次,2次/d,口服。治疗组62例半夏泻心汤(半夏、黄芩、人参各10g,干姜6g,大枣8枚,甘草炙6g;嗳气吞酸加白术10g,龙骨、牡蛎各20g;严重疼痛加木香6g,香附8g,郁金香10g;严重呕吐加吴茱萸6g,代赭石25g;腹胀郁闷加莱菔子15g,佛手10g;积食症状加神曲20g,枳壳、布渣叶各15g;腹痛合并消化不良加山楂、木香各10g,神曲15g),1剂/d,500mL水煎至100mL,取汁;再加水500mL煎至250mL,2次药汁混合,3次/d,餐前30min口服;西药治疗同对照组。连续治疗90d为1疗程。观测临床症状、胃黏膜状况、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈33例,显效26例,有效2例,无效1例,总有效率98.39%。对照组痊愈20例,显效11例,有效9例,无效10例,总有效率80.00%。治疗组疗效优于对照组(P<0.05)。[结论]半夏泻心汤联合西药治疗胃炎效果显著,值得推广。

[ Objective ] BanxiaxiexinTang combined western medicine gastritis. [ Methods ] Random parallel control method, 112 cases of hospitalized patients and outpatients were divided into two groups by a coin toss. A control group of 50 patients western medicine. Amoxicillin, 0.5g / time, 3 times / d, orally; omeprazole, 20mg / times, 2 times / d, orally. Treatment group of 62 patients BanxiaxiexinTang （ Banxia, Huangqin, Renshen each 10g, Ganjiang 6g, 8 Dazao, Gancao fried 6g）, 1 does/d, medicinal use 500mL boiling water, when the fry 100mL, juice, then add water to 500mL, fry 250mL, juice, mixing the concoction twice, take 350mL, 3 times / d, orally 0.5h before a meal;belching Tunsuan plus Atractylodes 10g, keel, oysters 20g;serious pain plus woody 6g, Cyperus 8g, tulip 10g;severe vomiting plus Evodia 6g, Ruddle 25g;bloating depressed plus radish seed 15g, bergamot 10g;indigestion symptoms plus Divine Comedy 20g, Citrus aurantium, paniculata each 15g;abdominal merger indigestion plus hawthorn, woody each 10g, The Divine Comedy 15g;western medicine with the control group. 90d is a continuous course of treatment. Observing clinical symptoms of adverse reactions. A course of treatment to determine efficacy. [ Results ] The cure 33 cases, effective in 26 cases, 2 cases and 1 case, the total efficiency of 98.39%. Cured 20 cases in the control group, 11 cases markedly effective in 9 cases, 10 cases, the total efficiency of 80.00%. Treatment group than the control group （ P〈0.05 ） . [ Conclusion ] BanxiaxiexinTang combined western medicine gastritis effect is significant, it is worth promoting.