中国中医药科技
中國中醫藥科技
중국중의약과기
CHINESE JOURNAL OF TRADITIONAL MEDICAL SCIENCE AND TECHNOLOGY
2014年
z2期
65-66
,共2页
疣状胃炎%中药治疗%清热利湿%疏肝和胃%标准三联
疣狀胃炎%中藥治療%清熱利濕%疏肝和胃%標準三聯
우상위염%중약치료%청열리습%소간화위%표준삼련
verrucous gastritis%Chinese medicine therapy%clearing heat and promoting diuresis%clearing liver and adjusting stomach treatment%western medicine standard tripie
目的：寻求治疗HP感染疣状胃炎的最佳方案。方法：收集我院2009年10月至2013年10月经胃镜确诊的疣状胃炎（VG)119例，剔除其中非HP感染者17例，剩余102例随机分为两组。治疗组55例，对照组47例。两组患者性别、年龄、病程、临床表现等比较，差异无统计学意义（P>0.05），具有可比性。治疗组用清热利湿、疏肝和胃中药汤剂日1剂，分3次口服。同时用标准三联（奥美拉唑20mg，阿莫西林1.0g，克拉霉素0.5g，均口服，每日2次）。对照组单用标准三联，两组疗程均为10天，疗程结束1个月后分别复查胃镜及HP检测。按疗效判定标准分为治愈、有效、无效，并做统计学处理。结果：治疗组总有效率（98.11%）与对照组总有效率（76.55%）差异具有统计学意义（P<0.05）；治疗组HP转阴率（92.72%）与对照组HP转阴率（76.59%）差异有统计学意义（P<0.05）。结论：治疗组治疗疣状胃炎疗效和HP转阴率均优于对照组。
目的：尋求治療HP感染疣狀胃炎的最佳方案。方法：收集我院2009年10月至2013年10月經胃鏡確診的疣狀胃炎（VG)119例，剔除其中非HP感染者17例，剩餘102例隨機分為兩組。治療組55例，對照組47例。兩組患者性彆、年齡、病程、臨床錶現等比較，差異無統計學意義（P>0.05），具有可比性。治療組用清熱利濕、疏肝和胃中藥湯劑日1劑，分3次口服。同時用標準三聯（奧美拉唑20mg，阿莫西林1.0g，剋拉黴素0.5g，均口服，每日2次）。對照組單用標準三聯，兩組療程均為10天，療程結束1箇月後分彆複查胃鏡及HP檢測。按療效判定標準分為治愈、有效、無效，併做統計學處理。結果：治療組總有效率（98.11%）與對照組總有效率（76.55%）差異具有統計學意義（P<0.05）；治療組HP轉陰率（92.72%）與對照組HP轉陰率（76.59%）差異有統計學意義（P<0.05）。結論：治療組治療疣狀胃炎療效和HP轉陰率均優于對照組。
목적：심구치료HP감염우상위염적최가방안。방법：수집아원2009년10월지2013년10월경위경학진적우상위염（VG)119례，척제기중비HP감염자17례，잉여102례수궤분위량조。치료조55례，대조조47례。량조환자성별、년령、병정、림상표현등비교，차이무통계학의의（P>0.05），구유가비성。치료조용청열리습、소간화위중약탕제일1제，분3차구복。동시용표준삼련（오미랍서20mg，아막서림1.0g，극랍매소0.5g，균구복，매일2차）。대조조단용표준삼련，량조료정균위10천，료정결속1개월후분별복사위경급HP검측。안료효판정표준분위치유、유효、무효，병주통계학처리。결과：치료조총유효솔（98.11%）여대조조총유효솔（76.55%）차이구유통계학의의（P<0.05）；치료조HP전음솔（92.72%）여대조조HP전음솔（76.59%）차이유통계학의의（P<0.05）。결론：치료조치료우상위염료효화HP전음솔균우우대조조。
Objective: To find the best method to cure Verrucous Gastritis. Choose 119 cases of verrucous gastritis (VG) in our hospital form October 2009 to October 2013 and which were confirmed by gastroscopy . Excluding 17 cases of without HP infection patients, the remaining 102 cases were randomly divided into two groups .Treatment group 55 cases; The control group 47 cases . The difference of this two groups of patients' gender, age, duration and clinical performance were not statistically significant (P>0.05). Patients in treatment group were treated with decoction that clearing heat and promoting dampness, clearing liver and adjusting stomach daily 1 agent, 3 times every day , and standard triple combined with western medicine(omeprazole 20mg, amoxicillin 1.0g, clarithromcin 0.5 g), oral 2times a day, peros. The control group were cured by taking omeprazole 20mg, amoxicillin 1.0g, clarithromycin 0.5g in addition, 2 times every day, peros .for 10 days a course of treatment, 1 month after the end of treatment review gastroscope and detection of HP respectively. By clinical criteria divided into cure, improvement and ineffective and carried out statistical analysis. Results:Treatment group total effective rate (98.81%) and the control group total effective rate (76.55%) in a statistically significant difference (P<0.05);treatment group HP negative-converting rate was 92.72% and control group was 76.59% and there have significant differences (P<0.05).Conclusions: Treatment group treated of verrucous gastritis effective and HP negative-converting rate than control group.
