论文部分内容阅读
[目的]观察柴平左金汤联合铝碳酸镁、莫沙必利治疗肝胃不和型胆汁反流性胃炎疗效。[方法]使用随机平行对照方法,将100例门诊患者按抽签法随机分为两组。对照组50例铝碳酸镁,0.5g/次,3次/d,嚼服;莫沙必利,0.5mg/次,3次/d。治疗组50例柴平左金汤(柴胡、黄芩、法半夏各15g,黄连、茯苓、枳壳、厚朴各10g,吴茱萸、陈皮、甘草各5g;腹痛、腹胀加郁金、青皮各10g;泛酸、嘈杂、烧心者加乌贼骨、煅瓦楞子各10g;呕吐加旋复花、竹茹各10g;大便稀加炒白术、山药各10g;大便干结加决明子、牛蒡子各10g;纳差加焦山楂、炒麦芽各15g;胃镜示胃黏膜充血、水肿明显加蒲公英、败酱草各10g),1剂/d,水煎450mL,3次温服;铝碳酸镁、莫沙必利治疗同对照组。连续治疗14d为1疗程。观测临床症状、胃黏膜状况、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈30例,有效22例,无效4例,总有效率92.86%。对照组痊愈13例,有效22例,无效9例,总有效率79.55%。治疗组疗效优于对照组(P<0.05)。[结论]柴平左金汤联合铝碳酸镁、莫沙必利治疗肝胃不和型胆汁反流性胃炎效果显著,值得推广。
[Objective] To observe the curative effect of Chaibing Zuojin decoction combined with hydrotalcite and mosapride in the treatment of hepatorenal incompatible bile reflux gastritis. [Methods] Using randomized parallel control method, 100 outpatients were randomly divided into two groups by lottery method. Control group, 50 cases of aluminum magnesium carbonate, 0.5g / time, 3 times / d, chewing clothes; mosapride, 0.5mg / times, 3 times / d. The treatment group, 50 cases of Chai Ping Zuo Jin Tang (Bupleurum, Scutellaria, Pinellia 15g, Coptis, Poria, Citrus aurantium, Magnolia 10g, Evodia, Citrus, licorice each 5g; abdominal pain, abdominal distension plus turmeric, Pantothenic acid, noisy, heartburn plus cuttlefish bone, calcined corrugated son each 10g; vomit plus spin Fu Hua, Zhu Ru each 10g; stool dilute fried Atractylodes, yam 10g; stool dry plus add Cassia, Arctium 10g; Coke hawthorn, fried malt 15g; gastroscopy showed gastric mucosal congestion, edema significantly increase the dandelion, Patrinia grass each 10g), 1 / d, decoction 450mL, 3 times warm clothes; aluminum magnesium carbonate, mosapride treatment of the same Control group. Continuous treatment 14d for a course of treatment. Observation of clinical symptoms, gastric mucosal status, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The treatment group cured 30 cases, effective in 22 cases, 4 cases, the total effective rate was 92.86%. The control group recovered in 13 cases, effective in 22 cases, ineffective in 9 cases, the total effective rate was 79.55%. The treatment group was better than the control group (P <0.05). [Conclusion] Chaibing Zujin Decoction combined with hydrotalcite and mosapride is effective in treating patients with hepatobasal incompatible bile reflux gastritis, which is worthy of promotion.