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加味栀豉温胆汤结合雷贝拉唑在反流性食管炎患者中的治疗效果

杜娜 朱辰辰 尚青青 毛海燕 李晓云 张玉琢 刘杰 杜囚鹏

中国医学创新2025,Vol.22Issue(6):25-28,4.
中国医学创新2025,Vol.22Issue(6):25-28,4.DOI:10.3969/j.issn.1674-4985.2025.06.006

加味栀豉温胆汤结合雷贝拉唑在反流性食管炎患者中的治疗效果

The Therapeutic Effect of Jiawei Zhichi Wendan Decoction Combined with Rabeprazole in Patients with Reflux Esophagitis

杜娜 1朱辰辰 1尚青青 1毛海燕 1李晓云 1张玉琢 1刘杰 2杜囚鹏1

作者信息

  • 1. 北京市第一中西医结合医院消化内科 北京 100018
  • 2. 北华大学附属医院检验科 吉林 吉林 132012
  • 折叠

摘要

Abstract

Objective:To explore the application value of Jiawei Zhichi Wendan Decoction combined with Rabeprazole in patients with reflux esophagitis(RE).Method:A total of 92 patients with RE admitted to Beijing First Hospital of Integrated Traditional Chinese and Western Medicine from July 2021 to May 2023 were selected and divided into two groups according to random number table method,with 46 cases in each group.The control group was treated with Rabeprazole,and the observation group was additionally treated with Jiawei Zhichi Wendan Decoction.The therapeutic effect,inflammation indexes,gastrointestinal hormone indexes,quality of life and security of the two groups were compared.Result:The total effective rate of observation group was 95.65%,which was higher than 80.43%of control group(P<0.05).After treatment,C reactive protein(CRP)in the observation group was(6.14±1.16)mg/L,interleukin-6(IL-6)was(10.38±2.16)pg/mL and tumor necrosis factor-α(TNF-α)was(12.51±2.37)pg/mL,which were lower than(8.27±1.25)mg/L,(15.87±3.89)pg/mL,(16.64±2.88)pg/mL in the control group(P<0.05).After treatment,the gastrin(GAS)and motilin(MOT)of the observation group were(176.80±15.43)pg/mL and(342.45±32.49)ng/L,respectively,and the physiology field was(78.22±5.09)scores,psychological field was(80.36±5.47)scores and social field was(88.32±4.23)scores in World Health Organization quality of life(WHOQOL-BREF),which were higher than(155.94±14.72)pg/mL,(298.81±31.62)ng/L,(70.43±6.44)scores,(71.38±7.80)scores and(80.34±5.11)scores of the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Jiawei Zhichi Wendan Decoction combined with Rabeprazole for RE can enhance the therapeutic effect,reduce inflammation response,regulate gastrointestinal hormone levels,improve patients'quality of life,with high security.

关键词

反流性食管炎/加味栀豉温胆汤/雷贝拉唑/炎症指标/安全性

Key words

Reflux esophagitis/Jiawei Zhichi Wendan Decoction/Rabeprazole/Inflammatory indexes/Security

引用本文复制引用

杜娜,朱辰辰,尚青青,毛海燕,李晓云,张玉琢,刘杰,杜囚鹏..加味栀豉温胆汤结合雷贝拉唑在反流性食管炎患者中的治疗效果[J].中国医学创新,2025,22(6):25-28,4.

中国医学创新

1674-4985

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