The Clinical Observation About Hp-associated Chronic Gastritis In The Treatment Of Triple Therapy Anti-Hp Combined With Traditional Chinese Medicine

Objective:With triple therapy anti-Hp and Chinese medicine treating combined with triple therapy according to different syndromes of Hp-associated chronic gastritis,to reveal the triple therapy's influence of TCM Syndrome,as well as the effect of the combined treatment.Through the clinical observation about the gastritis with Western and Chinese medicine treatment,looking for a better treatment.Methods:1.The topic selected 73 cases in all,including tow types.46 cases of the "incoordination between liver and stomach" type(called type I) were randomly divided into tow groups,respectively 23 cases.The "dampness-heat of spleen and stomach" type(called type II) consisted of 27 cases,equally,the first group had 14 cases,and the secend 13 cases.Type II:the first group took orally the triple therapy drugs after meal for seven days(2 times/day), after it,by traditional Chinese medicine for syndromes.The second had the triple therapy drugs and the traditional Chinese medicine 2 hours after meal simultaneously.Type I:the tow groups respectively took corresponding Chinese medicine after the triple therapy drugs.2.The two groups of every types were afforded medcine based on research.To observe clinical changes of every types and each group of the same type,before and After drugs.Finally,to check Hp again after 4 weeks.Results:1.The age distribution of selected cases were essentially normal. The number of type I accounted for 63.02%,more than type II with 36.98%. Type I had male 45.65%and female 54.35%,while there was male 66.67%and female 33.33%in type II.So the female of type I was more than the male,but in type II the female was obviously less than the male.There was not significant difference of gender composition between the two types or tow groups(P>0.05).2.The differences of tongue coat for tow groups every type and stomach pain or fullness for type II were not statistically significant before treatment(P>0.05),but after treating for 7 days,they had statistical significance(P<0.05),the triple therapy increases dampness-heat,so using chinese medicine preventively,to mitigate or reduce the damp-heat reactions. The other main symptoms of type I,stomach pain or fullness,upper abdomen pain,hypochondriac pain,belching,as well the upper abdomen pain and anorexia of type II were not statistically significance before and after treatment (P>0.05).3.The Hp infection of selected cases for the tow types was no statistical significance before and end of the treatment(P>0.05).while the difference of all cases with Hp infection between pre-treatment with eradication was significant(P<0.05),so the triple therapy anti-Hp was medicable.Conclusion:1.It was found the clinical patients with type I were more than type II.2.The female patients of type I exceeded the male,but type II reversely. 3.the slight of Hp infection were more,while the severe less.4.The patients of the first group for type I were many with greasy-yellow tongue coat after noninterveniently combined treatment,but the second were few with the triple therapy and Chinese medicine dispelled dampness-heat.Other symptoms,stomach pain or fullness,upper abdomen pain,hypochondriac pain,belching,were not statistically significant before and after treatment.5.For type II,the greasy-yellow tongue coat and stomach pain or fullness of the first group with the triple therapy was not obvious to reduce,relative to the second group combined Chinese medicine dispelled dampness-heat.The other major symptoms were not statistical significance.6.The eradication rate of the triple therapy anti-Hp was 70.37%.