摘要
目的:探讨三种方法治疗成熟型疣状胃炎(VG)的疗效及护理方法。方法:将81例患者随机分为A组26例、B组27例、C组28例。A组予以常规抑酸治疗,B组予以常规抑酸+高频电凝术治疗,C组予以常规抑酸+高频电凝术+中药乌梅汤加减治疗。对三组中合并幽门螺杆菌(HP)阳性者均加用克拉霉素和阿莫西林对症治疗。治疗8周后,比较三组的疗效、治疗后症状(腹痛、腹胀、反酸)缓解情况、胃镜征象(充血、糜烂、疣状隆起)。结果:C组治疗方案能够明显改善患者的临床症状,减少并发症,疗效显著优于A组(P<0.01)和B组(P<0.05)。结论:常规抑酸+高频电凝术+中药乌梅汤加减的综合治疗方案具有提高临床疗效、减轻并发症、安全、疗效确切等优点,值得临床推广。
Objective： To evaluate the effectiveness of the three kinds of methods to treat mature verrucous gastritis and nursing methods. Methods ： 81 patients were randomly divided into group A （ n = 26）, group B （ n = 27 ） and group C （ n = 28 ）. The conventional acid - suppression therapy was used in the group A; the conventional acid - suppression therapy combined with high - frequency electric coagulation was applied in the group B ; the conventional acid - suppression therapy combined with high - frequency electric coagulation plus mume decoction of the Chinese herbs was adopted in the group C. The patients who were positive in HP in these three groups were additionally given symptomatic treatment with Amoxicillin and Clarithromycin. After the treatment for 8 weeks, the curative effect, remission of the symptoms （ abdominal pain, abdominal distention, acid regurgitation） and gastroscopy signs （hyperemia, erosions, verrucous bump） were compared among the three groups. Results： The treatment method in the group C can significantly improve the patient~ clinical symptoms, reduce complications and its curative effect was much better than the group A （ P 〈 0.01 ） and group B （ P 〈 0.05 ）. Conclusion ： The comprehensive treatment method of the conventional acid - suppression therapy combined with high - frequency electric coagulation plus mume decoction of the Chinese herbs has the advantages of good clinical effectiveness, fewer complications and safety, and it is recommended to be widely used.
关键词
疣状胃炎
抑酸
高频电凝术
乌梅汤
护理
Verrucous gastritis
Gastroscope
Acid suppression
High - frequency electric coagulation
Mume decoction
Nursing
