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目的:探讨中西医结合治疗慢性萎缩性胃炎的临床疗效。方法:将100例慢性萎缩性胃炎患者随机分为观察组和对照组,各50例,对照组使用奥美拉唑联合阿莫西林治疗方案,观察组在对照组的基础上服用健脾滋阴化瘀汤加减进行治疗。3个疗程以后,观察两组患者的临床效果以及不良反应。结果:对照组治疗总有效率68.0%,观察组为94.0%,两组比较,差异具有统计学意义(P<0.05);两组患者不良反应均较轻微,随着治疗的进行逐渐消失,不影响治疗。2年后随访发现对照组10例复发,复发率为20.0%,观察组复发3例,复发率为6.0%,两组比较,差异具有统计学意义(P<0.05)。结论:中西医结合方式治疗慢性萎缩性胃炎,比传统西药治疗疗效显著,无明显不良反应。
Objective: To explore the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of chronic atrophic gastritis. Methods: 100 cases of chronic atrophic gastritis were randomly divided into observation group and control group, 50 cases in each group. The control group was treated with omeprazole combined with amoxicillin. The observation group was treated with spleen and nourishing spleen Huayu Decoction for treatment. After 3 courses of treatment, the clinical effects and adverse reactions of the two groups were observed. Results: The total effective rate was 68.0% in the control group and 94.0% in the observation group. The differences between the two groups were statistically significant (P <0.05). The adverse reactions in both groups were mild and disappeared gradually as the treatment progressed. Affect the treatment. Follow-up two years later found that the control group of 10 patients relapsed, the recurrence rate was 20.0%, 3 cases of recurrence in the observation group, the recurrence rate was 6.0%, the difference between the two groups was statistically significant (P <0.05). Conclusion: The combination of TCM and WM treatment of chronic atrophic gastritis, compared with the traditional Western medicine treatment was significant, no significant adverse reactions.