小柴胡汤加减联合健胃化瘀汤对反复性消化性溃疡血清生长因子水平的影响

Effect of modified Xiaochaihu Decoction combined with Jianwei Huayu Decoction on serum growth factor levels in patients with recurrent peptic ulcer

  • 摘要: 目的 探讨小柴胡汤加减联合健胃化瘀汤对反复性消化性溃疡(RPU)患者血清血管内皮细胞生长因子(VEGF)及碱性成纤维细胞生长因子(BFGF)水平的影响。 方法 选取RPU患者112例,随机分为2组各56例。2组患者均行常规西药治疗,对照组联合小柴胡汤加减治疗,研究组在对照组基础上加用健胃化瘀汤治疗。比较2组患者治疗前后中医症候积分、血清BFGF及VEGF水平、临床疗效、不良反应发生率。 结果 研究组治疗后中医症候积分显著低于对照组,临床疗效显著优于对照组(P<0.05); 研究组治疗后BFGF及VEGF水平均显著高于对照组(P<0.05); 2组用药后不良反应发生率无显著差异(P>0.05)。 结论 RPU患者采用小柴胡汤加减联合健胃化瘀汤治疗安全有效,可有效缓解临床症状,提高血清BFGF及VEGF水平,加快消化性溃疡面的愈合,安全性较高。

     

    Abstract: Objective To investigate the effect of modified Xiaochaihu Decoction combined with Jianwei Huayu Decoction on serum levels of vascular endothelial growth factor(VEGF)and basic fibroblast growth factor(BFGF)in patients with recurrent peptic ulcer(RPU). Methods A total of 112 RPU patients were selected and randomly divided into two groups, with 56 cases in each group. Both groups were treated with conventional western medicine, the control group was treated with additional modified Xiaochaihu Decoction, while the study group was treated with Jianwei Huayu Decoction on the basis of the control group. Before and after treatment, the TCM symptom scores, serum BFGF and VEGF levels, clinical efficacy and incidence of adverse reactions were compared between the two groups. Results After treatment, the score of TCM symptoms in the study group was significantly lower than that in the control group, and the clinical effect was significantly better than the control group(P<0.05). The levels of BFGF and VEGF in the study group were significantly higher than those in the control group(P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05). Conclusion It is safe and effective to treat RPU patients by modified Xiaochaihu Decoction and Jianwei Huayu Decoction, which can effectively alleviate the clinical symptoms, increase the levels of serum BFGF and VEGF, accelerate the healing of peptic ulcer surface.

     

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