中药分期治疗幽门螺旋杆菌感染的痘疹样胃炎

目的:观察中西医结合治疗H感染的痘疹样胃炎的效果。方法:符合诊断标准的病例63例,予抗Hp治疗2周(耐信20mg,阿莫西林1g,克拉霉素0.5g,复方铝铋颗粒1袋,每日2次口服)。若胃胀明显者,加服吗丁啉10mg,3次/d。活动期多属脾胃湿热以泻心汤加减,半夏,黄芩,黄连,陈皮,枳壳,厚朴,金银花;修复期多属脾胃虚弱以六君子汤加减:太子参,茯苓,白术,甘草,陈皮,半夏,丹参,砂仁,檀香。1个疗程为4周,1个疗程后两组进行比对。结果:Hp感染61例患者转阴,HP根除率为95.8%;痊愈48例占76.2%;显效10例,占15.9%;有效4例,占6.3%;无效1例,占1.6%;总有效率98.4%。结论:西医结合治疗Hp感染的痘疹样胃炎具有显著疗效。

Chinese Medicine Treatment Phases of The Smallpox-Like Gastritis and Hp Infection

Objective:To observe the combination therapy of smallpox-like gastritis and Hp infection effect.Methods:63 patients met the diagnostic criteria were given anti-Hp treatment for 2 weeks(Nexium 20mg,amoxicillin 1g,clarithromycin 0.5g,aluminum bismuth compound particles 1 bag,twice a day orally).If there was obviously stomach distention,the treatment added domperidone 10mg,3 times a day.Spleen-stomach dampness-heat syndrome in active period should be treated with modified Xiexin Decoction:Pinellia,Scutellaria,Coptis,Citrus,Citrus aurantium,Magnolia and honeysuckle;spleen-stomach deficiency syndrome in repair period be treated with modified Liujunzi Decoction:heterophylla,Poria,Atractylodes,licorice,Citrus,Pinellia,Salvia,Amomum and sandalwood.The treatment lasted for 4 weeks,after a course two groups were compared.Results:Among 61 patients with negative Hp infection,Hp eradication rate was 95.8%;cured 48 cases accounted for 76.2%;effective in 10 cases(15.9%);effective in 4 cases(6.3%);invalid l cases,accounting for 1.6%;total efficiency was 98.4%.Conclusion:Combination therapy of smallpox-like gastritis and Hp infection has a significant effect.