Volume 22 Issue 4
Apr.  2024
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KANG Niansong, HUANG Jian, QIAN Rong, GU Hongping, HAN Xufeng, SU Wentao. Clinical effect of Weifuchun tablets combined with omeprazole enteric-coated capsules in the treatment of functional dyspepsia[J]. Chinese Journal of General Practice, 2024, 22(4): 597-600. doi: 10.16766/j.cnki.issn.1674-4152.003459
Citation: KANG Niansong, HUANG Jian, QIAN Rong, GU Hongping, HAN Xufeng, SU Wentao. Clinical effect of Weifuchun tablets combined with omeprazole enteric-coated capsules in the treatment of functional dyspepsia[J]. Chinese Journal of General Practice, 2024, 22(4): 597-600. doi: 10.16766/j.cnki.issn.1674-4152.003459

Clinical effect of Weifuchun tablets combined with omeprazole enteric-coated capsules in the treatment of functional dyspepsia

doi: 10.16766/j.cnki.issn.1674-4152.003459
Funds:

 浙中医药[2021]22号

 2020ZYC-B0

  • Received Date: 2023-10-31
    Available Online: 2024-05-29
  •   Objective  To explore the clinical effect of Weifuchun tablets combined with omeprazole enteric-coated capsules on patients with functional dyspepsia and their influence on serum pepsinogen and gastrin-17 levels.  Methods  Using a random number table, 128 patients diagnosed with functional dyspepsia at Yuyao Hospital of Traditional Chinese Medicine between October 2021 and December 2022 were divided into two groups: Weifuchun group and Mosapride group, eaching consisting of 64 cases. The mosapride group was given a combination of omeprazole and Mosapride tablets, while the Weifuchun group was given a combination of omeprazole and Weifuchun tablets. After 4 weeks of continuous treatment, the therapeutic effect, serum pepsinogen, and gastrin-17 levels were compared between the two groups.  Results  After 4 weeks of treatment, the Weifuchun group demonstrated a higher total effective rate (87.50%, 56/64) compared to the Mosapride group (71.88%, 46/64), with a statistically significant difference (χ2=4.827, P < 0.05). The Weifuchun group also exhibited higher levels of pepsinogen Ⅰ [(113.20±10.21) μg/L] compared to the Moxapride group [(98.26±9.64) μg/L, P < 0.05]. Moreover, the Weifuchun group showed lower levels of pepsinogen Ⅱ[(17.21±2.58) μg/L] and gastrin-17 [(15.31±2.09) pmol/L] compared to the Mosapride group [(20.31±3.11) μg/L, (18.22±2.67) pmol/L, P < 0.05].  Conclusion  The combination of Weifuchun tablets and omeprazole enteric-coated capsules significantly improves the clinical symptoms of patients with functional dyspepsia. It effectively corrects abnormal levels of serum pepsinogen and gastrin-17, leading to improved prognosis and enhanced quality of life for patients.

     

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  • [1]
    MEDIĆ B, BABIĆ Ž, BANIĆ M, et al. Modern approach to dysplasia[J]. Acta Clin Croat, 2021, 60(4): 731-738.
    [2]
    WAUTERS L, SLAETS H, DE PAEPE K, et al. Efficacy and safety of spore-forming probiotics in the treatment of functional dyspepsia: a pilot randomised, double-blind, placebo-controlled trial[J]. Lancet Gastroenterol Hepatol, 2021, 6(10): 784-792. doi: 10.1016/S2468-1253(21)00226-0
    [3]
    戴一青, 王金金, 张磊, 等. 心理治疗对老年功能性消化不良患者消化功能及心理状态的影响[J]. 中华全科医学, 2021, 19(10): 1710-1712, 1716. doi: 10.16766/j.cnki.issn.1674-4152.002148

