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[目的]观察益胃生津方联合西药治疗慢性萎缩性胃炎疗效。[方法]使用随机平行对照方法,将72例门诊及住院患者按病志号抽签简单随机分为两组。对照组36例维酶素片,1g/次,3次/d;吗丁啉,20mg/次,3次/d;法莫替丁,20mg/次,2次/d。治疗组36例益胃生津方(黄芪、丹参、蒲公英各30g,白芍、莱菔子各20g,麦冬、当归各15g,乌梅,半夏、枳壳各10g,黄连6g,炙甘草5g),1剂/d,水煎300mL,早晚口服;西药治疗同对照组。连续治疗60d为1疗程。观测临床症状、胃黏膜状况、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈11例,显效15例,有效6例,无效4例,总有效率88.89%。对照组痊愈5例,显效8例,有效10例,无效13例,总有效率63.89%。治疗组疗效优于对照组(P<0.05)。[结论]益胃生津方联合西药治疗慢性萎缩性胃炎效果显著,值得推广。
[Objective] To observe the curative effect of Yi Wei Sheng Jin Fang combined with western medicine on chronic atrophic gastritis. [Methods] Using randomized parallel control method, 72 outpatients and inpatients were randomly divided into two groups randomly according to their lot numbers. The control group 36 cases of vitamin tablets, 1g / times, 3 times / d; domperidone, 20mg / times, 3 times / d; famotidine, 20mg / times, 2 times / d. In the treatment group, 36 cases of Weiwei Shengjinfang (Radix Astragali, Radix Salviae Miltiorrhizae, 30g of Dandelion, 20g of Radix Paeoniae Alba, Radix Ophiopogonis, 15g of Radix Ophiopogonis, 15g of Radix Angelicae Sinensis, 10g of Fructus Aurantii, 1 dose / d, decoction 300mL, morning and evening oral; western medicine treatment with the control group. Continuous treatment of 60d for a course of treatment. Observation of clinical symptoms, gastric mucosal status, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The treatment group cured in 11 cases, markedly effective in 15 cases, effective in 6 cases, 4 cases, the total effective rate was 88.89%. The control group recovered in 5 cases, markedly effective in 8 cases, effective in 10 cases, ineffective in 13 cases, the total effective rate was 63.89%. The treatment group was better than the control group (P <0.05). [Conclusion] Yiwei Shengjinfang combined with western medicine has a significant effect in treating chronic atrophic gastritis and is worth popularizing.