中西医结合疗法在胃溃疡治疗中的应用价值

李曦

doi:10.13898/j.cnki.issn.1000-2200.2015.09.033

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中西医结合疗法在胃溃疡治疗中的应用价值

李曦

文章导航 > 蚌埠医学院学报 > 2015, 40 > 9: (1231-1233)

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中西医结合疗法在胃溃疡治疗中的应用价值

李曦

成都医学院第一附属医院中西医结合科, 四川成都 610500

作者简介: 李曦(1978-),女,主治医师

中图分类号: R573.1

The application value of the combination of Chinese and western medicine in the treatment of gastric ulcer

LI Xi

Department of Integrated Chinese and Western Medicine, The First Affiliated Hospital of Chengdu Medical College, Chengdu Sichuan 610500, China
CLC number: R573.1

摘要: 目的:探讨中西医结合疗法治疗胃溃疡的效果。方法:将胃溃疡患者127例按数字表法随机分为观察组(n=65)和对照组(n=62)。对照组患者仅采用常规西药奥美拉唑、阿莫西林、克拉霉素进行三联治疗,观察组患者在对照组的基础上联合自拟中药方剂治疗。观察治疗前后2组患者的生活质量评分,并比较2组临床总有效率和复发率。结果:治疗前2组生活质量评分差异均无统计学意义(P>0.05),而2组治疗后的躯体功能、心理功能、社会功能等生活质量评分均较治疗前显著提高(P<0.01),且观察组的提升幅度均明显高于对照组(P<0.01);观察组临床治疗总有效率为93.85%,明显高于对照组的82.26%(P<0.01);观察组随访1、2和3年的复发率分别为3.08%、7.69%及12.31%,对照组分别为11.29%、19.35%及30.65%,观察组低于对照组(P<0.01)。结论:中西医结合疗法治疗胃溃疡能显著改善患者的生活质量,提高临床疗效,降低复发率,其效果显著优于单独应用西药治疗,值得临床推广。
- 胃溃疡 /
- 中西医结合疗法 /
- 生活质量
Abstract: Objective:To explore the clinical effects of the combination of Chinese and western medicine in the treatment of gastric ulcer.Methods:One hundred and twenty-seven patients with gastric ulcer were randomly divided into the observation group(n=65) and control group(n=62) according to the number table method.The control group were treated with the conventional medicine(such as the omeprazole,amoxicillin and clarithromycin),the observation group were additionally treated with the self-made traditional Chinese Medicine on the basis of the western medicine.The quality of life scores before and after treatment in two groups were observed,and the total effective and recurrence rate between two groups were compared.Results:The difference of the quality of life score in two groups was not statistically significant before treatment(P>0.05).Compared with these before treatment,the scores of the physical function,psychological function and social function in two groups were significantly improved after treatment(P<0.01),the increasing degree of whose in observation group were significantly higher than those in control group(P<0.01).The clinical total effective rate in observation group(93.85%) was significantly higher than that in control group(82.26%)(P<0.01).The recurrence rates in observation group during the following up for 1,2 and 3 year were 3.08%,7.69% and 12.31%,respectively,whose in control group were 11.29%,19.35% and 30.65%,respectively,and whose in observation group were lower than those in control group(P<0.01).Conclusions:The treatment of gastric ulcer with the combination of Chinese and western medicine can significantly improve the quality of life,increase the therapeutic efficacy and decrease the relapse rate,and its effect is significantly better than that of western medicine and worthy of promotion.
- gastric ulcer /
- integrative medicine therapy /
- quality of life

