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Effect of Wumeiwan on Cytokines TNF-α,IL-6,IL-8,IL-10 and Expression of NF-κBp65 in Rats with Ulcerative Colitis 被引量:14
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作者 范恒 沈霖 +5 位作者 唐庆 熊鹏程 寿折星 廖奕 梁丽 陈小艳 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2009年第5期650-654,共5页
The effects of Wumeiwan (WMW) on TNF-α, IL-6, IL-8, IL-10 and NF-κBp65 in rats with ulcerative colitis (UC) were investigated, the curative effectiveness of WMW vs salicylazosulfapyridine (SASP) was compared, ... The effects of Wumeiwan (WMW) on TNF-α, IL-6, IL-8, IL-10 and NF-κBp65 in rats with ulcerative colitis (UC) were investigated, the curative effectiveness of WMW vs salicylazosulfapyridine (SASP) was compared, and the action mechanism was analyzed. Fifty-Six Sprague-Dawley (SD) rats were randomly divided into four groups (n=14 in each group, with equal ratio of male and female): normal control group, model group, SASP group, and WMW group. Except normal control group, the rat UC models in the remaining three groups were established using the method of 2.4-dinitrochlorobenzene (DNCB) immunization and acetic acid local enema. The rats in model group, SASP group, and WMW group were treated with distilled water, SASP, and WMW respectively. The changes in the symptoms and signs were observed, and levels of IL-6, IL-8, TNF-α, IL-10 and the expression of NF-κBp65 in the colonic tissues were statistically analyzed. The results showed that the levels of IL-6, IL-8, and TNF-α were significantly increased (P〈0.01), while those of IL-10 significantly reduced (P〈0.01) after establishment of rat UC models as compared with normal control group. The levels of IL-6, IL-8, and TNF-α were obviously lower, but the level of IL-10 was obviously higher in WMW and SASP groups than those in model group (P〈0.05). The levels of IL-6, IL-8, and TNF-α were lower, while the level oflL-10 was higher in WMW group than in SASP group. NF-κBp65 was expressed negatively or weakly in normal colonic tissues. The positive expression rate of NF-κBp65 in WMW group and SASP group was obviously lower than in model group (P〈0.01), and there was significant difference between WMW group and SASP group (P〈0.05). It was concluded that rat UC model was established successfully. WMW could up-regulate the expression of IL-10, down-regulate the expression of TNF-α, IL-6, IL-8, and inhibit the NF-κBp65 activity to adjust immune function, indicating WMW had better curative effects on UC in rats. 展开更多
关键词 ulcerative colitis tcm therapy CYTOKINE Wumeiwan
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Effects of four regulating-intestine prescriptions on pathology and ultrastructure of colon tissue in rats with ulcerative colitis 被引量:19
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作者 Heng Fan Ming-Yi Qiu +3 位作者 Jia-Jun Mei Guan-Xin Shen Song-Lin Liu Rui Chen 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第31期4800-4806,共7页
AIM: To observe different histomorphologic changes of ulcerative colitis (UC) rats that were treated with four regulating-intestine prescriptions (FRIP), to investigate the curative effects of FRIP and to analyze thei... AIM: To observe different histomorphologic changes of ulcerative colitis (UC) rats that were treated with four regulating-intestine prescriptions (FRIP), to investigate the curative effects of FRIP and to analyze their treatment mechanism.METHODS: The UC rat model was made by the method of 2,4-dinitro chloro benzene (DNCB) immunity and acetic acid local enema. Ninety-eight SD rats were randomly divided into seven groups, namely, the normal control group, model group, salicylazosulfapyridine (SASP) group,Wumeiwan (WMW) group, Baitouwengtang (BTWT) group,Senglingbaishusan (SLBSS) group, and Tongxieyaofang (TXYF) group. Each group had 14 rats (with equal ratio of male and female). The six animal model groups of UC-SASP, TXYF, WMW, BTWT, SLBSS, TXYF-were treated by distilled water except the normal control group. Changes of the rat's general conditions after treatment were respectively observed, the colon tissue damage scores were given out, the pathology of colonic mucosa and changes of ultrastructure were analyzed.RESULTS: Different pathological changes on histology were shown after treatment by FRIP. The colon tissue damage score in model group was higher than that of FRIP groups and SASP group (q = 4.59, 4.77, P<0.05 or q = 5.48,6.25, 5.97, P<0.01). The scores of WMW group, BTWT group and SLBSS group were lower than that of SASP (q = 4.13, P<0.05 or q = 5.31, 5.12, P<0.01). There was no remarkable difference between the damage score of TXYF group and SASP group (q = 3.75, P>0.05). In addition, some apoptosis cells were found in the pathologic control group.CONCLUSION: The model made with DNCB and acetic acid was successful, and FRIP had better curative effect and WMW was the best curative effect, BTW, SLBSS and TXYF were similar to SASP, and we discovered that apoptosis was possibly related to UC. 展开更多
