益气化瘀法为主治疗慢性胃炎106例疗效分析

Analysis of Therapeutic Effect of 106 Cases of Chronic Gastritis Treated Mainly with the Method of Replenishing Qi(Vital Energy)and Reducing Blood Stasis

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中文关键词: 慢性胃炎慢性萎缩性胃炎慢性浅表性胃炎益气化瘀法治疗前后纤维胃镜检查活组织检查活体组织检查镜象活体组织病理

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基金项目:

作者	单位
初航	沈阳中国医科大学附属第一医院
张敦义	沈阳中国医科大学附属第一医院
夏景莲	沈阳中国医科大学附属第一医院
陈淑珍	沈阳中国医科大学附属第一医院
侯淑英	沈阳中国医科大学附属第一医院

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中文摘要:

本文报告了益气化瘀法为主治疗慢性胃炎106例,其中慢性浅表性胃炎62例,慢性萎缩性胃炎32例,疣状胃炎12例。临床总有效率为88.9%,其中32例有治疗前后的胃镜检查结果,胃镜象好转者15例(46.9%),无效者17例(53.1%);活组织检查治疗后好转者17例(53.1%),无效者15例(46.9%),且其中有3例萎缩性胃炎逆转为浅表性胃炎。

英文摘要:

This paper reports 106 cases of chronic gastritis mainly treated with the method of replenishing Qi(vital energy)and reducing blood stasis,62 cases are superficial gastritis,32 cases atrophic gastritis and 12 cases erosive gastritis.54 cases(50.9%)showed marked effect,40 cases(37.8%)improved and 12 cases(11.3%) showed no effect,the total effective rate being 88.7%.Gastrofibroscopy of 32 cases before and after the treatment revealed that 15 cases(46.9%)improvcd and 17 cases(53.1%)showed no effect and the biopsy of them found improvement in 17 cases(53.1%)and no effect in 15 cases(46.9%)after treatment and 3 cases of atrophic gastritis among them were found to have retrograded to superficial gastritis. 30 cases were chosen randomly as control group treated with dried yeast while the others were treated with Wei Yan An Wan(胃炎胺丸,the method of replenishing Qi and reducing blood stasis).In the control group,only 2 cases(6.7%)were found improved and 28 cases ineffective,the total effective rate being 6.7%. The therapeutic effects between the two groups are obviously different(P<0.01). The theory of blood stasis of the traditional Chinese medicine,its relationship with chronic gastritis,the changes in gastro-mucus membrane of blood stasis cases,as observed through gastrofibroscopy,and the mechanism of replenishing Qi and reducing blood stasis are discussed.

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