探析自拟中药方剂辩证加减治疗消化性溃疡合并糖尿病效果的临床效果

　　[摘要] 目的 研究分析消化性溃疡合并糖尿病患者接受西医常规治疗与自拟中药方剂辨证加减治疗的临床效果，为临床使用中药房治疗提供依据。 方法 根据该院2012—2014年的消化性溃疡合并糖尿病患者96例来进行研究分析，将患者分组为对照组和观察组，两组均保持正常范围的血糖水平，对照组使用西医抗溃疡治疗，观察组除了对照组治疗内容还增加了自拟中药方剂治疗，对两组的临床治疗不良反应情况进行对比分析。 结果 经过治疗后，对照组临床治疗有效率是79.17%；观察组临床治疗有效率是93.75%，两组患者的临床治疗有效率对比差异有统计学意义（P<0.05）。对照组不良反应几率是14.53%；观察组不良反应几率是2.08%。对照组有17例复发，复发率是35.42%，觀察组有4例复发，复发率是8.33%（P<0.05）。 结论 消化性溃疡合并糖尿病患者的血糖控制良好时接受自拟中药方剂辨证加减治疗的效果优于西医治疗，不良反应率低，治疗的有效率高，复发率低，患者的症状改善明显，临床中可以推广。
　　[关键词] 消化性溃疡；中医治疗；临床疗效
　　[中图分类号] R259 [文献标识码] A [文章编号] 1672-4062（2017）11（b）-0060-02
　　[Abstract] Objective To research and analyze the clinical effect of routine western medicine treatment and self-mademodified Chinese medicinal formula differentiation in treatment of peptic ulcer combined with diabetes thus providing basis for the treatment of dispensary of traditional Chinese medicine. Methods 96 cases of patients with peptic ulcer combined with diabetes in our hospital from 2012 to 2014 were selected for research and analysis， and the patients were divided into two groups， both groups had the normal-range blood glucose level， the control group used the western medicine anti-ulcer therapy， while the observation group added the self-made Chinese medicinal formula on the basis of the control group， and the adverse reactions were compared between the two groups. Results After treatment， the effective rate in the control group and in the observation group was respectively 79.17% and 93.75%， and the difference was statistically significant（P<0.05）， and the occurrence probability in the control group and in the observation group was respectively 14.53% and 2.08%， and the recurrence rate in the control group and in the observation group was respectively 35.42% and 8.33%（17 cases vs 4 cases）（P<0.05）. Conclusion The effect of self-made modified Chinese medicinal formula differentiation in treatment of peptic ulcer combined with diabetes is better than that of western medicine treatment， with low adverse reactions and high treatment effective rate， low recurrence rate， and the symptoms of patients are obviously improved， and it can be promoted in clinic.
　　[Key words] Peptic ulcer； Treatment of TCM； Clinical curative effect
　　现在人们的生活速度比较快，生活习惯发生了很大的变化，消化性溃疡疾病的发生率在增加，糖尿病也是社会普遍存在的一种疾病，对人们的健康产生了很大的影响，两种疾病合并发作也比较常见[1]。消化性溃疡患者发病后，长期接受治疗，容易复发，还有癌化的几率，因此对患者造成了非常大的健康影响，临床中需要重视。研究表明患者的消化性溃疡可以由感染、情绪、胃酸过度分泌等导致，幽门螺杆菌和消化性溃疡之间关联紧密，西医治疗主要是抑制胃酸分泌，保护胃粘膜，抗幽门螺杆菌，实际治疗时具有比较多的不良反应。西医治疗主要是使用综合治疗方式，效果不佳。该次该院于2012—2014年就96例消化性溃疡合并糖尿病患者开展研究，探讨西医结合自拟中药方剂治疗的效果，现报道如下。