关键词 ulcerative colitis tcm therapy Experimentalresearch PATHOLOGY ULTRASTRUCTURE Apoptosis
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Auricular-Plaster Therapy Plus Acupuncture at Zusanli for Postoperative Recovery of Intestinal Function 被引量:7
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作者 万茜 周永生 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2000年第2期134-135,共2页
In order to relieve the abdominal distension and other discomforts due to gastrointestinal dysfunction after abdominal operations, the patients were treated by auricular-plaster therapy plus acupuncture at Zusanli (ST... In order to relieve the abdominal distension and other discomforts due to gastrointestinal dysfunction after abdominal operations, the patients were treated by auricular-plaster therapy plus acupuncture at Zusanli (ST 36). 12 (92.4%) of the 13 cases in the treatment group showed recovery of normal peristalsis within 72 hours after operations, while that in 13 cases of the control group was 46.1%, indicating that auricular-plaster therapy plus acupuncture at Zusanli (ST 36) may promote postoperative recovery of the intestinal function. 展开更多
关键词 ACUPRESSURE Acupuncture therapy Adult Cholecystectomy CHOLECYSTITIS Female FLATULENCE GASTRECTOMY Humans Male Middle Aged PERISTALSIS Postoperative Period stomach Neoplasms stomach ulcer
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Low eradication rate of Helicobacterpyloriwith triple 7-14 days and quadriple therapy in Turkey 被引量:4
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作者 Yuksel Gumurdulu Ender Serin +7 位作者 Birol zer Fazilet Kayaselcuk Kursat Ozsahin Arif Mansur Cosar Murat Gursoy Gurden Gur Ugur Yilmaz Sedat Boyacioglu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2004年第5期668-671,共4页
AIM:The eradication rate of Helicobacter pylori (H pylori) shows variation among countries and regimens of treatment. We aimed to study the eradication rates of different regimens in our region and some factors affect... AIM:The eradication rate of Helicobacter pylori (H pylori) shows variation among countries and regimens of treatment. We aimed to study the eradication rates of different regimens in our region and some factors affecting the rate of eradication. METHODS:One hundred and sixty-four H pylori positive patients (68 males,96 females;mean age:48±12 years) with duodenal or gastric ulcer without a smoking history were included in the study.The patients were divided into three groups according to the treatment regimens.Omeprazole 20mg,clarithromycin 500mg,amoxicillin 1g were given twice daily for 1 week (Group Ⅰ) and 2 weeks (Group Ⅱ). Patients in Group Ⅲ received bismuth subsitrate 300mg, tetracyline 500mg and metronidazole 500mg four times daily in addition to Omeprazole 20mg twice daily.Two biopsies each before and after treatment were obtained from antrum and corpus,and histopathologically evaluated. Eradication was assumed to be successful if no H pylorus was detected from four biopsy specimens taken after treatment.The effects of factors like age,sex,H pylori density on antrum and corpus before treatment,the total H pylori density,and the inflammation scores on the rate of H pylori eradication were evaluated. RESULTS:The overall eradication rate was 42%.The rates in groups Ⅱ and Ⅲ were statistically higher than that in group Ⅰ (P<0.05).The rates of eradication were 24.5%, 40.7% and 61.5% in groups Ⅰ,Ⅱ and Ⅲ,respectively.The eradication rate was negatively related to either corpus H pylori density or total H pylori density (P<0.05).The median age was older in the group in which the eradication failed in comparison to that with successful eradication (55 yr vs 39 yr,P<0.001).No correlation between sex and H pylori eradication was found. CONCLUSION:Our rates of eradication were significantly lower when compared to those reported in literature.We believe that advanced age and high H pylori density are negative predictive factors for the rate of H pylori eradication. 展开更多
关键词 Helicobacter pylori Adolescent Adult Aged AMOXICILLIN dosage Anti-Bacterial Agents Anti-Infective Agents Anti-ulcer Agents CLARITHROMYCIN Comparative Study Drug therapy Combination Duodenal ulcer Female Helicobacter Infections Humans Male METRONIDAZOLE Middle Aged OMEPRAZOLE Organometallic Compounds stomach ulcer TETRACYCLINE Treatment Outcome TURKEY
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Optimal treatment of peptic-ulcer:per?
