| Objective:To study and explore the clinical symptoms,gastroscopy and long-term effects of Banxia Houpu Decoction combined with rabeprazole in the treatment of phlegm-qi obstruction type reflux esophagitis,and analyze the physical distribution of patients with phlegm-qi obstruction type reflux esophagitis,Provide ideas for clinical treatment.Methods:The subjects of the study were the inpatients and outpatients of the Department of Spleen and Gastroenterology of Suzhou Traditional Chinese Medicine Hospital from January 2019 to December 2020.Include 52 patients meeting the inclusion and exclusion criteria,30 in the treatment group,and 22 in the control group.The treatment group was treated with oral Chinese medicine(Banxia Houpu decoction)+paste(notoginseng powder,Baiji powder,lotus root powder)+rabeprazole,and the control group was treated with oral rabeprazole for 12 weeks.Traditional Chinese Medicine symptom scores,Traditional Chinese Medicine syndromes,RDQ scale scores,and esophageal mucosal repair under gastroscopy were used as the efficacy evaluation indicators,and the Traditional Chinese Medicine Constitution of patients with phlegm-qi obstruction type reflux esophagitis was analyzed.Results:1.Traditional Chinese Medicine syndromes,The two groups improved the Traditional Chinese Medicine syndromes 4 and 8 weeks after treatment,but there was no significant difference between the two groups.After 12 weeks of treatment,the treatment group and the control group improved Traditional Chinese Medicine syndromes.There is a difference(P<0.05),suggesting that the treatment group is better than the control group in improving Traditional Chinese Medicine syndromes.2.Symptom scores of Chinese medicine,after 4 weeks of treatment,the two groups had the same improvement in Traditional Chinese Medicine symptoms(P>0.05)After 8 weeks of treatment,the treatment group was better than the control group in improving throat discomfort(P<0.05),and the improvement of other Traditional Chinese Medicine symptoms in the two groups was still the same(P>0.05);after 12 weeks of treatment,the treatment group was improving the throat Discomfort,heartburn,acid reflux,hoarse voice,and melancholy expression were better than the control group(P<0.05).3.RDQ score,the two groups had the same improvement in RDQ score after 4 weeks and 8 weeks(P>0.05).After 12 weeks of treatment,the treatment group Better than the control group in improving the RDQ score(P<0.05)4.The effect of gastroscopy,there was no significant difference in the effect of gastroscopy between the two groups after treatment(P>0.05),indicating that the two groups had the same effect in improving the repair of esophageal mucosa.5.The total symptom scores of the treatment group and the control group after half a year of treatment were both higher than the total symptom scores after treatment,but t-he total symptom score of the control group was significantly higher than that of the tr-eatment group(P<0.01),indicating that the treatment group is more sensitive to reflux e-sophagus.It shows that the treatment group is better than the control group in improving the long-term efficacy of RE symptoms6.In this study,the frequency of physique distribution of 52 patients with phlegm-qi cross obstruction type reflux esophagitis was:14 cases of Qi stagnation,9 cases of phlegm-dampness,9 cases of Qi-deficiency,6 cases of calmness,and 5 cases of Yang-deficiency.Cases,4 cases of damp-heat type,2 cases of yin deficiency type,2 cases of blood stasis type,1 case of idiosyncratic type.7.There was no adverse reaction during treatment in both groups.Conclusion:1.Compared with the treatment of phlegm-qi obstruction type reflux esophagitis with integrated traditional Chinese and western medicine,it has advantages in improving clinical symptoms and long-term efficacy,and is safe and effective.It is worthy of further research and promotion.2.Traditional Chinese Medicine Constitution of patients with reflux esophagitis of phlegm-qi cross-obstruction type is the most common one,so the sample size should be enlarged for further study. |
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