    DAI Y Q, WANG J J, ZHANG L, et al. Effect of psychotherapy on digestive function and psychological state of elderly patients with functional dyspepsia[J]. Chinese Journal of General Practice, 2021, 19(10): 1710-1712, 1716. doi: 10.16766/j.cnki.issn.1674-4152.002148
    [4]
    WEI X, YU J, XU Z K, et al. Incidence, pathogenesis, and management of proton pump inhibitor-Induced Nephrotoxicity[J]. Drug Saf, 2022, 45(7): 703-712. doi: 10.1007/s40264-022-01181-4
    [5]
    王龙华, 王凤磊, 李静, 等. 功能性消化不良的中医辨治思路与对策[J]. 中华中医药杂志, 2021, 36(9): 5368-5371. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY202109066.htm

    WANG L H, WANG F L, LI J, et al. Thought of syndrome differentiation and countermeasures in Chinese medical treatment of functional dyspepsia[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2021, 36(9): 5368-5371. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY202109066.htm
    [6]
    YOON J Y, KO S J, PARK J W, et al. Complementary and alternative medicine for functional dyspepsia: an Asian perspective[J]. Medicine (Baltimore), 2022, 101(35): e30077. DOI: 10.1097/MD.0000000000030077.
    [7]
    AZIMI M, ZAHEDI M J. Persian herbal medicine in functional dyspepsia: a systematic review[J]. Curr Drug Discov Technol, 2021, 18(2): 272-281. doi: 10.2174/1570163817666200611132831
    [8]
    YANG L J, HU Z P, ZHU J J, et al. Effects of weifuchun tablet for chronic atrophic gastritis: a protocol for systematic review and meta-analysis[J]. Medicine (Baltimore), 2020, 99(22): e20374. DOI: 10.1097/MD.0000000000020374.
    [9]
    WANG H J, WU R M, XIE D, et al. A Combined phytochemistry and network pharmacology approach to reveal the effective substances and mechanisms of wei-fu-chun tablet in the treatment of precancerous lesions of gastric cancer[J]. Front Pharmacol, 2020, 11: 558471. DOI: 10.3389/fphar.2020.558471.
    [10]
    中华中医药学会脾胃病分会, 张声生. 功能性消化不良中医诊疗专家共识意见(2017)[J]. 中华中医药杂志, 2017, 32(6): 2595-2598. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY202403106.htm

    Spleen and Stomach Diseases Branch of Chinese Medicine Association, ZHANG S S. Expert Consensus on the Diagnosis and Treatment of Functional dyspepsia (2017)[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2017, 32(6): 2595-2598. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY202403106.htm
    [11]
    国家中医药管理局. 中医病证诊断疗效标准[S]. 南京: 南京大学出版社, 1994: 233-234.

    National Administration of Traditional Chinese Medicine. Diagnostic criteria of TCM diseases and syndromes[S]. Nanjing: Nanjing University Press, 1994: 233-234.
    [12]
    郑筱萸. 中药新药临床研究指导原则(试行)[M]. 北京: 中国医药科技出版社, 2002: 295.

    ZHENG X Y. Guiding Principles for Clinical Research of New Chinese Medicine (Trial)[M]. Beijing: China Medical Science and Technology Press, 2002: 295.
    [13]
    WILLIAMSON A, HOGGART B. Pain: a review of three commonly used pain rating scales[J]. J Clin Nurs, 2005, 14(7): 798-804. doi: 10.1111/j.1365-2702.2005.01121.x
    [14]
    严啸天, 王旭. "化浊生新膏"治疗FESS术后鼻黏膜上皮化45例临床研究[J]. 江苏中医药, 2019, 51(3): 33-35. doi: 10.3969/j.issn.1672-397X.2019.03.013

