半夏泻心汤联合西药治疗脾胃虚弱证胃溃疡患者的临床效果

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摘要目的探讨半夏泻心汤联合西药治疗脾胃虚弱证胃溃疡患者的临床效果。方法选取2019年3月～2020年3月辽宁省葫芦岛市中心医院消化内科收治的120 例脾胃虚弱证胃溃疡患者作为研究对象，按随机数字表法将其分为对照组与试验组，每组各60 例。对照组采用常规西药治疗，试验组在对照组的基础上联合半夏泻心汤治疗，两组患者均治疗1 个月。比较两组患者的临床疗效、中医症状体征评分、不良反应发生情况及随访半年后的复发情况。结果试验组患者的治疗总有效率高于对照组，差异有统计学意义（P＜0.05）。治疗后试验组患者的呕吐清水、胃中嘈杂、懒言、气短、反酸、食后脘闷、大便稀溏、胃脘/胁肋胀满评分低于对照组，差异有统计学意义（P＜0.05）。试验组患者的不良反应总发生率低于对照组，差异有统计学意义（P＜0.05）。试验组患者的复发率低于对照组，差异有统计学意义（P＜0.05）。结论半夏泻心汤与西药联合对脾胃虚弱证胃溃疡患者治疗具有较高的临床应用价值。

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	张亚庆

关键词 ：胃溃疡, 脾胃虚弱证, 半夏泻心汤, 西药, 临床疗效

Abstract：Objective To explore the clinical effect of Banxia Xiexin Decoction combined with Western medicine in the treatment of gastric ulcer patients with weak spleen and stomach.Methods From March 2019 to March 2020,120 cases of gastric ulcer patients with spleen and stomach weakness syndrome admitted to the Department of Gastroenterology,Huludao Central Hospital in Liaoning Province were selected as the research objects,and they were divided into the experimental group and the control group according to the random number table method,with 60 cases in each group.The control group was treated with conventional Western medicine,and the experimental group was combined with Banxia Xiexin Decoction on the basis of the control group.Both groups were treated for 1 month.The clinical efficacy,traditional Chinese medicine(TCM)symptom and sign scores,the incidence of adverse reactions and the recurrence after half a year follow-up were compared between the two groups.Results After treatment,the total effective rate of the experimental group was higher than that of the control group,and the difference was statistically significant(P＜0.05).After treatment,the scores of vomiting clear water,stomach noise,lazy speech,shortness of breath,acid reflux,epigastric tiredness after eating,loose stools,epigastric/fleshy distension in the experimental group were lower than those in the control group,and the differences were statistically significant(P＜0.05).The total incidence of adverse reactions in experimental group was lower than that in control group,and the difference was statistically significant(P＜0.05).The recurrence rate in experimental group was lower than that in control group,and the difference was statistically significant(P＜0.05).Conclusion Banxia Xiexin Decoction combined with Western medicine has high clinical value in the treatment of gastric ulcer patients with syndrome of spleen and stomach weakness.

Key words： Gastric ulcer Spleen and stomach weakness syndrome Banxia Xiexin Decoction Western medicine Clinical efficacy

引用本文:

张亚庆. 半夏泻心汤联合西药治疗脾胃虚弱证胃溃疡患者的临床效果[J]. 中国当代医药, 2021, 28(17): 186-189.
ZHANG Ya-qing. Clinical effect of Banxia Xiexin Decoction combined with Western medicine in treating patients with gastric ulcer due to weakness of spleen and stomach. 中国当代医药, 2021, 28(17): 186-189.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I17/186

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