中医辨证治疗120例上消化道出血临床观察

Clinical Observation of 120 Cases of Hemorrhage of Upper Digestive Tract with Dialectical Treatment of Traditional Chinese Medicine

目的:探讨中医辨证治疗上消化道出血的临床疗效。方法:选取阳江市阳东区人民医院2014年2月至2016年12月收治的上消化道出血患者120例,通过中医辨证施治,分为胃热雍盛证47例(A组)、肝火犯胃证43例(B组)、气虚血溢证30例(C组),对比疗效差异。结果:A组、B组、C组总有效率分别为87.23%、83.73%、56.67%,组间比较,差异具有统计学意义(P<0.05);三组患者吐血、黑便消失时间比较,差异无统计学意义(P>0.05)。结论:中医辨证治疗上消化道出血疗效可靠,胃热雍盛证、肝火犯胃证疗效较好,且配伍安全可靠。

Objective To explore the clinical effect of TCM dialectical treatment of upper gastrointestinal bleeding. Methods 120 patients with upper gastrointestinal hemorrhage who were admitted from February 2014 to December 2016 were selected from Yangdong district People＇s hospital and divided into two groups according to the syndrome differentiation of traditional Chinese medicine： 47 cases of gastric hyperactivity （Group A） and guinea pig 43 cases （group B） and 30 cases of qi deficiency syndrome （group C） were compared for differences in efficacy. Results The total effective rates of group A, group B, and group C were 87.23%, 83.73%, and 56.67%, respectively. There was a statistically significant difference between the groups （P 〈 0.05）. The difference in the disappearance time of vomiting and darkness in the three groups was compared. Statistical significance （P 〉 0.05）. Conclusion TCM treatment of upper gastrointestinal hemorrhage curative effect is reliable, stomach heat syndrome and liver stomach Yong syndrome curative effect is better.