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《World Journal of Gastroenterology》 SCIE CAS CSCD 1996年第2期4-5,共2页
Optimaltreatmentofpepticulcer:perspectivesbeyondtheyear2000XIAOShuDongandLIUWenZhongSubjectheadingspeptic... Optimaltreatmentofpepticulcer:perspectivesbeyondtheyear2000XIAOShuDongandLIUWenZhongSubjectheadingspepticulcer/therapyheli... 展开更多
关键词 PEPTIC ulcer/therapy helicobacter PYLORI stomach diseases HELICOBACTER INFECTIONS
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四合汤对脾胃虚弱证慢性萎缩性胃炎的影响
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作者 时峰 朱凤梅 《光明中医》 2024年第18期3641-3644,共4页
目的 探究加味四合汤对脾胃虚弱型慢性萎缩性胃炎的疗效。方法 选取2020年8月—2023年6月河南省永城市人民医院门诊收治的脾胃虚弱证慢性萎缩性胃炎患者120例,根据随机数字表法分为观察组和对照组,每组60例,观察组采用加味四合汤治疗,... 目的 探究加味四合汤对脾胃虚弱型慢性萎缩性胃炎的疗效。方法 选取2020年8月—2023年6月河南省永城市人民医院门诊收治的脾胃虚弱证慢性萎缩性胃炎患者120例,根据随机数字表法分为观察组和对照组,每组60例,观察组采用加味四合汤治疗,对照组采用西药治疗,比较2组中医证候积分、胃镜下黏膜表现、组织病理结果的改变。结果 观察组疗效明显优于对照组,差异具有统计学意义(P<0.05)。结论 加味四合汤对脾胃虚弱证慢性萎缩性胃炎患者疗效显著,能有效改善患者临床中医证候、症状、胃镜黏膜表现、组织病理的变化,部分患者黏膜腺体萎缩出现逆转。 展开更多
关键词 痞满 萎缩性胃炎 脾胃虚弱证 四合汤 中医药疗法
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半夏苡仁汤治疗胃中不和型失眠症临床观察 被引量:1
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作者 王铃清 代景娜 付利然 《山西中医》 2024年第5期21-23,共3页
目的:观察半夏苡仁汤治疗胃中不和型失眠症的效果及对肠道菌群的影响。方法:选择符合纳入标准的82例胃中不和型失眠症患者,随机分为两组各41例。对照组予艾司唑仑片治疗,治疗组在对照组基础上予半夏苡仁汤治疗。连续治疗4个疗程,比较两... 目的:观察半夏苡仁汤治疗胃中不和型失眠症的效果及对肠道菌群的影响。方法:选择符合纳入标准的82例胃中不和型失眠症患者,随机分为两组各41例。对照组予艾司唑仑片治疗,治疗组在对照组基础上予半夏苡仁汤治疗。连续治疗4个疗程,比较两组患者治疗效果、睡眠状况、肠道菌群情况。结果:治疗后,治疗组总有效率为90.24%明显高于对照组的73.17%(P﹤0.05)。治疗组PSQI评分显著低于对照组(P﹤0.05)。治疗组患者普雷沃菌属、巨单胞菌属、双歧杆菌属、毛螺菌属群丰度显著高于对照组,拟杆菌属、粪杆菌属群丰度均显著低于对照组(P﹤0.05)。结论:半夏苡仁汤治疗胃中不和型失眠症疗效较好,可有效改善睡眠状况,并可调节患者肠道菌群结构。 展开更多
关键词 失眠症 胃中不和 半夏苡仁汤 中医药疗法
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复方黄芩汤治疗湿热型溃疡性结肠炎临床观察 被引量:2
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作者 铉力 王晓红 +1 位作者 胡兵 孙凤霞 《光明中医》 2024年第2期281-284,共4页
