|
|
Effect of modified Banxia Xiexin Decoction in the treatment of chronic gastritis with Helicobacter pylori infection |
WU Liguo1 MA Minkai1 QIN Wei2 CHEN Na1 ZHANG Lixia1 |
1.Department of Integrated Traditional Chinese and Western Medicine, the Fourth Central Hospital of Baoding City, Hebei Province, Baoding 072350, China; 2.Department of Gastroenterology, People’s Hospital of Baoding City, Hebei Province, Baoding 071000, China |
|
|
Abstract Objective To observe clinical effect of modified Banxia Xiexin Decoction in the treatment of chronic gastritis with Helicobacter pylori (Hp) infection. Methods Seventy-six patients of chronic gastritis with Hp infection in the Fourth Central Hospital of Baoding City in Hebei Province from July to December 2019 were selected and divided into two groups, each group of 38 cases. Control group was given routine Western medicine treatment, while observation group was treated with modified Banxia Xiexin Decoction on the basis of control group. The treatment course of both groups was two weeks. Traditional Chinese medicine syndrome score, Hp eradication rate, serum motilin and gastrin levels of two groups were observed before and after treatment, and clinical effects of two groups were statistically analyzed. Results After treatment, the scores of abdominal distension or abdominal pain, body sleepiness, sticky or loose stool, mental sleepiness, bad breath and poor appetite in two groups were lower than those before treatment, and observation group was lower than control group, the differences were statistically significant (P < 0.05). There was no significant difference in Hp eradication rate between two groups (P > 0.05). After treatment, the serum motilin level of two groups was higher than that before treatment, and the gastrin level of two groups was lower than that before treatment, and the serum motilin level of observation group was higher than that of control group, and the gastrin level of observation group was lower than that of control group, the differences were statistically significant (P < 0.05). Clinical effect of observation group was better than that of control group, and the difference was statistically significant (P < 0.05). Conclusion Modified Banxia Xiexin Decoction can effectively improve clinical symptoms of patients, regulate the content of serum motilin and gastrin, and its clinical efficacy is better than that of Western medicine alone.
|
|
|
|
|
[1] 耿艳,皇甫沁媛,范利锋,等.半夏泻心汤联合含铋剂四联疗法治疗慢性胃炎合并幽门螺杆菌感染的疗效评价[J].现代中西医结合杂志,2019,28(22):2478-2481.
[2] Asaka M,Sugiuama T,Nobuta A,et al. Atrophic gastritis and intestinal metaplasia in Japan:results of a large multicenter study [J]. Helicobacter,2000,6(4):294-299.
[3] 孙莉,蒋久斌.幽门螺杆菌感染4种检测方法的比较及评价[J].中华消化杂志,2003,23(1):48.
[4] Venerito M,Malfertheiner P. Preneoplastic conditions in the stomach:always a point of no return? [J]. Dig Dis,2015, 33(1):5-10.
[5] 杨勇,王翼洲.扶正清热灭幽汤治疗Hp感染慢性浅表性胃炎30例[J].湖南中医杂志,2013,29(12):17-20.
[6] 中华医学会消化病学分会.中国慢性胃炎共识意见(2017年)[J].胃肠病学,2017,22(11):670-687.
[7] 中华医学会消化病学会幽门螺杆菌和消化性溃疡学组,全国幽门螺杆菌研究协作组.第五次全国幽门螺杆菌感染处理共识报告[J].胃肠病学,2017,22(6):346-360.
[8] 中华中医药学会脾胃病分会.慢性胃炎中医诊疗专家共识意见(2017)[J].中华中医药杂志,2017,32(7):3060-3064.
[9] 国家药品监督管理局.证候类中药新药临床研究技术指导原则[Z].2018.
[10] Rokkas T,Rokka A,Portincasa P. Asystematic review and meta-analysisofthe role of Helicobacter pylori eradication in preventing gastric cancer [J]. Ann Gastroenterol,2017,30(4):414-423.
[11] 余维微,曾耀明,蔡宗宗.疏肝健脾和胃方治疗肝郁脾虚型慢性胃炎的临床疗效[J].中国现代医生,2020,58(15):162-165.
[12] 任弟娟.小檗碱抗幽门螺杆菌持留菌机制的研究[D].兰州:兰州大学,2018.
[13] 林道斌,杨华,程亚伟,等.三黄清胃丸治疗幽门螺旋杆菌相关性胃炎主要活性成分及潜在靶点的网络药理学分析[J].广州中医药大学学报,2019,36(12):2006-2014.
[14] 刘美霞,戚进,余伯阳.党参药理作用研究进展[J].海峡药学,2018,30(11):36-39.
[15] 赵倩,李波,关瑜,等.贝母属药材化学成分、药理作用及临床应用研究进展[J].中国药业,2020,30(11):57-60.
[16] 朱晓琳,陈渊,赵伟.贝母素甲药理作用的研究进展[J].药物生物技术,2018,25(6):561-564.
[17] 赵振华,李媛,季冬青,等.莱菔子化学成分与药理作用研究进展[J].食品与药品,2017,19(2):147-151.
[18] 凌永明.半夏泻心汤加减对慢性胃炎湿热互结证患者症状及Hp转阴率的影响[J].临床合理用药杂志,2020,13(34):44-45.
[19] 郭振科,刘宇虎,钟灿新.安胃疡胶囊联合胃苏颗粒对慢性胃炎患者炎性因子水平的影响[J].中国医药科学,2020,10(14):75-78.
[20] 蔡翠珠,黄少君,刘海涛.治胃汤治疗胆汁反流性胃炎(肝胃不和型)的临床疗效及对血浆胃动素的影响[J].世界中西医结合杂志,2020,15(10):1765-1768,1818.
[21] 李松霖.半夏泻心汤联合西药治疗消化性溃疡的疗效及对血浆胃动素、胃泌素的影响[J].中国处方药,2019, 17(11):145-146.
[22] 夏文娟,邱伟,杨振斌,等.“湿”证与幽门螺旋杆菌感染的相关性及对胃黏液蛋白MUCA5AC、MUC6、MUC1表达的影响[J].中国中西医结合消化杂志,2020,28(4):280-282.
[23] 张沈晔,林榕,刘浩.半夏泻心汤化裁联合兰索拉唑三联疗法治疗Hp相关消化性溃疡[J].世界中医药,2020, 15(21):3331-3335.
[24] 李汝灿.半夏泻心汤辅助治疗幽门螺杆菌相关性胃炎的效果[J].临床合理用药杂志,2020,13(29):49-50. |
|
|
|