Clinical observation on 60 cases of chronic atrophic gastritis with liver stagnation and spleen deficiency treated by Anshen Hewei decoction

BAI Hua; LI Shu-bin; WU Xue-mei; WANG Xin-pei

doi:10.16025/j.1674-1307.2021.09.022

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Clinical observation on 60 cases of chronic atrophic gastritis with liver stagnation and spleen deficiency treated by Anshen Hewei decoction

更新时间：2023-04-10

- Clinical observation on 60 cases of chronic atrophic gastritis with liver stagnation and spleen deficiency treated by Anshen Hewei decoction
- Beijing Journal of Traditional Chinese Medicine Vol. 40, Issue 9, Pages: 1011-1014(2021)
- 作者机构：
  
  1. 中国中医科学院广安门医院南区内一科
  2. 中国中医科学院广安门医院南区
  3. 北京中医药大学
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2021.09.022
  CLC：
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BAI Hua, LI Shu-bin, WU Xue-mei, et al. Clinical observation on 60 cases of chronic atrophic gastritis with liver stagnation and spleen deficiency treated by Anshen Hewei decoction. [J]. Beijing Journal of Traditional Chinese Medicine 40(9):1011-1014(2021)
DOI：

BAI Hua, LI Shu-bin, WU Xue-mei, et al. Clinical observation on 60 cases of chronic atrophic gastritis with liver stagnation and spleen deficiency treated by Anshen Hewei decoction. [J]. Beijing Journal of Traditional Chinese Medicine 40(9):1011-1014(2021) DOI： 10.16025/j.1674-1307.2021.09.022.

摘要

目的观察安神和胃汤治疗慢性萎缩性胃炎(CAG)肝郁脾虚证的临床疗效。方法选择120例CAG肝郁脾虚证患者,采用前瞻性队列研究方法分为观察和对照组各60例,观察组给予王新佩老中医经验方安神和胃汤对症加减治疗,对照组给予柴胡疏肝散对症加减治疗。统计2组治疗前后中医症状评分、病理评分、焦虑抑郁评分变化及不良反应发生情况,比较临床有效率。结果中医整体症状疗效比较,观察组总有效率93.33%,优于对照组的81.66%,差异有统计学意义(P<0.05)。治疗后,2组中医症状评分、病理评分、焦虑抑郁评分均有一定改善,与治疗前比较,观察组差异有统计学意义(P<0.05,P<0.01);与对照组比较,中医症状评分、焦虑抑郁评分及病理评分的萎缩、肠化和总分,差异亦有统计学意义(P<0.05)。结论辨证使用王新佩老中医经验方安神和胃汤疗效肯定,可以明显改善CAG肝郁脾虚证患者症状并减轻其抑郁、焦虑状态。

Abstract

目的观察安神和胃汤治疗慢性萎缩性胃炎（CAG）肝郁脾虚证的临床疗效。方法选择120例CAG肝郁脾虚证患者,采用前瞻性队列研究方法分为观察和对照组各60例,观察组给予王新佩老中医经验方安神和胃汤对症加减治疗,对照组给予柴胡疏肝散对症加减治疗。统计2组治疗前后中医症状评分、病理评分、焦虑抑郁评分变化及不良反应发生情况,比较临床有效率。结果中医整体症状疗效比较,观察组总有效率93.33%,优于对照组的81.66%,差异有统计学意义（P<0.05）。治疗后,2组中医症状评分、病理评分、焦虑抑郁评分均有一定改善,与治疗前比较,观察组差异有统计学意义（P<0.05,P<0.01）;与对照组比较,中医症状评分、焦虑抑郁评分及病理评分的萎缩、肠化和总分,差异亦有统计学意义（P<0.05）。结论辨证使用王新佩老中医经验方安神和胃汤疗效肯定,可以明显改善CAG肝郁脾虚证患者症状并减轻其抑郁、焦虑状态。

关键词

慢性萎缩性胃炎肝郁脾虚证辨证论治心胃相关王新佩

Keywords

慢性萎缩性胃炎肝郁脾虚证辨证论治心胃相关王新佩

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