中西医结合治疗脾胃湿热型慢性胃炎42例

目的：观察藿朴夏苓汤加减治疗脾胃湿热型慢性胃炎的临床疗效。方法：将83例脾胃湿热型慢性胃炎患者随机分为两组，对照组41例予口服奥美拉唑、阿莫西林、甲硝唑片治疗；治疗组42例在对照组治疗的基础上加服藿朴夏苓汤加减治疗。2组均以6周为1疗程，疗程结束后2周复查胃镜，做幽门螺杆菌检测，并于治疗后1年随访，观察其复发情况。结果：治疗组临床痊愈12例，显效15例，有效14例，无效1例，总有效率97．62％；对照组临床痊愈7例，显效13例，有效12例，无效9例，总有效率78．05％。治疗组疗效优于对照组（P〈0．05）。Hp根除率治疗组为92．86％，对照组为70．73％，2组比较，差异有显著性意义（P〈0．05）。治疗后1年随访，复发率治疗组为5．3％，对照组21．6％，2组比较，差异有显著性意义（P〈O．05）。结论：中西医结合治疗脾胃湿热型慢性胃炎疗效好，复发率低。

Clinical Observation of Huo-pu Xia-ling Decoction on Chronic Gastritis Belonging to Splenogastric Hygropyrexia Syndrome, A Report of 42 Cases

Objective: To observe the clinical curative effect of Huo-pu Xia-ling Decoction on chronic gastritis belonging to splenogastric hygropyrexia syndrome. Method: 83 cases with chronic gastritis belonging to splenogas- tric hygropyrexia syndrome were divided into two groups randomly. 41 cases in control group were treated by ome- prazole, amoxicillin and arilin. And 42 cases in treatment group were treated by Huo-pu Xia-ling Decoction as well as above treating. The treatment course included 6 weeks. After 8 weeks all the cases were rechecked by gas- troscope and Hp detecting. And after 1 year recidivation of chronic gastritis were observed. Result: In treatment group 12 cases were cured, 15 cases were excellent, 14 cases were effective, and 1 cases were ineffective. The to- tal effective rate was 97. 62%. In control group 7 cases were cured, 13 cases were excellent, 12 cases were effec- tive, and 9 cases were ineffective. The total effective rate was 71%. There was significant difference between the two groups (P <0. 05). In follow - up visit after 1 year recurrence rate was 5.3% in treatment group and 21.6% in control group. There was also significant difference between the two groups ( P < 0. 05 ). Conclusion: The effect of therapy of combination of TCM with western medicine is good on chronic gastritis belonging to splenogastric hy- gropyrexia syndrome, and recurrence rate is low.