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[目的]观察自拟方益气活血汤联合西药治疗消化性溃疡(PU)并慢性萎缩性胃炎(CAG)的临床疗效。[方法]214例PU并CAG患者随机分为治疗组152例和对照组62例,治疗组予以自拟方益气活血汤联合西药雷尼替丁、果胶铋、阿莫西西治疗;对照组单用西药治疗,服药3个月后复查胃镜,比较疗效。[结果]治疗组胃镜下疗效与临床疗效及胃镜下疾病变化明显优于对照值(P<0.05,<0.01)。[结论]中西医结合联合用药,能改善临床症状,促使溃疡愈合及萎缩的腺体逆转。
[Objective] To observe the curative effect of self-made Yiqi Huoxue Decoction combined with Western medicine on peptic ulcer (PU) and chronic atrophic gastritis (CAG). [Methods] 214 patients with PU and CAG were randomly divided into treatment group (n = 152) and control group (n = 62). The treatment group was given Yiqi Huoxue Decoction combined with western medicine ranitidine, pectin bismuth and amoxicillin. Western medicine alone, medication 3 months after the review gastroscopy, more effective. [Results] The efficacy and clinical efficacy of gastroscopy and the disease under endoscopy in the treatment group were significantly better than those of the control group (P <0.05, <0.01). [Conclusion] Integrative Chinese and Western medicine can improve the clinical symptoms, promote ulcer healing and atrophic gland reversal.