摘要
目的 分析四联治疗慢性胃炎与四联加饮食调节及心理疏导治疗慢性胃炎的效果差异。方法 选筛选本院2022年9月至2023年9月期间确诊并医治的慢性胃炎患者，依据入院顺序对40例患者随机分组，共两个组别平均每组20例。对照组予以四联治疗，观察组予以饮食调节心理疏导联合四联治疗。评价治疗前后患者情绪状态、症状改善情况及临床疗效。结果 对比焦虑自评量表（SAS）、抑郁自评量表（SDS）评分，观察组干预后其减少幅度较对照组更明显（P＜0.05）。两组患者症状改善情况对比，观察组反酸、暖气、腹痛改善时间均比对照组显著缩短，统计学存在显著差异（P＜0.05）。对比临床总有效率，观察组提高幅度较对照组更明显（P＜0.05）。结论 慢性胃炎患者在四联治疗基础上联合饮食调节与心理疏导干预，可有效缓解负面情绪引起的应激，加快症状缓解，进一步提高临床疗效。
关键词： 饮食调节；心理疏导； 慢性胃炎；四联治疗
Abstract
Objective To analyze the effects of quadruple therapy on chronic gastritis and quadruple plus diet regulation and psychological guidance on chronic gastritis. Methods 40 patients with chronic gastritis diagnosed and treated in our hospital from September 2022 to September 2023 were randomly divided according to the order of admission, with an average of 20 cases in each group. The control group was treated with quadruple therapy, and the observation group was treated with diet adjustment and psychological counseling combined with quadruple therapy. To evaluate the patients' emotional state, symptom improvement and clinical effect before and after treatment. Results Compared with self-rating Anxiety Scale (SAS) and self-rating Depression Scale (SDS), the reduction of observation group after intervention was more obvious than control group (P < 0.05). Comparing the improvement of symptoms between the two groups, the improvement time of acid reflux, heating and abdominal pain in the observation group was significantly shorter than that in the control group, with statistically significant differences (P < 0.05). Compared with the total clinical effective rate, the improvement of the observation group was more obvious than that of the control group (P < 0.05). Conclusion The combination of dietary adjustment and psychological counseling can effectively relieve the stress caused by negative emotions, accelerate the symptom relief and further improve the clinical efficacy of chronic gastritis patients on the basis of quadruple therapy.
Key words： Diet psychological counseling; Chronic atrophic gastritis; Quadruple therapy
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