1. 江苏省中医院消化内镜中心,江苏,南京,210000
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陈晶, 肖君, 张小琴, 等. 内镜切除术联合疏肝和胃汤治疗肝胃不和型胃多发息肉临床研究[J]. 上海中医药杂志, 2017,51(10):52-54.
CHEN Jing, XIAO Jun, ZHANG Xiao-qin, et al. Clinical study of endoscopic resection combined with ShuganHewei Decoction in the treatment of gastric polyps with syndrome of incoordination between liver and stomach[J]. Shanghai Journal of Traditional Chinese Medicine, 2017,51(10):52-54.
陈晶, 肖君, 张小琴, 等. 内镜切除术联合疏肝和胃汤治疗肝胃不和型胃多发息肉临床研究[J]. 上海中医药杂志, 2017,51(10):52-54. DOI:
CHEN Jing, XIAO Jun, ZHANG Xiao-qin, et al. Clinical study of endoscopic resection combined with ShuganHewei Decoction in the treatment of gastric polyps with syndrome of incoordination between liver and stomach[J]. Shanghai Journal of Traditional Chinese Medicine, 2017,51(10):52-54. DOI:
目的:研究内镜切除术联合疏肝和胃汤治疗胃多发息肉术后的临床疗效。 方法:将80例胃多发息肉患者随机分为治疗组和对照组,每组40例。两组均给予内镜下切除术和质子泵抑制剂治疗,治疗组结合疏肝和胃汤内服,疗程1个月。观察两组临床疗效、中医证候积分、血清胃蛋白酶原(PG)水平变化情况。 结果:①治疗组临床疗效显著优于对照组(P<0.01)。②治疗后,两组中医症状积分均较治疗前显著降低(P<0.05),且治疗组低于对照组(P<0.05)。③治疗后,两组血清PGⅠ、PGR水平较治疗前均显著升高(P<0.05),且治疗组显著高于对照组(P<0.05)。 结论:内镜下切除术结合疏肝和胃汤治疗胃多发息肉可显著改善临床症状,促进胃黏膜修复。
Objective:To study the postoperative clinical efficacy of endoscopic resection combined with Shugan Hewei Decoction in the treatment of gastric polyps. Methods80 patients with gastric polyps were randomly divided into the treatment group and control group,40 cases in group. Both groups were treated with endoscopic resection and proton pump inhibitor. In addition,the treatment group was treated with Shugan Hewei Decoction by oral administration. The drug treatment course was one month in both groups. The clinical efficacy,TCM syndrome scores and serum levels of pepsinogen(PG)were observed in both groups. Results:①The clinical efficacy of the treatment group was significantly better than that of the control group(P<0.01). ②After treatment,the TCM syndrome scores were significantly decreased in both groups compared with treatment before(P<0.05),and the scores of the treatment group were lower than those of the control group(P<0.05).③After treatment,the serum level of PGⅠand the ratio of PGⅠand PGⅡ(PGR)were significantly increased in both groups compared with treatment before(P<0.05),and the levels of the treatment group were significantly higher than those of the control group(P<0.05). Conclusion:Endoscopic resection combined with Shugan Hewei Decoction in the treatment of gastric polyps can significantly improve the clinical symptoms and promote the repair of gastric mucosal.
胃多发息肉内镜下黏膜切除术内镜下氩离子凝固术疏肝和胃汤
gastric polypsendoscopic mucosal resectionendoscopic argon plasma coagulationShugan Hewei Decoction
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