目的观察复方黄芩汤对湿热型溃疡性结肠炎(UC)患者炎症因子及免疫功能的影响。方法80例UC患者随机分为对照组和观察组,对照组予美沙拉嗪肠溶片,观察组予复方黄芩汤;比较2组临床疗效、中医证候积分、炎症因子、免疫功能。结果观察组总有... 目的观察复方黄芩汤对湿热型溃疡性结肠炎(UC)患者炎症因子及免疫功能的影响。方法80例UC患者随机分为对照组和观察组,对照组予美沙拉嗪肠溶片,观察组予复方黄芩汤;比较2组临床疗效、中医证候积分、炎症因子、免疫功能。结果观察组总有效率高于对照组(P<0.05)。观察组中医证候积分改善情况优于对照组(P<0.05)。治疗后,观察组IL-10、CD3^(+)、CD4^(+)/CD8^(+)升高,CD8^(+)、IL-1β、TNF-α降低,改善程度优于对照组(P<0.05)。结论复方黄芩汤可以改善湿热型UC患者的中医证候积分、炎症状态和免疫功能,提高临床疗效。 展开更多
关键词 肠风 溃疡性结肠炎 复方黄芩汤 中医药疗法
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杨志波教授基于肺主皮毛论治秃发性毛囊炎验案1则
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作者 蒋力 杨志波 王畅 《光明中医》 2024年第9期1867-1870,共4页
秃发性毛囊炎(Folliculitis Decalvans,FD)是一种病因不明的慢性炎症性疾病,目前FD的发病机制多考虑为葡萄球菌感染和毛囊周围过度的炎症反应。杨志波教授认为脱发类疾患病种各异,中医病机多责之于湿。杨教授基于肺主皮毛理论,结合临证... 秃发性毛囊炎(Folliculitis Decalvans,FD)是一种病因不明的慢性炎症性疾病,目前FD的发病机制多考虑为葡萄球菌感染和毛囊周围过度的炎症反应。杨志波教授认为脱发类疾患病种各异,中医病机多责之于湿。杨教授基于肺主皮毛理论,结合临证治疗脱发经验,辨证此例FD患者为肺胃湿热证,治法取清肺胃热、祛风除湿,方选枇杷清肺饮加减。杨教授将多年中医皮肤科治疗脱发的经验应用到此例FD患者中,疗效斐然。 展开更多
关键词 油风 秃发性毛囊炎 肺胃湿热证 枇杷清肺饮 中医药疗法 杨志波
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胡小英从“胃以喜为补”调治小儿厌食症经验探微
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作者 高如意 胡小英 《中国中医药图书情报杂志》 2024年第5期228-230,共3页
厌食症患儿常有服药困难。胡小英教授运用“胃以喜为补”理论调治厌食症患儿,顺从小儿之“胃喜”,诱导开胃,循序渐进,使小儿纳食增加,营养得到补充,临床获得良好疗效。本文以胡教授临床经验心得为基础探讨相关思路与方法,并附验案1则,... 厌食症患儿常有服药困难。胡小英教授运用“胃以喜为补”理论调治厌食症患儿,顺从小儿之“胃喜”,诱导开胃,循序渐进,使小儿纳食增加,营养得到补充,临床获得良好疗效。本文以胡教授临床经验心得为基础探讨相关思路与方法,并附验案1则,以资验证。 展开更多
关键词 胃以喜为补 小儿厌食症 调护脾胃 中医药疗法 名医经验
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中医治疗复发性阿弗他溃疡研究进展
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作者 邓雨晗 陶波 +1 位作者 于江婷 陈欣雅 《光明中医》 2024年第21期4428-4432,共5页
随着生活压力的增大,复发性阿弗他溃疡的发病率逐渐增加。为了探讨中医治疗复发性阿弗他溃疡的方法,系统归纳该病的中医治疗进展,此文检索近10年中医治疗文献,结果表明中医内治法及针灸、针刀、贴敷等为代表的外治法治疗该病有良好疗效... 随着生活压力的增大,复发性阿弗他溃疡的发病率逐渐增加。为了探讨中医治疗复发性阿弗他溃疡的方法,系统归纳该病的中医治疗进展,此文检索近10年中医治疗文献,结果表明中医内治法及针灸、针刀、贴敷等为代表的外治法治疗该病有良好疗效。但相关临床研究仍有不足,深入分子生物学机制研究对中医治疗复发性阿弗他溃疡有重大意义。 展开更多
关键词 口疮 复发性阿弗他溃疡 中医药疗法 综述
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基于《脾胃论》探析孤独症病机及证治
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作者 童毅 张涤 《山西中医》 2024年第3期1-3,共3页
