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目的:探讨中西医结合治疗胆汁反流性胃炎的疗效。方法:将患者分为西药对照组和中西医结合治疗组,西药组口服铝碳酸镁、新络纳片,中西医结合治疗组在上述西药治疗的基础上加用理气和胃降逆中药,以半夏厚朴汤为基础方进行加减,两组均以4周为1疗程,以临床症状积分、镜下诊断评分、胃黏膜像观察、胃黏膜病理积分为指标来评价疗效。结果:比较两组治疗前后各症状积分变化、胃镜下胃黏膜病变观察、胃镜下胆汁反流程度分级、胃黏膜病理积分,中西医结合治疗组均明显优于单纯西药对照组,治疗组总有效率显著高于对照组。结论:中西医结合治疗胆汁反流性胃炎疗效较单纯西药组疗效更好。
Objective: To investigate the curative effect of integrated traditional Chinese and western medicine on bile reflux gastritis. Methods: The patients were divided into western medicine control group and integrated traditional Chinese and western medicine treatment group. Western medicine group was given oral aluminum magnesium carbonate and Xinnao Nian tablets. On the basis of western medicine treatment, Banxia Houpu Decoction based on the side of the addition and subtraction, two groups were 4 weeks for a course of treatment, clinical symptoms score, microscopic diagnosis score, gastric mucosa, gastric mucosal pathological score as an index to evaluate the efficacy. Results: Comparing the change of symptom scores before and after treatment, gastric mucosal lesions under gastroscopy, grading of bile reflux under gastroscopy, pathological score of gastric mucosa, integrated traditional Chinese and Western medicine treatment group were significantly better than western medicine control group, the treatment group always had Efficiency was significantly higher than the control group. Conclusion: The curative effect of integrated traditional Chinese and western medicine on bile reflux gastritis is better than western medicine group.