Bilingweitong granule in treatment of gastric ulcer with liver-stomach disharmony stasis:a randomized controlled clinical trial
-
摘要: [目的]对比荜铃胃痛颗粒及气滞胃痛颗粒治疗肝胃不和型胃溃疡的有效性及安全性。[方法]将116例中医辨证为肝胃不和型胃溃疡患者随机分为2组, 试验组58例, 给予荜铃胃痛颗粒1次5 g, 口服, 3次/d, 疗程6周。并设对照组58例, 给予气滞胃痛颗粒 (无糖型) 1次2.5 g, 口服, 3次/d, 疗程6周。治疗前后采用尼莫地平法进行计算疗效判定指标, 评估患者第14、28、42天胃脘痛缓解情况及泛酸、嗳气症状的改善情况, 同时观察其安全性。[结果]试验组与对照组治疗前后对于上腹痛及泛酸、嗳气症状均有明显改善, 治疗前与治疗后第14、28、42天, 上腹痛症状评分均明显降低 (P<0.01);对于上腹痛缓解情况, 试验组起效速度略好于对照组, 但2组疗效差异无统计学意义 (P>0.05)。[结论]荜铃胃痛颗粒及气滞胃痛颗粒均可有效治疗肝胃不和型胃溃疡, 且见效快, 不良反应少, 疗效确切。Abstract: [Objective]To compare the efficacy and safety of BiLing Gastralgia granule and QiZhi Gastralgia Granule in gastric ulcer with the type of liver-stomach disharmony stasis.[Methods]116 patients, diagnosed as gastric ulcer of hepatic-gastric disharmony by differentiation of syndromes in Traditional Chinese Medicine, were divided into 2 groups randomly, which were 58 patients in the experimental group and 58 participants in the control group.The patients in the former group were administered with oral 5 g BiLing Gastralgia Granule, 3 times a day for 6 weeks while the participants in latter group were administered with oral 2.5 g QiZhi Gastralgia Granule without sugar 3 times a day for 6 weeks.All the patients were evaluated according to the nimodipine method before and after the treatment as well as the safety.The evaluation indexes consisted of the relief of stomachache, symptomatic improvement of acid reflux and hernia 14, 28 and 42 days after the treatment.[Results]The sympotoms, including gastralgia, acid reflux and hernia, were all ameliorated significantly and the upper abdominal pain socre decreased dramatically 14, 28 and 42 days after the treatment (P<0.01) in the patients of two groups.The treatment in experimental group was a little bit more effective than that in control group, however, without statistical difference (P>0.05).[Conclusion]BiLing Gastralgia Granule and QiZhi Gastralgia Granule were both effective significantly in curing stomach ulcer of hepatic-gastric disharmony with superior efficiency, little adverse reaction and benefits markedly.
-
Key words:
- abdominal pain /
- liver-stomach disharmony /
- gastric ulcer
-
-
[1] 刘林, 王垂杰, 郑洪新, 等."以效证因"消痈溃得康治疗胃溃疡胃毒热证的随机双盲对照临床试验[J].世界科学技术 (中医药现代化), 2012, 14 (4):1399-1404.
[2] 张声生, 王垂杰, 李玉锋, 等.消化性溃疡中医诊疗专家共识意见 (2017)[J].中华中医药杂志, 2017, 32 (9):4089-4093.
[3] 国家中医药管理局.1997年全国中医医院急诊必备中成药目录[J].中国医药学报, 1998, 13 (1):78-78.
[4] 袁耀宗.消化性溃疡诊断与治疗规范 (2016年, 西安)[J].中华消化杂志, 2016, 36 (8):1-6.
[5] 李军祥, 陈誩, 肖冰, 等.消化性溃疡中西医结合诊疗共识意见 (2017年)[J].中国中西医结合消化杂志, 2018, 26 (2):112-120.
[6] 江庆文, 何桂新.313例胃溃疡内镜检查与病理分析[J].中华消化内镜杂志, 2000, 17 (1):41-41.
[7] 娄淑哲, 李强.消化性溃疡的中医药治疗研究进展[J].湖北中医杂志, 2017, 39 (3):62-66.
[8] 张明发, 沈雅琴.荜澄茄的利胆溶石和镇痛抗炎作用的实验研究[J].抗感染药学, 2013, 10 (2):102-106.
[9] 李振华, 鞠建明, 华俊磊, 等.中药川楝子研究进展[J].中国实验方剂学杂志, 2015, 21 (1):219-223.
[10] 马宁宁, 李欣, 金华, 等.延胡索不同提取物抗炎作用的谱效关系及机制研究[J].中草药, 2019, 50 (10):2413-2419.
[11] 魏静波, 王翼洲.消化性溃疡中医药治疗研究进展[J].中医药临床杂志, 2017, 29 (3):427-429.
-
计量
- 文章访问数: 377
- PDF下载数: 594
- 施引文献: 0