[1]	临床效果分析[J].中国中医药科技,2014,5(21):87-91.
[2]	古冬燕,江燕舞.中西医联合用药治疗胃溃疡的临床疗效[J].中外医学研究,2013,11(20):157-158.
[3]	Tamawski AS,Chai J,Pal R,et al.Rebamipide activates genes encoding angiogenic growth factors and Cox2 and stimulates angiogenesis:a key to its ulcer healing action[J].Dig Dis Sci, 2004,49(2):202.
[4]	王雅楠.中西医结合治疗胃溃疡的临床效果分析[J].中国医药科学,2012,2(8):65-66.
[5]	叶婧,叶玉琴.中西医结合治疗胃溃疡临床疗效分析[J].中国中医基础医学杂志,2013,19(7):837-838.
[6]	王敬霞,赵振刚,姚成花.奥美拉唑与黄连素联合治疗胃溃疡临床观察(附120 例临床分析)[J].中国医药指南,2010,8 (7):101-102.
[7]	凋天羽,周学文.中西医结合治疗胃溃疡的临床应用[J].世界中西医结合,2008,3(11):675-676.
[8]	Bhattacharya A,Ghosal S,Bhattacharya SK.Effect of fish oil on offensive and defensive factors in gastric ulceration in rats[J].Prostaglandins Leukot Essent Fatty Acids,2006,74(21):109-116.
[9]	王敏,王嫱.中西医结合治疗胃溃疡42 例疗效观察[J].云南中医药杂志,2011,32(3):12-13.
[10]	汪洋,陈招弟.中西医结合治疗胃溃疡临床研究[J].社区医学杂志,2011,23(18):13-14.
[11]	张世杨,杨国云,陈炯.中西医联合用药治疗胃溃疡98 例的临床效果分析[J].中国中医药科技,2014,5(21):87-91.例的例的

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中西医结合疗法在胃溃疡治疗中的应用价值

李曦

作者简介: 李曦(1978-),女,主治医师

成都医学院第一附属医院中西医结合科, 四川成都 610500

收稿日期: 2015-03-11

关键词:

摘要: 目的:探讨中西医结合疗法治疗胃溃疡的效果。方法:将胃溃疡患者127例按数字表法随机分为观察组(n=65)和对照组(n=62)。对照组患者仅采用常规西药奥美拉唑、阿莫西林、克拉霉素进行三联治疗,观察组患者在对照组的基础上联合自拟中药方剂治疗。观察治疗前后2组患者的生活质量评分,并比较2组临床总有效率和复发率。结果:治疗前2组生活质量评分差异均无统计学意义(P>0.05),而2组治疗后的躯体功能、心理功能、社会功能等生活质量评分均较治疗前显著提高(P<0.01),且观察组的提升幅度均明显高于对照组(P<0.01);观察组临床治疗总有效率为93.85%,明显高于对照组的82.26%(P<0.01);观察组随访1、2和3年的复发率分别为3.08%、7.69%及12.31%,对照组分别为11.29%、19.35%及30.65%,观察组低于对照组(P<0.01)。结论:中西医结合疗法治疗胃溃疡能显著改善患者的生活质量,提高临床疗效,降低复发率,其效果显著优于单独应用西药治疗,值得临床推广。

English Abstract

The application value of the combination of Chinese and western medicine in the treatment of gastric ulcer

LI Xi

Department of Integrated Chinese and Western Medicine, The First Affiliated Hospital of Chengdu Medical College, Chengdu Sichuan 610500, China

Received Date: 2015-03-11

Abstract: Objective:To explore the clinical effects of the combination of Chinese and western medicine in the treatment of gastric ulcer.Methods:One hundred and twenty-seven patients with gastric ulcer were randomly divided into the observation group(n=65) and control group(n=62) according to the number table method.The control group were treated with the conventional medicine(such as the omeprazole,amoxicillin and clarithromycin),the observation group were additionally treated with the self-made traditional Chinese Medicine on the basis of the western medicine.The quality of life scores before and after treatment in two groups were observed,and the total effective and recurrence rate between two groups were compared.Results:The difference of the quality of life score in two groups was not statistically significant before treatment(P>0.05).Compared with these before treatment,the scores of the physical function,psychological function and social function in two groups were significantly improved after treatment(P<0.01),the increasing degree of whose in observation group were significantly higher than those in control group(P<0.01).The clinical total effective rate in observation group(93.85%) was significantly higher than that in control group(82.26%)(P<0.01).The recurrence rates in observation group during the following up for 1,2 and 3 year were 3.08%,7.69% and 12.31%,respectively,whose in control group were 11.29%,19.35% and 30.65%,respectively,and whose in observation group were lower than those in control group(P<0.01).Conclusions:The treatment of gastric ulcer with the combination of Chinese and western medicine can significantly improve the quality of life,increase the therapeutic efficacy and decrease the relapse rate,and its effect is significantly better than that of western medicine and worthy of promotion.