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胃祺饮加减治疗气虚血瘀型慢性萎缩性胃炎32例
引用本文:余桂荔,龚雨萍,李凯,卞慧,李慧,朱凌宇,孙申维.胃祺饮加减治疗气虚血瘀型慢性萎缩性胃炎32例[J].上海中医药杂志,2019,53(1):66-69.
作者姓名:余桂荔  龚雨萍  李凯  卞慧  李慧  朱凌宇  孙申维
作者单位:上海中医药大学附属龙华医院脾胃病科
摘    要:目的观察胃祺饮加减治疗气虚血瘀型慢性萎缩性胃炎的临床及病理疗效。方法将62例气虚血瘀型慢性萎缩性胃炎患者随机分为治疗组(32例)和对照组(30例)。两组均给予西医常规治疗,对照组在此基础上加用硒酵母胶囊及替普瑞酮胶囊,治疗组予胃祺饮加减治疗。两组均治疗3个月,观察临床疗效、病理疗效,比较中医证候积分的变化情况。结果(1)治疗组、对照组总有效率分别为90.6%、56.7%;两组临床疗效比较,治疗组优于对照组(P0.05)。(2)治疗前后组内比较,两组中医证候积分均较治疗前减少(P0.05);组间治疗后中医证候积分差值比较,差异有统计学意义(P0.05)。(3)治疗组、对照组腺体萎缩的总有效率分别为62.5%、30.0%,肠上皮化生的总有效率分别为58.1%、27.6%;两组病理疗效比较,治疗组优于对照组(P0.05)。结论胃祺饮加减治疗气虚血瘀型慢性萎缩性胃炎疗效满意,能明显改善患者的临床症状,并在一定程度上逆转胃黏膜固有腺体的萎缩及肠上皮化生。

关 键 词:慢性萎缩性胃炎  气虚血瘀  胃祺饮  腺体萎缩  肠上皮化生
收稿时间:2018/7/6 0:00:00

Treatment of 32 cases of chronic atrophic gastritis with qi deficiency and blood stasis by modified Weiqi Decoction
YU Guili,GONG Yuping,LI Kai,BIAN Hui,LI Hui,ZHU Lingyu and SUN Shenwei.Treatment of 32 cases of chronic atrophic gastritis with qi deficiency and blood stasis by modified Weiqi Decoction[J].Shanghai Journal of Traditional Chinese Medicine,2019,53(1):66-69.
Authors:YU Guili  GONG Yuping  LI Kai  BIAN Hui  LI Hui  ZHU Lingyu and SUN Shenwei
Institution:Spleen-Stomach Disease Department,Longhua Hospital,Shanghai University of Traditiongal Chinese Medicine,Shanghai 200032,China,Spleen-Stomach Disease Department,Longhua Hospital,Shanghai University of Traditiongal Chinese Medicine,Shanghai 200032,China,Spleen-Stomach Disease Department,Longhua Hospital,Shanghai University of Traditiongal Chinese Medicine,Shanghai 200032,China,Spleen-Stomach Disease Department,Longhua Hospital,Shanghai University of Traditiongal Chinese Medicine,Shanghai 200032,China,Spleen-Stomach Disease Department,Longhua Hospital,Shanghai University of Traditiongal Chinese Medicine,Shanghai 200032,China,Spleen-Stomach Disease Department,Longhua Hospital,Shanghai University of Traditiongal Chinese Medicine,Shanghai 200032,China and Spleen-Stomach Disease Department,Longhua Hospital,Shanghai University of Traditiongal Chinese Medicine,Shanghai 200032,China
Abstract:
Keywords:chronic atrophic gastritis  qi deficiency and blood stasis  Weiqi Decoction  gland atrophy  intestinal metaplasia
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