236例消化性溃疡患者的临床治疗体会(1)
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2011年2月1日
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【摘要】目的 分析和探讨中西医结合治疗消化性溃疡的临床效果。方法 我院在2008年-2010年共收治236例消化性溃疡患者，随机将其平均分为2组，即治疗组和对照组各118例；对照组单纯采用奥美拉唑治疗，20mg/次，2次/d，4周为一个疗程；治疗组在对照组的基础上采用加味四逆散治疗，用水煎服300ml/次，2次/d；并观察和记录全部患者的临床效果进行分析和比较。结果 治疗组118例治愈78例，显效22例，有效11例，整体有效率为94.1%(111/118)，复发6例，复发率为5.1%；对照组118例治愈55例，显效23例，有效12例，整体有效率为76.3%(90/118)，复发29例，复发率为24.6%；2组患者在整体有效率、复发率方面的差异具有统计学意义(P<0.05)。结论 对于消化性溃疡而言，单纯采用西药治疗尽管疗效基本令人满意，但是复发率较高，采用中西医结合治疗消化性溃疡具有显著的临床疗效，而且复发率较低，值得临床推广。
【关键词】消化性溃疡 临床治疗 中西医结合
中图分类号：R573文献标识码：A文章编号：1005-0515(2011)2-022-02
236 cases of clinical treatment of peptic ulcer
Kui Ying Xian
Baoshan City, Yunnan Province, People's Hospital
【Abstract】Objective To analyze and explore the Integrative Medicine Clinical effect of treatment of peptic ulcer. Methods From 2008 -2010 236 cases of peptic ulcer patients were treated randomly be divided into 2 groups, treatment group and control group 118 patients; control group were treated with omeprazole, 20mg / time, 2 times / d, 4 weeks for a course; the treatment group were based on the use of MSP treatment, with Shuijianbi 300ml / time, 2 times / d; and observe and record all of the clinical effects analysis and comparison. Results The 118 cases were cured in 78 cases, 22 cases markedly effective in 11 cases, the overall effective rate was 94.1% (111/118), 6 cases of recurrence, the recurrence rate was 5.1%; control group, 55 cases of 118 patients cured, effective 23 cases, effective in 12 cases, the overall effective rate was 76.3% (90/118), 29 cases of recurrence, the recurrence rate was 24.6%; 2 patients in the overall efficiency, the recurrence rate was statistically significant difference (P<0.05) . Conclusions Peptic ulcer, the simple effect of using western medicine despite the generally satisfactory, but the recurrence rate was higher TCM-WM treatment of peptic ulcer has significant clinical efficacy, and lower recurrence rate, is worthy of promotion.
【Key words】 peptic ulcer clinical treatment Integrative Medicine
作为一种在临床上常见的慢性胃肠道疾病，是对十二指肠溃疡、胃溃疡的总称，在日常中，常常将其简化称之为溃疡病。原本消化食物的胃酸(盐酸)和胃蛋白酶(酶的一种)却消化了自身的胃壁和十二指肠壁，从而损伤黏膜组织，这是引发溃疡病的主要原因[1]。消化性溃疡的临床表现通常不具有典型性 ......
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