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[目的]观察半夏泻心汤联合西药治疗寒热错杂型非萎缩性胃炎疗效。[方法]使用随机平行对照方法,将96例门诊患者按抛硬币法简单随机分为两组。对照组48例阿莫西林,1g/次,2次/d;克拉霉素,0.5g/次,2次/d;奥美拉唑,20mg/次,1次/d。治疗组48例半夏泻心汤(法半夏10g,黄芩~炒6g,川黄连3g,干姜6g,人参10g,甘草~(蜜灸)6g,大枣3枚;反酸烧心加吴茱萸3g,瓦楞子10g;脘腹胀满加木香10g,郁金6g;腹痛加延胡索~((?)制)6g,台乌药10g;食少纳差加谷芽~炒、麦芽~炒各15g;失眠不寐加磁石~(煅、先煎)、夜交藤各15g),1剂/d,水煎400mL,早晚餐后口服,200mL/次;西药治疗同对照组。连续治疗14d为1疗程。观测临床症状、溃疡面积、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效16例,有效28例,无效4例,总有效率91.67%。对照组显效12例,有效25例,无效11例,总有效率77.08%。治疗组疗效优于对照组(P<0.05)。[结论]半夏泻心汤联合西药治疗寒热错杂型非萎缩性胃炎疗效满意,无严重不良反应,值得推广。
[Objective] To observe the curative effect of Banxiaxiexin Decoction combined with Western medicine in treating non-atrophic gastritis with cold-heat miscellaneous complex. [Methods] Using randomized parallel control method, 96 outpatients were randomly divided into two groups according to the coin-tossing method. The control group, 48 cases of amoxicillin, 1g / time, 2 times / d; clarithromycin, 0.5g / time, 2 times / d; omeprazole, 20mg / time, 1 time / d. In the treatment group, 48 cases of Banxiaxiexin Decoction (Pinellia 10g, Radix Scutellariae 6g, Chuan Huanglian 3g, dried ginger 6g, ginseng 10g, licorice ~ (honey moxibustion) 6g, jujube 3; , Corrugated seeds 10g; 脘 abdominal distension full plus wood 10g, turmeric 6g; abdominal pain plus corydalis ~ ((?) System) 6g, Taiwan Radix 10g; Insomnia and insomnia plus magnet ~ (calcined, first fried), night Satsuma the 15g), 1 / d, decoction 400mL, oral administration after breakfast and dinner, 200mL / time; Western medicine treatment with the control group. Continuous treatment 14d for a course of treatment. Observation of clinical symptoms, ulcer area, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Result] The treatment group was effective in 16 cases, effective in 28 cases, ineffective in 4 cases, the total effective rate was 91.67%. The control group markedly effective in 12 cases, effective in 25 cases, ineffective in 11 cases, the total effective rate was 77.08%. The treatment group was better than the control group (P <0.05). [Conclusion] Banxiaxiexin Decoction combined with Western medicine in the treatment of cholelithiasis complicated non-atrophic gastritis has satisfactory curative effect and no serious adverse reactions, which deserves promotion.