| Objective: In this study,we observed the changes of TCM syndromes of HPAG after anti-Hp treatment.Against a series of clinical symptoms of anti-Hp treatment,combined with syndrome differentiation and treatment of Traditional Chinese Medicine,and based on my tutor’s many years of clinical experiences of “warming yang and strengthening spleen method”.To explore its clinical efficacy and treatment of after anti-Hp treatment,providing some references and clinical data with Traditional Chinese Medicine after anti-Hp treatment to clinical.Methods: Making the scale to collected the clinical data of 100 patients with chronic gastritis and Hp infection who met the standard of spleen and stomach in our hospital and the clinical diagnosis.To analyze the TCM syndromes for the first time(Specifically divided into liver and stomach syndrome,spleen and stomach damp-heat syndrome,cold and heat syndrome,spleen Deficiency syndrome,other syndromes);and recording the data of clinical symptoms score 、 tongue changes after anti-Hp treatment with quadruple therapy,and analyzed the distribution of the rule before and after treatment,and analyzed again.After anti-Hp treatment,according to the clinical symptoms of TCM,with tutor’s clinical experiences as the basis,and dialectical use of Traditional Chinese Medicine of “warming yang and strengthening spleen method” to intervention.Results:(1)Comparing the clinical symptom scores before and after anti-Hp therapy:(1)stagnation of liver stomach syndrome: After treatment,3 points of pain,acid reflux,belching were lower than before,the difference was statistically significant(P<0.05);The anorexia,stool poor two integral no significant change,the difference was not statistically significant(P>0.05).(2)stomach damp heat syndrome: After treatment,3 points of the stomach pain,abdominal fullness,mouth bitter lower than before,the difference was statistically significant(P<0.05);and body weight,anorexia,stool visceral unhappiness no significant change,the difference was not statistically significant(P>0.05).(3)mixed cold and heat syndrome: After treatment,the scores of the three symptoms of acid reflux,belching and mouth pain and mouth dryness were lower than before(P<0.05),while the scores of cold,anorexia and stool thinness were higher than before(P<0.05).There was no significant difference of bloating between before treatment and the difference was not statistically significant(P>0.05).(4)Deficiency cold of spleen and stomach syndrome: After treatment,stomachache was faint and the scores of stomachache and dullness were lower than before(P<0.05),Pooled clear water,tired,aversion to cold,loss of appetite,stool scorpion five points higher than before,the difference was statistically significant(P<0.05).(2)Changes of tongue coating before and after anti-Hp treatment: before treatment: yellow greasy moss > thin yellow moss > white moss > thin white moss(P>0.05);After treatment: white moss > thin white moss > thin yellow moss > yellow greasy moss(P<0.05).(3)The distribution of the various types of TCM syndrome after anti-Hp treatment: There was a significant difference in syndrome differentiation of spleen deficiency syndrome,mixed cold and heat syndrome and stomach damp heat syndrome(P<0.01),the deficiency cold of spleen and stomach syndrome is most after anti-Hp treatment.(4)The results of Chinese Medicine intervention after anti-Hp treatment :(1)Comparison of clinical efficacy: The total effective rate of the Traditional Chinese Medicine observation group was 93.3% and the total effective rate of western medicine control group was 86.7%.Compared with the control group,the observation group was significantly higher than the control group(P<0.05).(2)Chinese medicine symptom score comparison: the observation group after Traditional Chinese Medicine treatment,faint stomachache,stomach cramps nausea,thin stool,aversion to cold,eat less appetite,pan vomit clear water,tired and spleen deficiency than performance(P<0.05).However,the western medicine control group showed no obvious improvement in other symptoms except faint stomachache,bloated stomach and loose stools(P>0.05).Conclusion:(1)The TCM syndrome of HPAG has changed after anti-Hp treatment;and the deficiency cold of spleen and stomach syndrome is the most.(2)Although the Traditional Chinese Medicine “warming and strengthening spleen method” observation group in improving anti-Hp treatment of spleen and stomach deficiency syndrome faint stomachache,stomach flatulence,feces and other symptoms of stool and western medicine control group efficacy,in the treatment of aversion to cold,eat less appetite,general spit water,tired and other symptoms were significantly better than the western medicine control group,and the overall effect than the western medicine control group.(3)The “warming and strengthening spleen method” can effectively improve the symptom of spleen and stomach deficiency after anti-Hp treatment,and there is no adverse reaction during the treatment of the drug,which is safe and worthy of promotion in clinical practice. |
