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中文摘要: 目的 观察越鞠丸配合熊去氧胆酸对肝气犯胃型胆汁反流性胃炎患者疗效和血浆胃动素(MTL)及血管活性肠肽(VIP)的影响。方法 选取我院2015年1月—2016年7月收治的胆汁反流性胃炎患者86例为研究对象,将其分为对照组和观察组各43例。对照组给予熊去氧胆酸治疗,观察组在对照组的基础上加用越鞠丸治疗,连续治疗4周。观察治疗前后患者中医临床症状变化和胃镜检查变化,检测患者治疗前后血浆MTL和VIP水平,并对不良反应发生率进行统计分析。结果 治疗后两组患者中医证候积分均比治疗前有明显降低,且观察组明显低于对照组(P<0.05);治疗后两组患者的血浆MTL水平均有所升高,且观察组明显高于对照组(P<0.05);治疗后两组患者的血浆VIP水平均有所降低,且观察组明显低于对照组(P<0.05);且观察组总有效率为93.02%,明显高于对照组74.42%(P<0.05);观察组与对照组不良反应率分别为6.98%、4.65%,两组比较差异无统计学意义(P>0.05)。结论 越鞠丸配合熊去氧胆酸治疗胆气犯胃型胆汁反流性胃炎,可有效改善患者中医临床症状,提高治疗有效率,改善血浆MTL及VIP水平,可为治疗提供临床指导。
中文关键词: 越鞠丸 熊去氧胆酸 肝气犯胃型胆汁反流性胃炎 血浆胃动素 血管活性肠肽
Abstract:OBJECTIVE To observe the influence of Yueju pill with ursodeoxycholic acid on effects and plasma motilin (MTL) and vasoactive intestinal peptide (VIP) of patients with liver cirrhosis and stomach-type bile reflux gastritis. METHODS 86 cases of patients with bile reflux gastritis treated in our hospital from January 2015 to July 2016 were selected as the study objects, and were divided into control group and observation group, 43 cases in each group. The control group were given ursodeoxycholic acid treatment, and the observation group were added Yueju pill treatment on the basis of the control group, with continuous treatment for 4 weeks. TCM symptoms and Gastroscopy changes were observed before and after treatment in the two groups, plasma MTL and VIP levels were examined before and after treatment, and the incidence of adverse reactions was statistically analyzed. RESULTS After treatment, TCM syndromes scores were significantly lower than those before treatment in the two groups, which of the observation group were significantly lower than those in the control group (P < 0.05). Plasma MTL level increased in the two groups, and that in the observation group was significantly higher than that in the control group (P < 0.05). Plasma VIP level decreased in the two groups, and that in the observation group was significantly lower than that in the control group (P < 0.05). Total effective rate of the observation group was 93.02%, significantly higher than that of 74.42% of the control group (P< 0.05). The adverse reaction rates of the observation group and the control group was 6.98% and 4.65%, respectively,with no significant difference between the two groups (P > 0.05). CONCLUSION Yueju pill with
ursodeoxycholic acid in treatment of liver cirrhosis and stomach-type bile reflux gastritis, it can improve clinical symptoms of patients, treatment effect, and plasma MTL and VIP levels. It can provide clinical guidance for treatment.
keywords: Yueju pill Ursodeoxycholic acid Liver cirrhosis and stomach-type bile reflux gastritis Plasma motilin Vasoactive intestinal peptide
文章编号:3201712033 中图分类号:R573.3 文献标志码:
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