胃复春胶囊联合替普瑞酮胶囊治疗慢性萎缩性胃炎临床研究
DOI:
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R573.3+2

基金项目:

温州市基础性医疗卫生科技项目(Y20210868)


Clinical Study on Weifuchun Capsules Combined with Teprenone Capsules for Chronic Atrophic Gastritis
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察胃复春胶囊联合替普瑞酮胶囊治疗慢性萎缩性胃炎的疗效。方法:选取2021年7月— 2024年7月温州市中西医结合医院收治的110例慢性萎缩性胃炎患者,按随机数字表法分为对照组及观察组各 55例。对照组采用替普瑞酮胶囊治疗,观察组在对照组基础上联合胃复春胶囊治疗。比较2组临床疗效及不良 反应发生率,比较2组治疗前后中医证候积分、胃黏膜病理积分、血清胃肠激素[胃泌素(GAS)、胃蛋白酶原Ⅰ (PGⅠ)、胃蛋白酶原Ⅱ(PGⅡ)]、炎症因子水平[白细胞介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)、白细胞介 素-6(IL-6)] 的变化。结果:观察组临床疗效总有效率为90.91%(50/55),对照组总有效率为67.27%(37/55), 2组比较,差异有统计学意义(P<0.05)。治疗后,2组疲惫乏力、胃胀不适、胃脘疼痛、嗳气泛酸、纳差中医 证候积分均较治疗前下降(P<0.05),观察组上述5项中医证候积分均低于对照组(P<0.05)。治疗后,2组慢 性炎性反应、萎缩、活动性、肠化生胃黏膜病理积分均较治疗前下降(P<0.05),观察组上述4项胃黏膜病理 积分低于对照组(P<0.05)。治疗后,2组GAS水平均较治疗前下降(P<0.05),PGⅠ、PGⅡ水平均较治疗前上 升(P<0.05);观察组GAS水平低于对照组(P<0.05),PGⅠ、PGⅡ水平均高于对照组(P<0.05)。治疗后, 2 组IL-8、IL-6、TNF-α水平均较治疗前下降(P<0.05),观察组上述3项炎症因子水平均低于对照组(P< 0.05)。2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:胃复春胶囊联合替普瑞酮胶囊治疗慢 性萎缩性胃炎的疗效较好,能有效改善胃黏膜病变情况,改善血清胃肠激素及炎症因子水平。

    Abstract:

    Abstract:Objective:To observe the clinical efficacy of Weifuchun Capsules combined with Teprenone Capsules in treating chronic atrophic gastritis(CAG). Methods: A total of 110 CAG patients treated at Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine from July 2021 to July 2024 were divided into the control group (55 cases,Teprenone Capsules)and the observation group(55 cases,Teprenone Capsules plus Weifuchun Capsules) using the random number table method. Clinical efficacy and incidence of adverse reactions, as well as traditional Chinese medicine syndrome scores,gastric mucosal pathology scores,serum gastrointestinal hormones [gastrin(GAS), pepsinogenⅠ(PGⅠ),and pepsinogenⅡ(PGⅡ)],and inflammatory factors [interleukin-8(IL-8),tumor necrosis factor-α(TNF-α), and interleukin-6(IL-6)] were compared before and after treatment between the two groups. Results: The total effective rate in the observation group was 90.91%(50/55), and that in the control group was 67.27%(37 / 55), the difference being significant(P<0.05). After treatment, the traditional Chinese medicine syndrome scores of fatigue,stomach distension,epigastric pain,belching and acrid regurgitation and anorexia in the two groups decreased compared with those before treatment(P<0.05),and the above five traditional Chinese medicine syndrome scores in the observation group were lower than those in the control group(P<0.05). After treatment, the pathological scores of chronic inflammatory reaction, atrophy, activity and intestinal metaplasia of gastric mucosa in the two groups decreased compared with those before treatment(P<0.05),and the pathological scores of the above four items in the observation group were lower than those in the control group(P<0.05). After treatment,the levels of GAS in both groups decreased(P<0.05), and the levels of PG Ⅰ and PG Ⅱ increased(P<0.05)compared with those before treatment. The GAS level in the observation group was lower than that in the control group(P<0.05),and the levels of PG Ⅰ and PG Ⅱ in the observation group were higher than those in the control group(P<0.05). After treatment,the levels of IL-8,IL-6 and TNF-α in the two groups decreased compared with those before treatment(P< 0.05), and the levels of the above three inflammatory factors in the observation group were lower than those in the control group(P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05). Conclusion: Weifuchun Capsules combined with Teprenone Capsules in treating CAG effectively improves gastric mucosal lesions and modulates levels of gastrointestinal hormones and inflammatory factors in patients.

    参考文献
    相似文献
    引证文献
引用本文

叶成龙,郑娟红.胃复春胶囊联合替普瑞酮胶囊治疗慢性萎缩性胃炎临床研究[J].新中医,2025,57(21):47-52

复制
分享
相关视频

文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2025-11-11
  • 出版日期:
文章二维码