益气养阴法治疗胃阴不足型慢性萎缩性胃炎40例临床观察

Clinical Observation of Yiqi Yangyin in Treatment of 40 Cases of Chronic Atrophic Gastritis With Stomach Yin Deficiency

目的探讨益气养阴法治疗胃阴不足型慢性萎缩性胃炎的临床疗效。方法 80例患者分为治疗组和对照组,各40例,对照组给予H_2受体拮抗剂+质子泵抑制剂+保护胃黏膜剂方案,对照组加用益气养阴之中药汤剂,2个月为一疗程,治疗两个疗程,对比治疗前后中医证候积分及胃镜改变情况。结果依据慢性萎缩性胃炎疗效评定,治疗组总有效率为80.0%,对照组有效率为75.0%,差异有统计学意义;依据中医证候疗效标准,治疗组总有效率为85.0%,对照组有效率为77.5%,二者差异有统计学意义;治疗组治疗前积分为(29.7±4.6)分,治疗后积分为(12.4±3.8)分,对照组治疗前积分为(28.4±5.2)分,治疗后积分为(19.7±4.4)分。二者治疗后积分对比,差异具有统计学意义。结论益气养阴法能有效改善胃阴不足型慢性萎缩性胃炎患者的临床症状,提高患者生存质量。

Objective To investigate the clinical effect of yiqi yangyin in treatment of 40 cases of chronic atrophic gastritis with stomach yin deficiency. Methods 80 cases were divided into treatment group and control group, each group had 40 cases, the control group was treated with H_2 receptor antagonists, proton pump inhibitors protect gastric mucosa agent program, the control group was treated with Chinese medicine. 2 months for a course, 2 courses of treatment, compared before and after treatment of TCM syndrome score and endoscopic changes, statistics. Results Based on the chronic atrophic gastritis curative effect evaluation, the total efficiency of treatment group was 80%, the control group was 75%, there was significant difference between the two groups, according to the standard of TCM syndrome curative effect, the total efficiency of treatment group was 85%, the control group was 77.5%, there was significant difference between the two groups, the treatment group before treatment score was（29.7±4.6）,（12.4±3.8） points after treatment, the control group before treatment points（28.4±5.2） points. After the treatment of integral to（19.7±4.4） points. Two points after treatment comparison, the difference was statistically significant. Conclusion Yiqi yangyin can effectively improve the stomach yin deficiency type chronic atrophic gastritis patients with clinical symptoms, and improve the quality of life of patients.