中西医结合治疗胆汁反流性胃炎58例疗效观察

The Curative Observation of 58 Cases of Combined Treatment of Traditional Chinese Medicine and Western Medicine in Treating Bile Reflux Gastritis

目的探讨中西医结合治疗胆汁反流性胃炎的临床疗效。方法选取2011年2月-2014年2月江西省上饶县人民医院经胃镜确诊为胆汁反流性胃炎的114例患者,随机分成对照组56例,观察组58例。对照组采用西医治疗,观察组采用中西医结合治疗。2组均以8周为1个疗程,治疗结束后复查胃镜,比较2组患者的临床疗效及胃镜下表现。结果观察组总有效56例,总有效率96.6%,对照组总有效45例,总有效率80.4%,二者比较,差异有统计学意义(P<0.05)。观察组治疗前幽门螺旋杆菌(Hp)阳性30例,治疗后14例,根除率53.33%;对照组治疗前Hp阳性28例,治疗后20例,根除率28.57%,二者比较,差异有统计学意义(P<0.05)。结论中西医结合治疗胆汁反流性胃炎,可以快速缓解症状,降低复发率。

Objective To explore the therapeutic effect of combined treatment of traditional Chinese medicine and western medicine in treating Bile Reflux Gastritis. Method To select 114 patients who were diagnosed with Bile Reflux Gastritis by gastroscope in the people＇s hospital of Shangrao county from Feb. 2011 to Feb. 2014. They were randomly divided into two groups that 56 patients were control group and 58 patients were observation group. The control group was taken Western medicine while the observation group was taken the combination medicine. A course of treatment was 8 weeks for both groups, after which patients would be reex- amined by gastroscope. Therapeutic effect and endoscopic results of the two groups would be compared. Results The valid cases for observation group were 56 with total effective rate of 96.6%, while the valid cases for control group were 45 with total effective rate of 80.4%; their differences were statistically significant（P〈0.05）. 30 cases tested Hp positive before treatment in observation group and only 14 positive cases after treatment with the eradication rate of 53.33%; 28 cases tested Hp positive before treatment in control group and 20 positive cases after treatment with the eradication rate of 28.57%. The curative effect of observation group was obviously Better than that of control group （P〈0.05）. Conclusion The combined treatment of traditional Chinese medicine and Western medicine in treating Bile Reflux Gastritis can alleviate the symptom fast and reduce recurrence rate.