基于李东垣《脾胃论》“脾胃衰而生百病”思想,探析孤独症与脾胃之间的病机联系,阐述“调节升降以滋脑髓、理气化痰以清九窍、濡养五脏以安五神、火郁发之以护元气”对孤独症治疗的指导作用。
关键词 孤独症 脾胃论 李东垣 中医药疗法
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铋剂四联疗法联合针刺督脉背段压痛穴位治疗脾胃虚寒型Hp感染性胃溃疡疗效分析
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作者 王小沙 刘青塬 《中国烧伤创疡杂志》 2024年第2期152-156,共5页
目的分析铋剂四联疗法联合针刺督脉背段压痛穴位治疗脾胃虚寒型幽门螺杆菌(Hp)感染性胃溃疡的临床疗效。方法选取2020年1月至2021年12月河南科技大学第一附属医院收治的80例脾胃虚寒型Hp感染性胃溃疡患者作为研究对象,按照不同治疗方法... 目的分析铋剂四联疗法联合针刺督脉背段压痛穴位治疗脾胃虚寒型幽门螺杆菌(Hp)感染性胃溃疡的临床疗效。方法选取2020年1月至2021年12月河南科技大学第一附属医院收治的80例脾胃虚寒型Hp感染性胃溃疡患者作为研究对象,按照不同治疗方法将其分为联合组(40例)与对照组(40例),联合组患者采用铋剂四联疗法联合针刺督脉背段压痛穴位治疗,对照组患者单纯采用铋剂四联疗法治疗,对比观察两组患者中医症候评分、溃疡长径、血清胃泌素(GAS)水平、Hp转阴率及临床疗效。结果治疗14 d后,联合组患者胃脘疼痛、食后腹胀、嗳气泛酸、恶心反胃评分以及血清GAS水平均明显低于对照组(t=6.910、6.318、7.140、9.345、8.819,P均<0.001),溃疡长径明显短于对照组(t=18.860,P<0.001);联合组患者Hp转阴率为87.5%,明显高于对照组患者的Hp转阴率67.5%(χ^(2)=4.588,P=0.032);联合组患者中显效26例、有效11例、无效3例,明显优于对照组患者的显效19例、有效10例、无效11例(Z=-1.997,P=0.046)。结论铋剂四联疗法联合针刺督脉背段压痛穴位治疗脾胃虚寒型Hp感染性胃溃疡,可明显降低GAS水平,提高Hp转阴率,改善患者脾胃虚寒症状,促进溃疡愈合。 展开更多
关键词 针刺 督脉背段 压痛穴位 铋剂四联疗法 Hp感染 胃溃疡 脾胃虚寒
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孙光荣止痢汤治疗溃疡性结肠炎临床观察
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作者 虞海 邓洁 《光明中医》 2024年第18期3633-3636,共4页
目的探究孙光荣止痢汤治疗溃疡性结肠炎的疗效。方法按照随机数字表法将2022年1月—2023年6月收治的120例溃疡性结肠炎患者分为试验组和对照组,各60例。对照组予以常规西药治疗,试验组在对照组基础上加用孙光荣止痢汤,2组均连续治疗4周... 目的探究孙光荣止痢汤治疗溃疡性结肠炎的疗效。方法按照随机数字表法将2022年1月—2023年6月收治的120例溃疡性结肠炎患者分为试验组和对照组,各60例。对照组予以常规西药治疗,试验组在对照组基础上加用孙光荣止痢汤,2组均连续治疗4周。比较2组临床疗效、中医证候积分、炎性因子水平、Sutherland评分。结果治疗后,试验组总有效率高于对照组(P<0.05),2组中医证候积分、IL-6、TNF-α、CRP、WBC、Sutherland评分均降低(P<0.05),试验组均低于对照组(P<0.05)。结论孙光荣止痢汤治疗溃疡性结肠炎可提高临床疗效,改善临床症状,降低炎性反应,值得推广。 展开更多
关键词 痢疾 溃疡性结肠炎 止痢汤 孙光荣 中和医派 中医药疗法
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柴胡泻心汤治疗湿热阻胃型痞满临床观察
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作者 杨晓颖 王晓灿 刘进录(指导) 《光明中医》 2024年第17期3488-3491,共4页
目的观察自拟柴胡泻心汤治疗湿热阻胃型痞满的临床疗效。从理论基础和临床观察2个方面探讨其治疗痞满的作用机制。方法选取2022年2月—2022年9月洛阳市东方人民医院中医科收治的90例湿热阻胃型痞满患者,随机分为治疗组(柴胡泻心口服)和... 目的观察自拟柴胡泻心汤治疗湿热阻胃型痞满的临床疗效。从理论基础和临床观察2个方面探讨其治疗痞满的作用机制。方法选取2022年2月—2022年9月洛阳市东方人民医院中医科收治的90例湿热阻胃型痞满患者,随机分为治疗组(柴胡泻心口服)和对照组(雷贝拉唑钠肠溶胶囊联合清热祛湿颗粒口服),各45例。2组均以4周为1个疗程,1个疗程后评定疗效。结果治疗后,观察组临床总有效率高于对照组,中医证候积分低于对照组,差异有统计学意义(均P<0.05)。结论自拟柴胡泻心汤可有效改善湿热阻胃型痞满的临床症状,整体治疗效果较为满意,值得临床推广应用。 展开更多
