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[目的]观察旋覆代赭汤联合奥美拉唑治疗反流性食管炎疗效。[方法]使用随机平行对照方法,将80例住院及门诊患者按病志号抽签/就诊顺序号方法简单随机分两组。对照组40例奥美拉唑,20mg/次,2次/d。治疗组40例旋覆代赭汤(旋覆花包煎9g,代赭石6g,生姜15g,半夏9g,党参、炙甘草各6g,大枣4枚),1剂/d,水煎200m L,早晚口服;西药治疗同对照组。连续治疗30d为1疗程。观测临床症状、24h食管pH值、不良反应。治疗1疗程,判定疗效。[结果]治疗组治愈23例,显效15例,无效2例,总有效率96.32%。对照组治愈15例,显效17例,无效8例,总有效率80.00%。治疗组疗效优于对照组(P<0.05)。24h食管p H值两组均有改善(P<0.05),治疗组改善优于对照组(P<0.05)。[结论]旋覆代赭汤联合奥美拉唑治疗反流性食管炎,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the curative effect of Xuanfu Daizhe Decoction combined with omeprazole on reflux esophagitis. [Methods] Using randomized parallel control method, 80 inpatients and outpatients were randomly divided into two groups randomly according to the patient’s lot number and drawing order number. The control group 40 cases of omeprazole, 20mg / times, 2 times / d. In the treatment group, 40 patients were treated with Decoction 10g, decoction of Rhubarb 9g, Rhubarb 6g, ginger 15g, Pinellia 9g, Codonopsis, Zhigancao 6g, jujube 4) Oral and oral; Western medicine treatment with the control group. Continuous treatment of 30d for a course of treatment. Observed clinical symptoms, 24h esophageal pH, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Result] In the treatment group, 23 cases were cured, 15 cases were markedly effective and 2 cases were ineffective. The total effective rate was 96.32%. The control group cured 15 cases, markedly effective in 17 cases, 8 cases, the total effective rate was 80.00%. The treatment group was better than the control group (P <0.05). 24h esophageal p H values were improved in both groups (P <0.05), the treatment group improved better than the control group (P <0.05). [Conclusion] Xuanfu Daizhe Decoction combined with omeprazole in the treatment of reflux esophagitis has satisfactory curative effect and no serious adverse reactions, which deserves promotion.