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目的:观察半夏泻心汤联合克拉霉素、替硝唑治疗小儿胃炎的临床效果。方法:选择温岭市第一人民医院2017年3月至2018年11月收治的胃炎患儿100例为观察对象，采用随机数字表法分为对照组50例、观察组50例。对照组采用常规西药治疗，观察组采用半夏泻心汤联合克拉霉素、替硝唑治疗，两组疗程均为2周。观察两组治疗前后症状积分、生活质量评分，上腹饱胀、上腹疼痛、反酸消失时间，比较两组临床疗效及不良反应。结果:治疗前，两组胃炎症状积分、生活质量评分差异均无统计学意义(均n P>0.05)。治疗后，对照组胃炎症状积分、生活质量评分分别为(1.27±0.22)分、(80.22±4.45)分，观察组分别为(0.56±0.11)分、(90.53±4.11)分，两组差异均有统计学意义(n t＝5.824、7.825，均n P<0.05)。对照组上腹饱胀、上腹疼痛、反酸消失时间分别为(5.42±2.51)d、(4.47±2.24)d、(4.68±1.51)d，观察组分别为(4.11±1.12)d、(3.25±1.21)d、(3.21±0.24)d，两组差异均有统计学意义(n t＝5.221、5.167、5.121，均n P<0.05)。观察组总有效率为98.00%(49/50)，高于对照组的80.00%(40/50)(χn 2＝8.201，n P<0.01)。观察组不良反应发生率为6.00%(3/50)，低于对照组的18.00%(9/50)(χn 2＝6.278，n P0.05). After treatment, the scores of gastritis symptoms and quality of life in the control group were (1.27±0.22)points and (80.22±4.45)points, respectively, which in the observation group were (0.56±0.11)points and (90.53±4.11)points, respectively, the differences between the two groups were statistically significant(n t=5.824, 7.825, all n P<0.05). The disappearance time of upper abdominal fullness, pain and acid reflux in the control group were (5.42±2.51)d, (4.47±2.24)d, (4.68±1.51)d, respectively, which in the observation group were (4.11±1.12)d, (3.25±1.21)d, (3.21±0.24)d, respectively, the differences were statistically significant between the two groups(n t=5.221, 5.167, 5.121, all n P<0.05). The total effective rate of the observation group was 98.00% (49/50), which was higher than 80.00% (40/50) of the control group (χn 2=8.201, n P<0.01). The incidence of adverse reactions in the observation group was 6.00%(3/50), which was lower than that in the control group [18.00% (9/50)] (χn 2=6.278, n P<0.05).n Conclusion:Banxia Xiexin decoction combined with clarithromycin and tinidazole can effectively improve the clinical symptoms, gastric function and quality of life of children with gastritis, with fewer adverse reactions, and the effect is better than conventional western medicine.