Efficacy of TCM Qingre Sanjie therapy combined with pantoprazole sodium and mosapride citrate on chronic pharyngitis with gastroesophageal reflux
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摘要: 目的 探讨清热散结联合泮托拉唑钠胶囊、枸橼酸莫沙必利对慢性咽炎并胃食管反流患者肠胃激素和气道炎症的影响。 方法 将2015年12月—2016年12月间在宁波市第一医院就诊的252例慢性咽炎并胃食管反流患者按随机数字法分为2组,每组126例。对照组给予枸橼酸莫沙必利片与泮托拉唑钠胶囊,观察组在对照组的基础上给予清热散结胶囊。治疗后,比较2组症状(反酸、烧心、腹痛、嗳气、咽喉异物感)积分、肠胃激素[血清胃泌素(GAS)、血浆胃动素(MTL)]、气道炎症[一氧化氮(NO)、内皮素-1(EP-1)]、临床疗效。 结果 治疗后,2组各症状指标均明显降低(P<0.05);且观察组各指标水平显著低于对照组(P<0.05)。治疗后,2组GAS、MTL水平显著升高(均P<0.05);且观察组GAS、MTL水平显著高于对照组(均P<0.05)。治疗后,2组NO、EP-1水平显著降低(均P<0.05);且观察组NO、EP-1水平显著低于对照组(均P<0.05)。观察组总有效率为89.68%,明显高于对照组的75.40%。2组不良反应情况比较差异无统计学意义(P>0.05)。 结论 清热散结联合泮托拉唑钠胶囊及枸橼酸莫沙必利可有效改善慢性咽炎并胃食管反流患者肠胃激素和气道炎症,缓解临床症状,治疗效果满意。Abstract: Objective To investigate the efficacy of TCM Qingre Sanjie therapy combined with pantoprazole sodium and mosapride citrate in the treatment of chronic pharyngitis with gastroesophageal reflux. Methods Two hundred and fifty-two cases of chronic pharyngitis and gastroesophageal reflux in the hospital from December,2015 to December,2016 were randomly divided into two groups,with 126 cases in each group.The control group received mosapride citrate tablets and pantoprazole sodium capsules,while the observation group was administrated with TCM Qingre Sanjie therapy based on control group.After the treatment,the symptoms(acid reflux,heartburn,abdominal pain,belching,throat foreign body sensation) scores,gastrointestinal hormones[serum gastrin(GAS),plasma motilin(MTL)],airway inflammation[nitric oxide(NO),endothelin-1(EP-1)],clinical efficacy of the two groups were compared. Results After the treatment,the symptoms of two groups were significantly decreased(P<0.05),and symptoms levels of observation group were significantly lower than those of the control group(P<0.05).After the treatment,GAS and MTL levels of both groups were significantly increased(P<0.05),and GAS and MTL levels of the observation group were significantly higher than those of the control group(P<0.05).After the treatment,the NO and EP-1 levels of both groups were significantly decreased(P<0.05),and NO and EP-1 levels of the observation group were significantly lower than those of the control group(P<0.05).The total effective rate of the observation group was 89.68%,which was significantly higher than that of the control group(75.40%),P<0.05.There was no significant difference on adverse reactions between the two groups(P>0.05). Conclusion TCM Qingre Sanjie therapy combined with pantoprazole sodium and mosapride citrate could effectively improve gastrointestinal hormones and airway inflammation,and alleviate the clinical symptoms of chronic pharyngitis with gastroesophageal reflux patients,with satisfactory treatment results.
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