慢性萎缩性胃炎(chronic atrophic gastritis,CAG)是以胃黏膜萎缩、固有腺体减少,常伴有不同程度的肠腺化生、幽门腺化生或不典型增生为特征的慢性胃部疾病[1],具有病程长、治疗难、易反复的特点.该病已被公认为胃癌前病变,一般按照"萎缩性胃炎→肠化生→异型增生→胃癌"的规律进展[2],胃黏膜萎缩程度与胃癌发生的风险呈显著正相关[3],如何延缓或逆转胃粘膜萎缩成为了预防胃癌发生的重要突破口.

目的 评估OTSC吻合夹与医用胶治疗难治性消化性溃疡出血的有效性及安全性.方法 选取该院脾胃病科2016年1月到2019年12月收治的34例难治性消化溃疡出血患者,分为A组与B组;其中A组使用OTSC吻合夹,共计20例;B组喷洒医用胶,共计14例;对比两种治疗方法在难治性消化溃疡出血中的技术成功率、临床成功率、手术并发症及对内镜损伤情况方面的差异.结果 A组技术成功率均为100％,临床成功率95％,手术并发症发生率为0,粘镜损害发生率为0;B组技术成功率为100％,临床成功率71.4％,手术并发症发生率为0,粘镜损伤发生率为14.2％,两组临床成功率,术后内镜损伤发生率差异有统计学意义(P<0.05).结论 OTSC吻合夹作为临床一种成熟的内镜下缝合系统,对于难治性消化性溃疡出血治疗更安全有效,对内镜无明显损害,值得临床推广.

目的:观察中西医结合治疗中度急性胰腺炎的临床疗效.方法:40例随机分为两组各20例,两组均用西医常规方法治疗,治疗组加用喂养管注入大黄并皮硝外敷上腹部.结果:总有效率治疗组95％、对照组85％,两组比较差异有统计学意义(P＜0.05).结论:中西医结合治疗中度急性胰腺炎疗效较好.

介绍杨廉方主任医师治疗慢性前列腺炎的经验.杨老提出本病的病理基础是肾气不足,肝失疏泄,气化不利,湿浊中生,湿热瘀阻,其发病与肝、肾、膀胱密切相关;治疗上强调补肾调肝、化气行水,选用经验方前列煎加减;同时强调灵活运用治法、偏倚恰当、舒畅情志、缓解精神压力的重要性.

Objective: To observe the clinical effect of Anwei Decoction on functional dyspepsia. Method: 56 cases were treated with Anwei Decoction as the observation group while 56 cases were treated with Mosapride as the control group. The therapeutic effect was observed after 2 weeks. Result: The total effective rate of the observation group was 87.5% while tahtof the control group was 69.7%. There was statistical significance between the two groups (P<0.05). Conclusion: Anwei Decoction has significant clinical effect on functional dyspepsia.

介绍杨廉方教授运用四逆酸枣汤治疗不寐的经验.杨教授认为不寐的主要病机为脏腑功能失调,气血阴阳失和,致心神不安或心神失养,其主要与心肝胆脾胃肾关系密切.临床上常用四逆酸枣汤加减治之,并附验案1则,以证疗效.

目的：观察中西医结合治疗急性非静脉曲张性上消化道出血的疗效。方法：120例分为观察组和对照组各60例，两组均用大剂量奥美拉唑，观察组加用白及细粉、康复新液口服。结果：总有效率观察组96.67%，对照组83.33%，两组比较差异有统计学意义（P＜0.01）。结论：白及粉、康复新液、奥美拉唑治疗急性非静脉曲张性上消化道出血疗效满意，且无明显不良反应。

This article introduces the experience of Yang Lianfang,the aged famous TCM doctor,in treating leukorrhagia caused by dampness and heat with Sini Simiao Decoction. Yang believes that the patho-logical basis is pathogenic dampness,which is closely related to the functions of liver,spleen,stomach and kidney. He lays emphases on two treating phases:in adjusting liver to eliminate depression and removing dampness to detoxicate at acute stage,Yang chooses modified experience prescription - Sini Simiao Decoc-tion;at the relieved stage to nourish spleen to dispel dampness and sooth liver,he chooses modified Sini Yigong powder. Meanwhile,he points out that flexibility is vital to cure diseases,thus doctors should modify prescription according to different situations.

介绍名老中医杨廉方运用四逆二至地黄汤加减治疗肝郁肾虚型月经不调的经验.杨老认为月经不调与肝肾关系密切,主要病机为肝郁肾虚,以疏肝理气调经、调补肾中阴阳为治法,拟四逆二至六黄汤治疗,并临床随症加减,疗效颇佳.举验案1则,以资佐证.

目的:观察和胃颗粒治疗痞满证的疗效及对Hp的影响.方法:90例随机分为两组,治疗组60例用和胃颗粒,对照组30例用胃苏颗粒,治疗4周并停药4周后观察疗效及Hp阳性的转阴率.结果:总有效率治疗组91.66％,对照组76.66％,两组比较差异有统计学意义(P＜0.05);Hp转阴率治疗组76.92％,对照组47.05％,两组比较差异有统计学意义(P＜0.05).临床观察中未发现明显不良反应.结论:和胃颗粒治疗痞满证有良好的临床疗效,对Hp转阴有较好效果,且无明显不良反应.

Objective: To evaluate the effect and safety of stomach-regulating granules on distention and fullness with the syndrome of intermingled cold and heat and the syndrome of deficiency complicated with excess.Methods: According to the inclusion and exclusion criterion,90 cases were divided into the treatment group with the stomach-regulating granules and the control group with the Weisu Granule.After a four-week treatment and a four-week drug withdrawal,these effects were observed and compared in 2 groups.Results: The total effective rate in the treatment group were superior to that in the control group.There were no adverse reactions in 2 groups.Conclusion: Stomach-regulating granules has good clinical effects for distention and fullness of the syndrome of intermingled cold and the syndorm of heat and deficiency complicated with excess.

<正>笔者自拟双黄汤联合柳氮磺胺吡啶(SASP)治疗溃疡性结肠炎20例疗效较好,现报道如下。1临床资料共40例,均为2010年4月至2011年10月本院门诊及住院患者,随机分为两组各20例。治疗组男12例,女8例;年龄40～70岁,平均51.2岁;病程1

<正>目前,免疫调节治疗已成为治疗慢性乙型病毒性肝炎的重要手段,而不少中药对人体免疫调节具有双向性、多效性,因而治疗乙型病毒型肝炎有独特的优势,试述如下。1慢性乙型病毒性肝炎的病理乙肝具有较强的传染性,当乙肝病毒进入机体后,通过血流借助pres1及pres2蛋白与肝细胞接触进入肝细胞增殖,导致不同类型的肝炎。乙肝患者血清中IL-2低于正常人,与HBV在淋巴细胞中寄生、损害免疫细胞功能有关。急性肝炎

<正>慢性前列腺炎(chronic prostatitis,CP)是以尿频、尿急、尿痛,排尿时尿道不适或灼热感,会阴部、下腹部隐痛不适,阳痿、早泄、遗精或射精痛,头昏,头胀,神疲乏力,情绪低落,疑虑焦急等为常见症状的常见病。本病好发于青壮年男性,属中医学精浊、淋证、白浊等范畴。近年来的研究表明,运用中医药治疗CP具有较好疗效。笔者将近年来辨治分型治疗CP的经验总结如下。