Clinical Study on Treatment of Hp-related Gastritis of Damp-heat Syndrome of Spleen and Stomach by Combination of Modified Lianpo Decoction and Quadruple Therapy / 中国中医药信息杂志

ABSTRACT

Objective To study the clinical efficacy of combination of Modified Lianpo Decoction and standard quadruple therapy for Hp-related gastritis of damp-heat syndrome of spleen and stomach. Methods Based on the principles of random, contrast, and double-blind, 118 cases of Hp-related gastritis of damp-heat syndrome of spleen and stomach were randomly divided into western medicine group (39 cases) and combined Chinese and western medicine group (79 cases). The western medicine group was treated with standard quadruple therapy (PPI + bismuth + two kinds of antibiotics), and the combined Chinese and western medicine group with Modified Lianpo Decoction additionally for two weeks. The clinical efficacy, TCM symptom scores, and eradication rate of Hp were observed by electronic gastroscope, rapid urease test, and pathologic examination before and one month after the treatment, respectively. Results The clinical effective rate of the western medicine group was 76.9% (30/39), while that of the combined Chinese and western medicine group was 94.9%(75/79), with statistical significance (P<0.05). The Hp eradication rate of the western medicine group was 87.2%(34/39), and that of the combined Chinese and western medicine group was 97.5% (77/79), with statistical significance (P<0.05). TCM symptom scores regarding damp-heat syndrome of the spleen and stomach of the combined Chinese and western medicine group were significantly better than those of the western medicine group (P<0.05). Conclusion The clinical efficacy, TCM symptoms, and eradication rate of Hp can be significantly improved by combination of Modified Lianpo Decoction and standard quadruple therapy in the treatment for patients with Hp-related gastritis of damp-heat syndrome of spleen and stomach.