余晓敏 周双秀 张红远

【摘要】 目的：分析中医辨证治疗法治疗胃溃疡的临床效果。方法：选择2018年1-11月笔者所在医院收治的60例胃溃疡患者作为研究对象，根据治疗方式的不同将其分为两组，每组30例。对照组接受阿司匹林、奥美拉唑、克拉霉素等常规西医治疗，观察组在对照组基础上进行中医辨证治疗。比较两组治疗效果、中医症状积分。结果：观察组治疗总有效率为93.33%，高于对照组的73.33%，差异有统计学意义（P<0.05）。与治疗前相比，两组治疗后中医症状积分均明显降低（P<0.05），且观察组低于对照组，差异有统计学意义（P<0.05）。结论：中医辨证治疗方案在胃溃疡治疗中应用效果良好，能有效提高整体疗效，改善临床症状，值得推广使用。

【关键词】 中医辨证治疗法 胃溃疡 幽门螺杆菌 胃穿孔 阿司匹林 奥美拉唑

doi：10.14033/j.cnki.cfmr.2019.29.058 文献标识码 B 文章编号 1674-6805（2019）29-0-02

[Abstract] Objective： To analyze the clinical effect of TCM syndrome differentiation on the treatment of gastric ulcer. Method： A total of 60 patients with gastric ulcer admitted in our hospital from January to November 2018 were selected as the subjects of this study. According to the different treatment schemes， they were divided into two groups， with 30 cases in each group. The control group received routine western medicine treatment such as Aspirin， Omeprazole and Clarithromycin. while the observation group received TCM syndrome differentiation on the basis of the control group. The therapeutic effect and TCM symptom score of the two groups were compared. Result： The total effective rate of the observation group was 93.33%， which was higher than 73.33% of the control group， the difference was statistically significant （P<0.05）. Compared with before treatment， the scores of TCM symptoms in the two groups were decreased significantly （P<0.05）， and the observation group was lower than the control group， the difference was statistically significant （P<0.05）. Conclusion： TCM syndrome differentiation therapy has a good effect in the treatment of gastric ulcer， which can effectively improve the overall efficacy and clinical symptoms， and is worth popularizing.

[Key words] TCM syndrome differentiation therapy Gastric ulcer Helicobacter pylori Gastric perforation Aspirin Omeprazole

First-authors address： Xinzhou District Traditional Chinese Medicine Hospital of Wuhan， Wuhan 431400， China

胃溃疡是消化系统中最常见的多发性疾病，胃、十二指肠球部溃疡发生率最高[1]。胃溃疡主要症状表现为上腹部有節律性、周期性疼痛，合并恶心、呕吐等消化道症状，具有病程长、反复发作、难以根治的特点，临床以西医治疗为主，但整体效果不尽人意[2]。一般认为幽门螺杆菌（Hp）感染是胃溃疡、胃炎的主要诱因[3]。中医学上将胃溃疡辨证分为5种类型，包括肝胃不和、肝胃郁热、淤血阻络、脾虚胃寒及胃阴亏虚[4]。现在临床上对于胃溃疡这类难以短期内根治的疾病倾向于选择中西医结合治疗，以期二者取长补短，提高临床治愈效果，现报道如下。

1 资料与方法

1.1 一般资料

选择2018年1-11月笔者所在医院收治的60例胃溃疡患者作为研究对象，纳入标准：均确诊为胃溃疡，上腹部反复出现节律性、周期性疼痛，应用抑酸药可缓解，上腹部压痛，X线钡餐造影存在溃疡影，内镜检查存在溃疡。……