摘要: |
[目的]观察应用和胃降逆法治疗反流性食管炎,24h食管pH监测的变化情况。[方法]将60例反流性食管炎(RE)患者随机分为对照组(30例)和治疗组(30例),对照组给予西医治疗,治疗组给予中医和胃降逆法治疗,分别观察两组治疗前后24h食管pH监测的变化情况。[结果]在减低食管黏膜24hpH<4总次数、pH<4总时间、pH<4百分时间以及Demeester积分等方面,西医治疗与中医和胃降逆法对于反流性食管炎患者的作用相当;中医和胃降逆法对于食管黏膜24h最长反流持续时间的减低较西医治疗更为显著,西医治疗对于反流时间持续≥5min次数的减低较中医和胃降逆法更为显著。[结论]和胃降逆法能够有效降低食管pH值,治疗反流性食管炎疗效确切。 |
关键词: 和胃降逆法 反流性食管炎 24h食管pH |
DOI:10.11656/j.issn.1673-9043.2009.01.04 |
分类号: |
基金项目:* 天津市卫生局中医、中西医结合科研基金资助项目(07021)。 |
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Influence of Hewei Jiangni method on 24-hour esophageal pH value in reflux esophagitis |
Xuan ming-shi,Yuan Hong-xia,Yu Qiang
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Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
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Abstract: |
[Objective] To observe influence on change of 24-hour esophageal pH value in reflux esophagitis (RE) treated by Hewei Jiangni Method.[Methods] 60 RE patients were divided into control group (30 cases) and treatment group (30 cases),control group was treated by west medicine,treatment group was treated by Hewei Jiangni,and observing the change of 24-hour esophageal pH Value separately in two groups.[Results] Hewei Jiangni method of Tridational Chinese Medicine (TCM) and west medicine had the same influence on reducing the times of pH<4,whole time of pH<4,time% of pH<4 and Demeester in 24-hour,the influence on reducing the longest refux time in 24-hour by west medicine was not stronger than Hewei Jinagni method,the influence on reducing the times of refux continuance time,Smin by Hewei Jiangni method was not stronger than west medicine.[Conclusion] Hewei Jiangni method could reduce the 24-hour esophageal pH value effectively,and the therapeutic efficacy in treating RE was affirmed. |
Key words: Hewei Jiangni reflux esophagitis 24-hour esophageal pH |