黄芪建中汤加减治疗脾胃虚寒型胃溃疡及对总有效率的影响分析

Efficacy of the Huangqi Jianzhong decoction on gastric ulcer with deficiency and cold of spleen-stomach type

目的:探讨黄芪建中汤加减治疗脾胃虚寒型胃溃疡的效果。方法:选取80例脾胃虚寒型胃溃疡患者,根据不同治疗方法将其分为西医组(40例,予以常规西医治疗)和中医组(40例,在西医治疗基础上采取黄芪建中汤加减治疗)。对比两组的治疗总有效率及治疗前后临床症状积分、生长抑素、胃泌素水平改善情况。结果:中医组的治疗总有效率显著高于西医组(P<0.05);中医组治疗后的胃脘胀痛、消化不良、嗳气及反酸症状积分均显著低于西医组(P<0.05);中医组治疗后的生长抑素水平高于西医组、胃泌素水平则低于西医组(P<0.05)。结论:采用黄芪建中汤加减治疗脾胃虚寒型胃溃疡,可有效促进胃溃疡创面愈合,改善患者临床症状及胃肠激素水平,提升治疗效果。

Objective:To explore the effect of the Huangqi Jianzhong decoction(黄芪建中汤)on gastric ulcer with deficiency and cold of spleen-stomach type.Methods:80 cases of gastric ulcer patients with deficiency and cold of spleen-stomach type were selected and divided into the western medicine group(40 cases,treated by conventional western medicine)and TCM group(40 cases,Western medicine plus the Huangqi Jianzhong decoction) according to different treatment methods. The total effective rate and the improvement of clinical symptom score, somatostatin and gastrin levels before and after treatment were compared between the two groups. Results: The total effective rate in the TCM group was significantly higher than the western medicine group (P<0.05). The scores of gastric pain, dyspepsia, belching and acid reflux after treatment in the TCM group were significantly lower than the western medicine group (P<0.05). After treatment, the SS level of the TCM medicine group was higher than that in the western medicine group, and the GAS level was lower than the western medicine group (P<0.05). Conclusion: The Huangqi Jianzhong decoction on gastric ulcer with deficiency and cold of spleen-stomach type can effectively promote the healing of gastric ulcer wounds, improve patients’ clinical symptoms and gastrointestinal hormone levels, and enhance the therapeutic effect.