关键词 痞满 湿热阻胃证 柴胡泻心汤 中医药疗法
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黄芪建中汤加味联合抗幽门螺杆菌四联疗法对脾胃虚寒型消化性溃疡患者的影响
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作者 刘天峰 《中国伤残医学》 2024年第16期108-110,118,共4页
目的:探究黄芪建中汤加味联合抗幽门螺杆菌(Hp)四联疗法对脾胃虚寒型消化性溃疡患者的影响。方法:选择2022年2月—2024年2月费县人民医院收治的84例脾胃虚寒型消化性溃疡患者为研究对象,按随机数字表法分为对照组与研究组,各42例。对照... 目的:探究黄芪建中汤加味联合抗幽门螺杆菌(Hp)四联疗法对脾胃虚寒型消化性溃疡患者的影响。方法:选择2022年2月—2024年2月费县人民医院收治的84例脾胃虚寒型消化性溃疡患者为研究对象,按随机数字表法分为对照组与研究组,各42例。对照组采用抗Hp四联疗法,研究组在此基础上联合黄芪建中汤加味治疗。比较两组中医证候积分、胃肠激素水平及不良反应发生情况。结果:治疗后,研究组胃脘隐痛、喜热喜按、得食痛减的中医证候积分均较对照组低,差异均有统计学意义(P<0.05)。治疗后,研究组胃动素、胃泌素均较对照组低,生长抑素较对照组高,差异均有统计学意义(P<0.05)。研究组不良反应发生率为16.67%,相较于对照组的23.81%,差异无统计学意义(P>0.05)。结论:在脾胃虚寒型消化性溃疡患者中采用黄芪建中汤加味联合抗Hp四联疗法治疗,能够有效调节患者胃肠激素水平,缓解临床症状,且该疗法具有一定的安全性。 展开更多
关键词 消化性溃疡 脾胃虚寒型 幽门螺杆菌 黄芪建中汤 四联疗法
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Expression of bcl-2 oncogene in gastric precancerous lesions and its correlation with syndromes in traditional Chinese medicine 被引量:9
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作者 LingHu Shao-XianLao Chun-ZhiTang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第21期3293-3296,共4页
AIM: To observe the protein and mRNA expression of bcl-2 oncogene in gastric precancerous lesions (GPL) and to analyze its correlation with syndromes in traditional Chinese medicine (TCM). METHODS: Sixty-seven patient... AIM: To observe the protein and mRNA expression of bcl-2 oncogene in gastric precancerous lesions (GPL) and to analyze its correlation with syndromes in traditional Chinese medicine (TCM). METHODS: Sixty-seven patients with GPL confirmed by gastroscopy and pathology were studied,including 39 cases of moderate gastric mucosal dysplasia,19 cases of severe gastric mucosa dysplasia, 9 cases of incomplete colon metaplasia. In syndrome