化瘀解毒健脾汤联合胃复春片治疗胃癌前病变临床研究
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R273

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丽水市科技局重点研发计划项目(2015zdxk07)


Clinical Study on Huayu Jiedu Jianpi Tang Combined with Weifuchun Pills for Gastric Precancerous Lesion
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    摘要:

    目的:观察化瘀解毒健脾汤联合胃复春片治疗胃癌前病变的临床疗效及对患者血清胃泌素(GAS) 和生长抑素(SST) 表达的影响。方法:选择胃癌前病变患者82 例,按随机数字表法分为观察组和对照组各41 例。对照组给予胃复春片治疗,观察组在对照组基础上给予化瘀解毒健脾汤治疗。比较2 组临床疗效,分析治疗前后主要症状积分、胃黏膜病理积分、血清GAS 及SST 水平变化。结果:观察组总有效率为92.68%,高于对照组70.73%,差异有统计学意义(P<0.05)。2 组治疗前的胃脘疼痛、胃脘胀满、纳呆及胃脘灼热评分比较,差异无统计学意义(P>0.05)。2 组治疗后的胃脘疼痛、胃脘胀满、纳呆及胃脘灼热评分较治疗前降低(P<0.05),且观察组胃脘疼痛、胃脘胀满、纳呆和胃脘灼热评分均低于对照组(P<0.05)。治疗前,2 组肠上皮化生及异型增生积分比较,差异均无统计学意义(P>0.05)。治疗后,2 组肠上皮化生及异型增生积分较治疗前降低(P<0.05),且观察组肠上皮化生及异型增生积分低于对照组(P<0.05)。2 组治疗前的血清GAS、SST 水平比较,差异均无统计学意义(P>0.05)。2 组治疗后的血清GAS 水平较治疗前降低而SST 水平较治疗前升高(P<0.05),且观察组血清GAS 水平低于对照组而SST 水平高于对照组(P<0.05)。结论:化瘀解毒健脾汤治疗胃癌前病变临床疗效较好,可减轻患者症状,降低肠上皮化生和异型增生,降低GAS 而提高SST 表达。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Huayu Jiedu Jianpi tang combined with Weifuchun pills for gastric precancerous lesion and its effect on the expression of gastrin(GAS) and somatostatin(SST) in serum. Methods:A total of 82 cases of patients with gastric precancerous lesion were selected and divided into the observation group and the control group according to the random number table method,41 cases in each group. The control group was given Weifuchun pills,and the observation group was additionally given Huayu Jiedu Jianpi tang based on the treatment of the control group. The clinical effect was compared between the two groups. Before and after treatment,the changes in the scores of main symptoms, pathological scores of gastric mucosa,and levels of GAS and SST in serum were analyzed. Results:The total effective rate was 92.68% in the observation group, higher than that of 70.73% in the control group, the difference being significant (P<0.05). Before treatment,when compared scores of the stomach duct pain,distention and fullness of the stomach duct, torpid intake, and burning sensation of the stomach duct between the two groups, there was no significance in the difference(P>0.05). After treatment, in the two groups, scores of the stomach duct pain, distention and fullness of the stomach duct,torpid intake,and burning sensation of the stomach duct were decreased when compared with those before treatment(P<0.05),and the four scores above in the observation group were lower than those in the control group(P<0.05). Before treatment, there were no significant differences being found in the comparison of scores of intestinal epithelial metaplasia and dysplasia between the two groups(P>0.05). After treatment, scores of intestinal epithelial metaplasia and dysplasia in the two groups were decreased when compared with those before treatment(P<0.05),and the two scores in the observation group were lower than those in the control group(P<0.05). Before treatment, there were no significant differences being found in the comparison of levels of GAS and SST in serum between the two groups(P>0.05). After treatment,in the two groups,GAS levels in serum were decreased when compared with those before treatment,and SST levels were increased;GAS level in serum in the observation group was lower than that in the control group(P<0.05),and SST level was higher(P<0.05). Conclusion: Huayu Jiedu Jianpi tang has better clinical effect in the treatment of gastric precancerous lesion, which can relieve symptoms, reduce the incidence of intestinal epithelial metaplasia and dysplasia, decrease GAS expression,and increase SST expression.

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庄永卫,钟定福,张剑美,陈军贤,叶淑芳,朱雅碧,朱艳.化瘀解毒健脾汤联合胃复春片治疗胃癌前病变临床研究[J].新中医,2021,53(3):111-114

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  • 在线发布日期: 2021-02-03
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