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目的:观察中西医结合治疗小儿幽门螺杆菌相关性胃炎疗效。方法:将88例幽门螺杆菌相关性胃炎患儿按治疗方式不同随机分为对照组和观察组各44例,对照组给予常规克拉霉素、替硝唑、奥美拉唑三联疗法治疗,观察组在对照组的基础上给予中西医结合方法:针刺穴位、健康宣教、饮食调护和基础调理。比较2组患儿的临床疗效及症状。结果:治疗结束后,观察组和对照组的有效率分别为93.2%、73.5%,差异具有统计学意义(P<0.05);观察组的恶心呕吐、胃脘痛、饱胀、食欲改善等消化系统症状改善情况及总症状积分优于对照组(P<0.05);两组HP根除率比较,差异有统计学意义(P<0.05)。结论:中西医结合治疗小儿幽门螺杆菌相关性胃炎与单纯药物治疗比较,在改善症状及整体疗效方面有一定优势,作用安全,值得应用。
Objective: To observe the curative effect of Helicobacter pylori-associated gastritis in children with integrated traditional Chinese and western medicine. Methods: 88 cases of children with Helicobacter pylori-associated gastritis were randomly divided into control group and observation group, 44 cases in each group. The control group was treated with conventional clarithromycin, tinidazole and omeprazole triple therapy. Group on the basis of the control group to give the method of integrated traditional and western medicine: acupuncture points, health education, diet and basic conditioning. The clinical efficacy and symptoms of two groups were compared. Results: After the treatment, the effective rates of the observation group and the control group were 93.2% and 73.5%, respectively, with significant difference (P <0.05). The digestive system of the observation group was nausea and vomiting, stomach pain, swelling and appetite improvement The symptom improvement and symptom score were better than the control group (P <0.05). There was significant difference between the two groups in the eradication rate of HP (P <0.05). Conclusion: Integrative medicine treatment of pediatric Helicobacter pylori-related gastritis compared with simple drug treatment, in improving the symptoms and overall efficacy has some advantages, the role of safety, it is worth applying.