常庆雄



四君子汤合黄芪建中汤治疗脾胃虚寒型慢性胃炎34例临床分析

常庆雄

【摘要】目的 分析四君子汤合黄芪建中汤对于脾胃虚寒型慢性胃炎的治疗效果。方法 本文的研究对象选用的是我院的脾胃虚寒型慢性胃炎患者68例，随机分为两组，即对照组与观察组。对照组患者经黄芪建中汤治疗，观察组患者经四君子汤合黄芪建中汤治疗，一段时间后，比较两组患者的治疗效果。结果 观察组脾胃虚寒型慢性胃炎患者经四君子汤合黄芪建中汤治疗后的总有效率为94．12%，高于对照组单一四君子汤治疗效果62．86%，两组比较时差异具有统计学意义，P＜0．05。结论 四君子汤合黄芪建中汤对于脾胃虚寒型慢性胃炎患者的治疗效果显著，可有效缓解患者的胃部虚寒体征，提高胃炎的病情好转率。

【关键词】脾胃虚寒型慢性胃炎；黄芪建中汤；四君子汤

Objective To analyze the sijunzi decoction and huangqi jianzhong decoction on spleen deficiency type chronic gastritis treatment effect． Methods We selected a total of 68 cases of spleen deficiency type chronic gastritis patients in our hospital，the 68 patients were randomly divided into two groups，the control group and the observation group，the control group was treated with the huangqijianzhong decoction，the observation group was treated with sijunzi decoction and huangqijianzhong decoction，after a period of time，the treatment effect of the two groups were compared． Results The observation of huangqi jianzhong decoction and sijunzi decoction in patients with chronic gastritis of spleen deficiency group after treatment，the total effective rate was 94．12%，significantly higher than the control group of 62．86%，the two groups was significant difference（P＜0．05），with statistical significance． Conclusion Sijunzi decoction and huangqi jianzhong decoction on patients with spleen deficiency type chronic gastritis treatment effect，can relieve the patient's stomach deficiency symptoms，improve the improvement rate of gastritis．

【Key words】 Spleen deficiency type chronic gastritis，Huangqijianzhong decoction，Sijunzi decoction

据临床疾病统计结果得知，慢性胃炎的发生率呈现出逐年上升的趋势［1］。慢性胃炎的病因较复杂，属于慢性胃黏膜炎性病变，是临床中常见的一种疾病［2］。从中医的角度，将慢性胃炎分为脾胃虚热型、脾胃虚寒型、肝气犯胃型、肝火犯胃型、胃阴亏虚型、血瘀胃络型及寒热错杂型等7种类型，其中脾胃虚寒型慢性胃炎较为多见［3-4］。临床中常用黄芪建中汤来治疗脾胃虚寒型慢性胃炎，效果较一般，因此如何进一步改善脾胃虚寒型慢性胃炎疾病的治疗效果受到了越来越多的关注。近年来有研究表明，四君子汤联合黄芪建中汤可提高对脾胃虚寒型慢性胃炎的治疗效果。……