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本研究临床观察了胃尔康片对慢性萎缩性胃炎(CAG)脾胃阴虚证的疗效。采用单盲法,对照药为维酶素。两组服药前后作纤维胃镜及病理活检。结果:治疗组323例中临床治愈118例(36.53%),显效135例(41.79%),有效61例(18.89%),无效9例(2.79%);总有效率97.21%。对照组105例中显效8例(7.62%),有效35例(33.33%),无效62例(59.05%);总有效率40.95%。两组比较差异有显著性意义(x2=166.6,P<0.01)。病理检查显示肠上皮化生及不典型增生消失率治疗组均优于对照组(p<0.01)。实验研究采用Wistar大鼠作CAG模型及胃尔康的长期毒性试验,应用狗作胃尔康对胃肠电活动影响的试验。结果:胃尔康长期毒性试验表明,高剂量(10g/kg)组有轻度兴奋反应,中(5g/kg)、低(1g/kg)剂量组无毒副反应。动物CAG模型试验表明,胃尔康有显著的消炎、强壮、健脾作用外,还有促进萎缩腺体再生和修复之功效。对狗胃肠电活动影响,主要起兴奋作用,优于吗丁啉(P<0.05)。
This study clinical observation of Weier Kang Tablets chronic atrophic gastritis (CAG) the effect of the spleen and stomach yin deficiency. The single-blind method, the control drug for the enzyme enzyme. Two groups before and after taking fiber endoscopy and biopsy. Results: Among the 323 cases in the treatment group, 118 cases (36.53%) were clinically cured, 135 cases (41.79%) were markedly cured, 61 cases (18.89%) were effective, 9 cases (2.79%) were ineffective, Efficiency of 97.21%. The control group of 105 cases markedly effective in 8 cases (7.62%), effective in 35 cases (33.33%), ineffective in 62 cases (59.05%); the total efficiency of 40.95%. There was significant difference between the two groups (x2 = 166.6, P <0.01). Pathological examination showed intestinal metaplasia and dysplasia disappearance rate of the treatment group were better than the control group (p <0.01). Experimental study Wistar rats for CAG model and long-term toxicity test of Weier Kang, the application of dog as Weier Kang on gastrointestinal electrical activity test. Result: Weilekang long-term toxicity test showed mild irritant response in high dose (10g / kg) group and non-toxic side effects in medium dose (5g / kg) and low dose (1g / kg) Animal CAG model tests show that, Weier Kang significant anti-inflammatory, strong, spleen, but also to promote atrophy gland regeneration and repair effect. The gastrointestinal electrical activity of dogs, mainly excited, better than domperidone (P <0.05).