中西医结合疗法在胃溃疡治疗中的应用价值

    The application value of the combination of Chinese and western medicine in the treatment of gastric ulcer

    • 摘要: 目的:探讨中西医结合疗法治疗胃溃疡的效果。方法:将胃溃疡患者127例按数字表法随机分为观察组(n=65)和对照组(n=62)。对照组患者仅采用常规西药奥美拉唑、阿莫西林、克拉霉素进行三联治疗,观察组患者在对照组的基础上联合自拟中药方剂治疗。观察治疗前后2组患者的生活质量评分,并比较2组临床总有效率和复发率。结果:治疗前2组生活质量评分差异均无统计学意义(P>0.05),而2组治疗后的躯体功能、心理功能、社会功能等生活质量评分均较治疗前显著提高(P<0.01),且观察组的提升幅度均明显高于对照组(P<0.01);观察组临床治疗总有效率为93.85%,明显高于对照组的82.26%(P<0.01);观察组随访1、2和3年的复发率分别为3.08%、7.69%及12.31%,对照组分别为11.29%、19.35%及30.65%,观察组低于对照组(P<0.01)。结论:中西医结合疗法治疗胃溃疡能显著改善患者的生活质量,提高临床疗效,降低复发率,其效果显著优于单独应用西药治疗,值得临床推广。

       

      Abstract: Objective:To explore the clinical effects of the combination of Chinese and western medicine in the treatment of gastric ulcer.Methods:One hundred and twenty-seven patients with gastric ulcer were randomly divided into the observation group(n=65) and control group(n=62) according to the number table method.The control group were treated with the conventional medicine(such as the omeprazole,amoxicillin and clarithromycin),the observation group were additionally treated with the self-made traditional Chinese Medicine on the basis of the western medicine.The quality of life scores before and after treatment in two groups were observed,and the total effective and recurrence rate between two groups were compared.Results:The difference of the quality of life score in two groups was not statistically significant before treatment(P>0.05).Compared with these before treatment,the scores of the physical function,psychological function and social function in two groups were significantly improved after treatment(P<0.01),the increasing degree of whose in observation group were significantly higher than those in control group(P<0.01).The clinical total effective rate in observation group(93.85%) was significantly higher than that in control group(82.26%)(P<0.01).The recurrence rates in observation group during the following up for 1,2 and 3 year were 3.08%,7.69% and 12.31%,respectively,whose in control group were 11.29%,19.35% and 30.65%,respectively,and whose in observation group were lower than those in control group(P<0.01).Conclusions:The treatment of gastric ulcer with the combination of Chinese and western medicine can significantly improve the quality of life,increase the therapeutic efficacy and decrease the relapse rate,and its effect is significantly better than that of western medicine and worthy of promotion.

       

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