    YAN X T, WWANG X. Clinical study of "Huazhuo Shengxin ointment" in treating 45 cases of nasal mucosa epithelialization after FESS[J]. Jiangsu Traditional Chinese Medicine, 2019, 51(3): 33-35. doi: 10.3969/j.issn.1672-397X.2019.03.013
    [15]
    LUGTENBERG R T, DE GROOT S, KAPTEIN A A, et al. Quality of life and illness perceptions in patients with breast cancer using a fasting mimicking diet as an adjunct to neoadjuvant chemotherapy in the phase 2 DIRECT (BOOG 2013-14) trial[J]. Breast Cancer Res Treat, 2021, 185(3): 741-758. doi: 10.1007/s10549-020-05991-x
    [16]
    KAMIYA T, OSAGA S, KUBOTA E, et al. Questionnaire-based survey on epidemiology of functional gastrointestinal disorders and current status of gastrointestinal motility testing in asian countries[J]. Digestion, 2020, 102(1): 73-89. doi: 10.3969/j.issn.1672-2159.2020.01.016
    [17]
    BORDBAR G, MIRI M B, OMIDI M, et al. Comparison of a novel herbal medicine and omeprazole in the treatment of functional dyspepsia: a randomized double-blinded clinical trial[J]. Gastroenterol Res Pract, 2020, 2020: 5152736. DOI: 10.1155/2020/5152736.
    [18]
    姚鹏, 冯璐, 郝莉莉, 等. 西尼必利联合胃复春片治疗慢性萎缩性胃炎的临床研究[J]. 现代药物与临床, 2020, 35(12): 2441-2445. https://www.cnki.com.cn/Article/CJFDTOTAL-GWZW202012031.htm

    YAO P, FENG L, HAO L L, et al. Clinical study on the treatment of chronic atrophic gastritis with cilazapril combined with Weifuchun tablets[J]. Modern Medicine and Clinic, 2020, 35(12): 2441-2445. https://www.cnki.com.cn/Article/CJFDTOTAL-GWZW202012031.htm
    [19]
    GU Z J, LING J H, CONG J, et al. A review of therapeutic effects and the pharmacological molecular mechanisms of chinese medicine weifuchun in treating precancerous gastric conditions[J]. Integr Cancer Ther, 2020, 19: 1534735420953215. DOI:10.1177/1534735 420953215.
    [20]
    PORTER K M, HOEY L, HUGHES C F, et al. Associations of atrophic gastritis and proton-pump inhibitor drug use with vitamin B-12 status, and the impact of fortified foods, in older adults[J]. Am J Clin Nutr, 2021, 114(4): 1286-1294. doi: 10.1093/ajcn/nqab193
    [21]
    PAPAKONSTANTINOU I P, KARAKOUSIS N D, ANDREADIS E A. Gastric neuroendocrine tumour, atrophic gastritis and autoimmune haemolytic anaemia: a case report and review[J]. Scott Med J, 2019, 64(4): 154-158. doi: 10.1177/0036933019867574
    [22]
    CITTOLIN-SANTOS G F, KHALIL S, BAKOS J K, et al. Chronic atrophic gastritis with negative intrinsic factor and parietal cell antibody presenting as a severe hemolytic anemia[J]. Case Rep Hematol, 2020, 2020: 8697493. DOI: 10.1155/2020/8697493.
    [23]
    PELLICANO R. Is chronic atrophic gastritis the missing link between atrophic glossitis, gastric parietal cell antibody positivity and hematological deficiencies?[J]. J Formos Med Assoc, 2020, 119(5): 1004-1005. doi: 10.1016/j.jfma.2020.01.003
    [24]
    LIU H X, FEI C R, ZHANG J. Associations of serum pepsinogens and helicobacter pylori infection with high-sensitivity C-reactive protein in medical examination population[J]. Lab Med, 2021, 52(1): 57-63. doi: 10.1093/labmed/lmaa042
    [25]
    LI X L, FENG M X, YUAN G. Clinical efficacy of Weisu granule combined with Weifuchun tablet in the treatment of chronic atrophic gastritis and its effect on serum G-17, PG Ⅰ and PG Ⅱ levels[J]. Am J Transl Res, 2022, 14(1): 275-284.
    [26]
    白文筠, 梁峻尉, 苗秀明, 等. 穴位埋线联合四联疗法对幽门螺旋杆菌(+)脾胃虚弱证慢性萎缩性胃炎的疗效观察[J]. 针刺研究, 2022, 47(6): 537-543. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYJ202206011.htm

    BAI W J, LIANG J W, MIAO X M, et al. Clinical effects of acupoint catgut embedding with quadruple therapy on Hp(+)chronic atrophic gastritis of spleen and stomach deficiency syndrome[J]. Acupuncture Research, 2022, 47(6): 537-543. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYJ202206011.htm
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