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纸质出版日期:2015
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吴二光, 袁生武, 张恒. 益气活血方联合奥美拉唑治疗消化性溃疡52例[J]. 中国实验方剂学杂志, 2015,21(7):195-198.
WU Er-guang, YUAN Sheng-wu, ZHANG Heng. Effect of Yiqi Huoxue Formula Combined Omeprazole in Treating 52 Patients with Peptic Ulcer[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(7): 195-198.
吴二光, 袁生武, 张恒. 益气活血方联合奥美拉唑治疗消化性溃疡52例[J]. 中国实验方剂学杂志, 2015,21(7):195-198. DOI: 10.13422/j.cnki.syfjx.2015070195.
WU Er-guang, YUAN Sheng-wu, ZHANG Heng. Effect of Yiqi Huoxue Formula Combined Omeprazole in Treating 52 Patients with Peptic Ulcer[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(7): 195-198. DOI: 10.13422/j.cnki.syfjx.2015070195.
目的: 观察益气活血方联合奥美拉唑治疗消化性溃疡的疗效及治疗前后三叶因子Ⅱ(TFF2)
血管内皮细胞生长因子(VEGF)的变化。方法: 103例经明确诊断为消化性溃疡患者
随机按数字表法分为观察组52例和对照组51例
对照组服用奥美拉唑胶囊
20 mg/次
2次/d;观察组在对照组治疗的基础上服用益气活血方
两组疗程均为3个月
观察临床中医证候积分
TFF2
VEGF水平及1年复发率。结果: 观察组中医证候总有效率为94.23%高于对照组的82.35%
具有统计学意义(P < 0.05)。观察组胃镜疗效总有效率为82.69%
对照组总有效率为86.27%
两组比较不具有统计学意义。两组中医证候积分均较治疗前明显下降(P < 0.05)
观察组比对照组下降明显
具有统计学意义(P < 0.05)。两组TFF2
VEGF表达水平均较治疗前明显提高(P < 0.05)
观察组比对照组改善更为显著(P < 0.05)。治疗3个月后
治疗组Hp感染转阴率为73.5%
对照组Hp感染转阴率为65.6%
两组Hp感染转阴率不具有统计学意义。观察组1年内复发8例
对照组1年内复发22例
两组1年内复发率比较具有显著性差异(P < 0.05)。结论: 益气活血方联合奥美拉唑胶囊较单纯应用奥美拉唑胶囊疗效显著
且能提高TFF2
VEGF表达水平
降低1年内复发率。
Objective: To observe the clinical effect of Yiqi Huoxue formula combined omeprazole in treating patients with peptic ulcer
and to investigate its influence on trefoil factor 2 (TFF2) and vascular endothelial growth factor (VEGF). Method: One hundred and three patients with peptic ulcer were randomly divided into the observation group (52 cases) and the control group (51 cases). The patients in the control group received 20 mg omeprazole capsules orally twice daily. On the basis of the control group
the patients in the observation group added Yiqi Huoxue formula. All patients in both two groups received 3 months of treatment. Scores of traditional Chinese medical (TCM) symptom were evaluated. Serum TFF2
VEGF levels and 1-year recurrence rate after 3-month treatment were observed. Result: The total effective rate of TCM symptom in the observation group was 94.23%
which was higher than that of 82.35% in the control group with statistically significant difference (P<0.05). The total effective rate of gastroscope in two groups was 82.69% and 86.27%
while there were no statistically significant differences between the two groups. After 3-month treatment
the total symptom-score of both groups decreased significantly (P<0.05)
and the result was lower in the observation group (P<0.05). The expression levels of TFF2
VEGF were obviously increased in two groups
but the results were higher in the observation group (P<0.05). After 3-month treatment
the negative rate of Helicobacter pylori infection in two groups was 73.5% and 65.6%
and there were no statistically significant differences between two groups. 8 cases got the standard of relapse in the observation group and 22 cases in the control group within one year
and there were statistically significant differences between two groups (P<0.05). Conclusion: Yiqi Huoxue formula combined omeprazole has significant effect in treating peptic ulcer
and it could improve the expression levels of TFF2
VEGF
reduce the recurrence rate within one year.
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