differentiation of TCM,17 cases belonged to the syndrome of qi and yin deficiency of the spleen and stomach complicated by qi stagnation, 21 cases belonged to the syndrome of qi and yin deficiency of the spleen and stomach complicated by stomach heat, 29 cases belonged to the syndrome of qi and yin deficiency of the spleen and stomach complicated by blood stasis. Protein and mRNA expression of bcl-2 oncogene were detected by labeled streptavidin biotin (LSAB) immunohist-ochemistry and in situ hybridization respectively. RESULTS: Abnormal expression of protein and mRNA on bcl-2 oncogene was found in GPL,which increased gradually with the course of lesions. In moderate and severe gastric mucosal dysplasia and incomplete colon metaplasia,there was no difference in the expression of bcl-2 oncogene (P>0.05).In different accompanying syndromes, the expression of protein and mRNA on bcl-2 oncogene increased gradually in the following order: deficiency of both qi and yin of the spleen and stomach accompanying qi stagnation→stomach heat→blood stasis. In GPL, compared with accompanying blood stasis, there was an obvious difference in the expression of bcl-2 oncogene between the syndrome of qi and yin deficiency of the spleen and stomach and accompanying stomach heat, so did accompanying qi stagnation (the level of protein: X2=8.45, P<0.05;the level of mRNA: X2=7.35, P<0.05). CONCLUSION: Apoptosis-associated bcl-2 oncogene is abnormally expressed in GPL,which correlates with different accompanying syndromes in TCM. 展开更多
关键词 stomach neoplasm/genetics stomach neoplasm/ therapy of tcm Precancerous condition/pathology Oncogene bcl-2 Syndrome of tcm
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疏肝和胃方联合四联疗法治疗肝胃气滞型胃溃疡临床观察
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作者 刘生玲 《中国中医药现代远程教育》 2024年第15期146-149,共4页
