CAJ | 학술논문

目的：观察用半夏泻心汤化裁而成的经验汤剂内服联合三联疗法辨治慢性胃炎的临床效果。方法128例慢性胃炎患者随机分为两组，对照组给予西医常规三联疗法治疗；治疗组在对照组基础上给予中药半夏泻心汤加减内服治疗，15d为1个疗程，4个疗程后比较临床疗效，对证候进行评分；观察幽门杆菌Hp的根除情况。结果治疗组总有效率明显高于对照组（ P＜0．05）；两组经治疗后主要临床症状较治疗前均有所好转，证候评分较治疗前均有所下降，以治疗组的改善程度尤其突出（P＜0．05）；治疗组的幽门杆菌Hp根除率明显优于对照组（P＜0．05）。结论半夏泻心汤加减联合三联疗法能有效改善慢性胃炎患者的临床症状，有效根除幽门杆菌，疗效确切。
목적：관찰용반하사심탕화재이성적경험탕제내복연합삼련요법변치만성위염적림상효과。방법128례만성위염환자수궤분위량조，대조조급여서의상규삼련요법치료；치료조재대조조기출상급여중약반하사심탕가감내복치료，15d위1개료정，4개료정후비교림상료효，대증후진행평분；관찰유문간균Hp적근제정황。결과치료조총유효솔명현고우대조조（ P＜0．05）；량조경치료후주요림상증상교치료전균유소호전，증후평분교치료전균유소하강，이치료조적개선정도우기돌출（P＜0．05）；치료조적유문간균Hp근제솔명현우우대조조（P＜0．05）。결론반하사심탕가감연합삼련요법능유효개선만성위염환자적림상증상，유효근제유문간균，료효학절。
s:Objective To observe the clinical efficacy of Banxiaxiexin decoction combined with triple therapy on chronic gastritis. Methods 128casesofchronicgastritiswererandomlydividedintotwogroups.Thecontrolgroupweretreatedwithtripletherapy;whilethe treatment group were treated with Banxiaxiexin decoction combined with triple therapy,15 days for a course ,after treating for 4 courses, the clinical effect and the improvement of the main clinical symptoms were observed, syndrome integral were evaluated, the Hp eradication of h. pylori were observed.Results The efficiency of the treatment group was higher than that of the control group (P<0.05);the improvement of main clinical symptoms in the treatment group was better than that of control group (P<0.05); The Hp eradication of h.pylori of the treatment group was better than that of the control group (P<0.05).Conclusion Banxiaxiexin decoction combined with triple therapy can effectively improve the clinical symptoms of patients with chronic gastritis.It can effectively eradicate h.pylori, which has curative effect.