半夏泻心汤加减治疗脾胃湿热型慢性浅表性胃炎的临床效果

柯俊铿

【摘要】 目的：探究脾胃湿热型慢性浅表性胃炎患者接受半夏泻心汤加减治疗的效果。方法：以脾胃湿热型慢性浅表性胃炎患者100例作为此次研究对象（选取时间2018年1-6月），按照简单分组原则将患者分为两组。对照组行奥美拉唑治疗，试验组行半夏泻心汤加减治疗，分析两组治疗效果。结果：试验组总有效率高于对照组（P<0.05）;两组治疗后中医症状积分均较治疗前降低，试验组治疗后中医症状积分均低于对照组（P<0.05）;试验组不良反应发生率低于对照组（P<0.05）。结论：脾胃湿热型慢性浅表性胃炎患者接受半夏泻心汤加减治疗，可获得较好的效果，且用药安全性较高。

【关键词】 半夏泻心汤; 脾胃湿热; 慢性浅表性胃炎

doi：10.14033/j.cnki.cfmr.2019.27.061 文献标识码 B 文章编号 1674-6805（2019）27-0-03

Clinical Effect of Banxia Xiexin Decoction Plus and Minus on Chronic Superficial Gastritis of Dampness-heat Type of Spleen and Stomach/KE Junkeng.//Chinese and Foreign Medical Research，2019，17（27）：-144

【Abstract】 Objective：To investigate the effect of Banxia Xiexin Decoction plus and minus treatment on patients with chronic superficial gastritis of dampness-heat type of spleen and stomach.Method：A total of 100 patients with chronic superficial gastritis of dampness-heat type of spleen and stomach were selected as the subjects of this study（from January to June 2018），and patients were divided into two groups according to the simple grouping principle.The control group was treated with Omeprazole，while the experimental group was treated with Banxia Xiexin Decoction plus and minus.The treatment effect of the two groups were analyzed.Result：The total effective rate of the experimental group was higher than that of the control group（P<0.05）.The scores of TCM symptoms after treatment in both groups were lower than those before treatment，and the scores of TCM symptoms after treatment in the experimental group were lower than those of the control group（P<0.05）.The incidence of adverse reactions in the experimental group was lower than that of the control group（P<0.05）.Conclusion：Patients with chronic superficial gastritis of dampness-heat type of spleen and stomach are treated with Banxia Xiexin Decoction plus and minus，which can obtain better effect and higher safety.

【Key words】 Banxia Xiexin Decoction; Dampness-heat type of spleen and stomach; Chronic superficial gastritis

First-authors address：Fuzhou Changle District Maternal and Child Health Hospital，Fuzhou 350200，China

慢性淺表性胃炎是消化内科疾病中的一种，可导致患者出现上腹部不适、恶心呕吐等症状，影响身心健康。目前，临床主要采用西药治疗，虽然可获得一定的效果，但效果并不理想，且不良反应发生率较高。随着研究的深入，发现中医在慢性浅表性胃炎患者治疗中具有独特的优势[1]。本研究主要对脾胃湿热型慢性浅表性胃炎患者接受半夏泻心汤加减治疗的效果进行观察，报道如下。

1 资料与方法

1.1 一般资料

以脾胃湿热型慢性浅表性胃炎患者100例作为此次研究对象（选取时间2018年1-6月）。纳入标准：（1）确诊存在脾胃湿热型慢性浅表性胃炎;（2）病程>3个月;（3）年龄≥18岁。排除标准：（1）存在肝肾功能严重障碍;（2）精神性疾病;（3）存在恶性肿瘤;（4）拒绝配合本研究。诊断标准：（1）符合《慢性萎缩性胃炎中医诊疗共识意见》中的相关标准，即存在消化功能不良、腹胀、腹痛等症状，实施病理、胃镜检查确诊存在慢性萎缩性胃炎;（2）主症为腹胀、腹痛、嗳气、恶心、胃脘胀痛，兼症为脉弦、舌红、苔黄、小便短赤、大便硬结、反酸、口苦、口干。将……