小柴胡汤加减治疗反流性食管炎疗效观察

Observation on efficacy of addition and subtraction of Xiaochaihu decoction in the treatment of reflux esophagitis

目的观察在反流性食管炎治疗中实施小柴胡汤加减治疗的疗效。方法 60例反流性食管炎患者,按奇偶数字抽签法随机分为常规组和治疗组,各30例。常规组实施西药治疗,治疗组实施小柴胡汤加减治疗,比较两组患者的症候积分、药物治疗时间、症状改善时间。结果治疗后,治疗组患者的各症状积分均低于常规组,差异有统计学意义(P<0.05)。治疗组患者的药物治疗时间(11.04±1.79)d及症状改善时间为(7.31±0.76)d均短于常规组的(17.88±2.01)、(12.29±1.31)d,差异有统计学意义(P<0.05)。结论在反流性食管炎病症治疗中,实施小柴胡汤加减治疗,能够取得理想的成效,降低了患者的症候积分。

Objective To observe the efficacy of addition and subtraction of Xiaochaihu decoction in the treatment of reflux esophagitis. Methods A total of 60 reflux esophagitis patients were divided by odd and even digital drawing method into routine group and treatment group, with 30 cases in each group. The routine group was treated with Western medicine, and the treatment group was treated with addition and subtraction of Xiaochaihu decoction. Comparison were made on symptom integral, drug treatment time and symptom improvement time between the two groups. Results After treatment, the treatment group had lower symptom integral than routine group, and the difference was statistically significant（P〈0.05）. The treatment group had medication time as（11.04±1.79） d and symptom improvement time as（7.31±0.76） d, which were all shorter than（17.88±2.01） and（12.29±1.31） d in routine group, and their difference was statistically significant（P〈0.05）. Conclusion Implementation of addition and subtraction of Xiaochaihu decoction shows ideal effect in treating reflux esophagitis and it can lower the symptom integral of patients.