【摘要】 目的:观察温中健脾、活血生肌法治疗十二指肠球部溃疡的临床疗效。方法:将2018年6月至2019年6月在萍乡市中医院门诊就诊的十二指肠球部溃疡患者60例,随机分为对照组和治疗组各30例,对照组给予雷贝拉唑肠溶胶囊、胶体果胶铋胶囊、阿莫西林胶囊、克拉霉素缓释片等治疗,治疗组在对照组治疗的基础上采用温中健脾、活血生肌中药治疗,连续服用4周,4周后评估两组患者治疗效果。结果:两组患者临床疗效比较:对照组有效率为73.33%,治疗组有效率为86.67%,两组有效率比较,差异有统计学意义(P<0.05)。两组患者胃镜疗效比较:对照组有效率为66.67%,治疗组有效率为80.00%,两组有效率比较,差异有统计学意义(P<0.05)。两组患者治疗后中医证候积分均较治疗前降低,差异有统计学意义(P<0.05),治疗后组间比较,差异有统计学意义(P<0.05)。结论:温中健脾、活血生肌法治疗十二指肠球部溃疡,可改善患者临床症状与体征。更多还原

【Abstract】 Objective:To observe the clinical curative effect of method of warming middle energizer and invigorating spleen and promoting blood circulation and granulation on duodenal ulcer(DU).Methods:A total of 60 patients with DU treated in the outpatient department of Pingxiang Hospital of TCM from June 2018 to June 2019 were randomly divided into the control group and the treatment group,with 30 cases in each group.The control group was treated with Rabeprazole Enteric-Coated Capsules,Colloidal Bismuth Pectin Capsules,Amoxicillin Capsules,Clarithromycin Sustained-Release Tablets,etc.The treatment group was treated with method of warming middle energizer and invigorating spleen and promoting blood circulation and granulation on the basis of the treatment of the control group.The treatment lasted for 4 weeks,and then the treatment effects of the two groups were evaluated after 4 weeks.Results:Comparison of clinical efficacy between the two groups:the effective rate of the control group was 73.33%,and that of the treatment group was 86.67%.The difference between the two groups was statistically significant(P<0.05).Comparison of curative effect under gastroscope between the two groups:the effective rate of the control group was 66.67%,and that of the treatment group was 80.00%.The difference between the two groups was statistically significant(P<0.05).After the treatment,the TCM syndrome scores of the two groups were all lower than those before the treatment,the difference was statistically significant(P<0.05),and the difference between the two groups after the treatment was also statistically significant(P<0.05).Conclusion:In terms of treating DU,method of warming middle energizer and invigorating spleen and promoting blood circulation and generating muscle can improve the clinical symptoms and signs of patients.更多还原