Clinical efficacy observation of Jiukele combined with Pantoprazole in treating alcoholic gastric mucosal injury
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摘要: [目的]观察自拟方酒客乐联合泮托拉唑治疗酒精性胃黏膜损伤的临床疗效及胃黏膜修复情况。[方法]抽取我院甘爱萍教授脾胃病科专家门诊2016年11月~2017年11月间接诊的62例患者,参考中西医诊断标准,按随机数字表法分成治疗组和对照组各31例,对照组患者口服40 mg/d泮立苏,治疗组酒客乐联合40 mg/d泮立苏,联合组和单纯西药组的患者均连续服用4周。观察患者胃痛等临床症状缓解程度、主症胃痛消失时间等情况。[结果]治疗后,联合组中医证候积分明显少于对照组,胃痛程度积分小于对照组,且胃痛消失时间积分优于单纯西药组。差异均有统计学意义。[结论]酒客乐联合泮托拉唑治疗酒精性胃黏膜病变而引发的胃炎或溃疡,可迅速改善胃黏膜损伤,加快胃黏膜修复愈合,临床疗效显著。Abstract: [Objective] To observe the clinical efficacy of Jiukele combined with pantoprazole in the treatment of alcoholic gastric mucosal injury and the gastric mucosal healing status.[Methods] 62 patients who visited gastroenterology clinic of Professor Gan Aiping in our hospital from November 2016 to November 2017 were selected and divided into two groups according to the diagnostic criteria of Chinese and Western medicines.The patients were divided into treatment group(31 cases) and control group(31 cases) by random number table.Patients in the control group were given Pantoprazole(40 mg daily), while those in the treatment group were given Jiukele combined with Pantoprazole(40 mg daily).The patients in the combination group and the western medicine group were treated for 4 weeks continuously.To observe the improvement of clinical symptoms, disappearance time of stomachache, etc.[Results] After treatment, the scores of TCM syndromes in the combination group were significantly less than those in the control group and the scores of stomach pain were less than those in the contral group.And the scores of disappearance time of stomach pain were better than that of the western medicine group.The differences were statistically significant.[Conclusion] The combination of Jiukele and pantoprazole in the treatment of gastritis or ulcers caused by alcoholic gastric mucosal lesions can rapidly improve gastric mucosal injury and accelerate the healing of gastric mucosa.The clinical curative effect is remarkable.
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Key words:
- Jiukele /
- alcoholic /
- gastric mucosal injury /
- clinical observation
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[1] 胡玉英.酒精与消化道疾病[J].医学综述, 1998, 4(6):293-294.
[2] 李成成, 付珺, 张保国, 等.邢台市城市居民饮酒现状及与相关疾病的关系[J].中国慢性病预防与控制, 2016, 24(3):198-200.
[3] 拓楠, 余宏宇.酒精致胃黏膜损伤的研究进展[J].中国实用内科杂志, 2009, 29(12):1145-1146.
[4] 葛均波, 徐永健主编.内科学[M].北京:人民卫生出版社, 2013:363-374.
[5] 潘金水, 任建林, 董菁.酒精性胃病[J].世界华人消化杂志, 2005, 13(17):2061-2063.
[6] 中华全国中医学会内科学会.急症胃痛诊疗规范[M].上海:上海中医学院出版社, 1985:46-46.
[7] 吴燕燕, 郭勇, 邹妤婕.泮托拉唑治疗急性酒精中毒后胃黏膜损伤的疗效观察[J].中国药房, 2011, 22(28):2650-2652.
[8] 曾伟苹.酒精性胃炎患者中医证型及相关背景因素调查研究[D].新疆医科大学, 2016.
[9] 甘爱萍, 胡晓英, 陈宏慈.酒客乐对酒精性胃黏膜损伤的疗效及其机制的探讨[J].中国中西医结合消化杂志, 2012, 20(1):18-22.
[10] 王胜鹏, 陈美婉, 王一涛.葛花化学成分和药理活性研究进展[J].中药药理与临床, 2012, 28(2):193-196.
[11] 姚美村, 廖祎婷, 袁月梅, 等.不同葛花提取物对乙醇致小鼠肝损伤保护作用的比较研究[J].时珍国医国药, 2011, 22(4):883-885.
[12] 宋莎莎, 路景涛, 袁平凡, 等.复方枳椇子制剂对小鼠酒精中毒的解救作用[J].中国新药杂志, 2013, 22(21):2524-2528.
[13] 柳海艳, 钟赣生, 李怡文, 等.醇提和水提葛花枳椇子及其配伍对酒精性肝损伤大鼠肝脏抗氧化功能的影响[J].中华中医药杂志, 2012, 27(4):1181-1184.
[14] 潘晨晨, 张敬文, 郑瑀, 等.急性酒精中毒的现代中医用药规律探讨[J].中医药导报, 2017, 3(23):35-38.
[15] 何占坤, 张国梁, 唐方, 等.陈皮、藿香不同提取物对胃肠动力障碍大鼠胃肠平滑肌收缩活动及胃肠激素的影响[J].天津医药, 2017, 45(11):1175-1179.
[16] 史继静, 刘朝奇, 陈晶, 等.紫苏提取液对小鼠急性酒精中毒的作用及机制[J].世界华人消化杂志, 2008, 16(36):4098-4101.
[17] 邱赛红, 陈立峰, 柳克玲, 等.芳香化湿药开胃作用机理的实验研究[J].中药药理与临床1995, 11(4):24-27.
[18] 郭建生, 刘红艳, 王小娟, 等.檀香不同提取部位对小肠推进和胃排空的影响[J].中国实验方剂学杂志, 2012, 18(2):139-143.
[19] 邹忠杰, 龚梦鹃, 谢媛媛, 等.黄连总生物碱对乙醇致大鼠胃黏膜损伤保护作用的代谢组学研究[J].中华中医药杂志, 2013, 28(3):807-810.
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