辨证分型治疗慢性胃炎随机平行对照研究

Type Differentiation and Treatment of Chronic Gastritis Random Parallel Control Study

[目的]观察辨证分型治疗慢性胃炎疗效。[方法]使用随机平行对照方法,将40例住院患者按抽签法简单随机分为两组。对照组20例奥美拉唑,20mg/次,晨服。治疗组20例辨证分型,胃阴不足用益胃汤(生地15g,玉竹10g,黄连12g,白芍、柴胡各9g),1剂/d,水煎200mL,早晚口服;脾胃湿热用平胃散(生大黄、半夏6g、黄连、栀子炒、川楝炒9g,白芍12g,甘草炙6g),1剂/d,水煎200mL,早晚口服;脾胃虚弱用香砂养胃丸12g/次,2次/d。连续治疗28d为1疗程。观测临床症状、胃黏膜、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组显效11例,有效7例,无效2例,总有效率90.00%。对照组显效8例,有效4例,无效8例,总有效率60.00%。治疗组疗效优于对照组(P<0.05)。[结论]辨证分型治疗慢性胃炎效果显著,值得推广。

[ Objective ] To observe the curative effect for the treatment of chronic gastritis. [ Methods ] Using random parallel control method, the 40 cases of hospitalized patients were randomly divided into two groups according to the draw method. The control group, 20 cases of omeprazole 20 mg/time, morning suits. The treatment group of 20 cases. Stomach Yin deficiency for reasons decoction （ Shengdi15 g, Yuzhu 10 g, Huanglain 12 g, Baishao, Chaihu 9 g ）, with the spleen yiqi, l/d, Fried 200 m] water, morning and evening oral; Taste hot and humid with flat stomach （ Shengdahuang, Banxia 6 g, Huanglian, Chaozhizi, Chaochuanji 9g, Baishao12 g, Zhigancao 6g ）, 1/d, Fried 200 ml water, morning and evening oral; Spleen and stomach weak sand with ointment nourishing the stomach pill 12 g/times, 2 times/d. Continuous treatment of 28 d of 1 course of treatment. Observation of clinical symptoms and adverse reactions. Continuous treatment 2 period of treatment, judge curative effect. [ Results ] The treatment group 11 cases were markedly effective, effective 7 cases, ineffective in 2 cases, total effective rate was 90.00%. Control group 8 cases had marked effect, 4 cases were effective, 8 no effect, the total effective rate was 60.00%. The treatment group curative effect is better than that of control group （ P〈0.05 ） . [ Conclusion ] Type differentiation and treatment of chronic gastritis treatment of chronic gastritis, is worth promoting.