目的探讨肝胃气滞型胃溃疡(GU)患者应用疏肝和胃方联合四联疗法的效果。方法采用随机数字表法将2020年1月—2022年3月萍乡市第二人民医院收治的60例GU患者分为两组,每组30例。对照组予以四联疗法,观察组在对照组的基础上加用自拟疏肝和... 目的探讨肝胃气滞型胃溃疡(GU)患者应用疏肝和胃方联合四联疗法的效果。方法采用随机数字表法将2020年1月—2022年3月萍乡市第二人民医院收治的60例GU患者分为两组,每组30例。对照组予以四联疗法,观察组在对照组的基础上加用自拟疏肝和胃方,两组均连续治疗4周。比较两组临床疗效、中医证候积分、炎症因子水平、胃肠激素水平、幽门螺杆菌(Hp)转阴率及不良反应。结果治疗后,观察组生长抑素(SS)水平及Hp转阴率较对照组高,各项中医证候积分及肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)、白细胞介素-6(IL-6)、胃泌素(GAS)水平较对照组低,差异均有统计学意义(P<0.05)。观察组临床总有效率93.33%(28/30)高于对照组的73.33%(22/30)(P<0.05)。两组均未见明显不良反应。结论疏肝理气联合四联疗法、和胃止痛法治疗肝胃气滞型GU患者可增强临床效果、减轻炎症反应、改善胃肠功能,且安全性好,值得推广。 展开更多
关键词 胃脘痛 胃溃疡 肝胃气滞证 疏肝理气法 和胃止痛法 四联疗法 中西医结合疗法
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清胃泻火解毒方治疗复发性阿弗他溃疡临床观察
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作者 李倩文 李海宁 +1 位作者 王兆芬 孙玉娇 《光明中医》 2024年第15期3021-3023,共3页
目的系统性评估自拟清胃泻火解毒方联合白芍总苷胶囊治疗复发性阿弗他溃疡的临床治疗效果。方法选取2022年4月—2023年4月于阳光融和医院口腔科门诊就诊的90例确诊复发性阿弗他溃疡患者作为研究对象,依据随机数字表法随机分为研究组和... 目的系统性评估自拟清胃泻火解毒方联合白芍总苷胶囊治疗复发性阿弗他溃疡的临床治疗效果。方法选取2022年4月—2023年4月于阳光融和医院口腔科门诊就诊的90例确诊复发性阿弗他溃疡患者作为研究对象,依据随机数字表法随机分为研究组和对照组,每组45例。对照组予以白芍总苷胶囊治疗,研究组在对照组基础上联合自拟清胃泻火解毒方治疗,比较2组疗效。结果治疗后,2组患者在治疗期内的平均溃疡期和疼痛指数均降低,溃疡总数目均减少(P<0.05);研究组临床疗效优于对照组(P<0.05)。结论采用自拟清胃泻火解毒方联合白芍总苷胶囊治疗复发性阿弗他溃疡效果较好,能够显著降低平均溃疡期,降低疼痛指数,减少溃疡数目。 展开更多
关键词 口疮 复发性阿弗他溃疡 清胃泻火解毒方 白芍总苷胶囊 中医药疗法
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加味理中汤联合西药治疗消化性溃疡脾胃虚寒证29例
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作者 刘生玲 《中国中医药现代远程教育》 2024年第17期152-154,共3页
目的探讨消化性溃疡(PU)脾胃虚寒证患者应用加味理中汤联合西药治疗的临床效果。方法采用随机数字表法将萍乡市第二人民医院2020年4月—2022年5月收治的58例PU患者分为两组,各29例。对照组给予常规西药治疗,观察组加用加味理中汤治疗,... 目的探讨消化性溃疡(PU)脾胃虚寒证患者应用加味理中汤联合西药治疗的临床效果。方法采用随机数字表法将萍乡市第二人民医院2020年4月—2022年5月收治的58例PU患者分为两组,各29例。对照组给予常规西药治疗,观察组加用加味理中汤治疗,比较两组临床疗效、中医证候积分、炎症因子水平、胃肠激素水平、生活质量及不良反应。结果观察组总有效率为93.10%(27/29),高于对照组的72.41%(21/29)(P<0.05)。治疗后,观察组中医证候积分及白细胞介素-6(IL-6)、超敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)、胃泌素(GAS)水平较对照组低,胃动素(MTL)水平及生活质量评分较对照组高,差异均有统计学意义(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论PU脾胃虚寒证患者应用加味理中汤联合西药治疗,可抑制炎症反应,改善胃肠功能,减轻病痛,提升生活质量,效果显著,安全可靠,有利于预后。 展开更多
关键词 胃脘痛 消化性溃疡 脾胃虚寒证 理中汤 中西医结合疗法
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