目的 探討保和丸聯(lián)合地衣芽孢桿菌活菌顆粒治療功能性消化不良的臨床療效。方法 將2023年6月—2024年5月在天津醫(yī)科大學(xué)附屬寶坻醫(yī)院就診的功能性消化不良患者共94例作為研究對(duì)象，按隨機(jī)數(shù)字表法將所有患者分為對(duì)照組和治療組，每組47例。對(duì)照組口服地衣芽孢桿菌活菌顆粒，1袋/次，3次/d。治療組在對(duì)照組的基礎(chǔ)上口服保和丸，8丸/次，3次/d。兩組在完成4周的治療后分析療效。比較兩組患者的治療效果、癥狀程度、胃腸動(dòng)力學(xué)和血清指標(biāo)。結(jié)果 治療后，對(duì)照組和治療組的總有效率分別為78.72%、93.62%，組間差異顯著（P＜0.05）。治療后，兩組餐后飽脹不適、中上腹痛、中上腹燒灼感、早飽感的發(fā)作頻率、嚴(yán)重程度評(píng)分降低（P＜0.05），且治療組餐后飽脹不適、中上腹痛、中上腹燒灼感、早飽感的發(fā)作頻率、嚴(yán)重程度評(píng)分較對(duì)照組更低（P＜0.05）。治療后，兩組患者的胃排空率、胃蠕動(dòng)次數(shù)和收縮次數(shù)均升高（P＜0.05）；治療組的胃排空率、胃蠕動(dòng)次數(shù)和收縮次數(shù)高于對(duì)照組（P＜0.05）。治療后，兩組血清胃促生長(zhǎng)素、瘦素水平顯著升高，血清血管活性腸肽水平降低（P＜0.05）；治療組的血清胃促生長(zhǎng)素、瘦素水平高于對(duì)照組，血清血管活性腸肽水平低于對(duì)照組（P＜0.05）。結(jié)論 保和丸聯(lián)合地衣芽孢桿菌活菌顆?？商岣吖δ苄韵涣嫉寞熜?，進(jìn)一步減輕臨床癥狀，促進(jìn)胃排空，調(diào)節(jié)胃腸激素。

Objective To explore the clinical efficacy of Baohe Pills combined with Bacillus licheniformis Granules, Live in treatment of functional dyspepsia.Methods 94 Patients with functional dyspepsia from Baodi Hospital Affiliated to Tianjin Medical University were divided into the control and treatment groups with random number table method, 47 cases/group. Patients in the control group took Bacillus licheniformis Granules, Live, 1 bag/time, 3 times daily. Patients in the treatment group took Baohe Pills, 8 pills/time, 3 times daily on the basis of the control group. The efficacy of the 2 groups were analyzed after completing 4 weeks of treatment. The treatment efficacy, symptom severity, gastrointestinal dynamics, and serum indicators were compared between two groups. ResultsThe total effective rate was 78.72% in the control group and 93.62% in the treatment group, with significant difference between groups (P<0.05). After treatment, frequency and severity of postprandial fullness discomfort, mid-upper abdominal pain, mid-upper abdominal burning sensation, and early satiety in the two groups were decreased (P < 0.05), and these indexes the treatment group was significantly lower than those in the control group (P < 0.05). After treatment, the gastric emptying rate, the number of gastric peristalsis and the number of contractions in the two groups were all increased (P < 0.05), and the gastric emptying rate, the number of gastric peristalsis and the number of contractions in the treatment group were higher than those in the control group (P < 0.05). After treatment, gastrophin and leptin in the two groups were increased, but vasoactive intestinal peptide was decreased (P < 0.05), and gastrophin and leptin in the treatment group were higher than those in the control group, but vasoactive intestinal peptide was lower than before treatment (P < 0.05). ConclusionBaohe Pills combined with Bacillus licheniformis Granules, Live can improve the efficacy of functional dyspepsia, further reduce clinical symptoms, promote gastric emptying, and regulate gastrointestinal hormones.

R975