仙桔汤治疗慢性溃疡性结肠炎33例.docVIP

仙桔汤治疗慢性溃疡性结肠炎33例 李风雷 南京中医药大学 中医学（营养与食疗） 07届毕业生 【摘要】：目的：观察仙桔汤治疗慢性溃疡性结肠炎临床疗效。方法：将58例慢性溃疡性结肠炎患者随机分为2组，治疗组以仙桔汤加减配合中药保留灌肠，对照组以柳氮磺胺吡啶片配合激素、免疫抑制剂等西药治疗。结果：治疗组33例中，痊愈10例，显效15例，有效6例，无效2例，显效率75.8%，总有效率93.9%；对照组25例中，痊愈2例，显效10例，有效10例，无效3例，显效率48.0%，总有效率88.0%。2组显效率相比有显著差异（p0.05），2组总有效率相比无明显差异（p0.05）。结论：仙桔汤的治疗组优于西药治疗的对照组。 【关键词】：仙桔汤，溃疡性结肠炎，保留灌肠 【Abstract】: objective: To evaluate the therapeutic effects of Xian Ji Tang in treating ulcerative colitic (UC).methods: Fifty eight patients with UC were randomly divided into two groups .the treatment group(n=33) was treated with Xian Ji Tang and traditional Chinese medicine clyster. the control group (n=25) was treated with western medicine such as SASP、Aza 、 MTX .result: in the treatment group the curative rate was 75.8% and the effective rate was 93.9% : in the control group the curative rate was 48.0% and the effective rate was 88.0%.the curative rate of two groups has enormous difference (p0.05) .the effective rate of two groups dons’t have enormous difference (p0.05).conclution: the treatment group of Xian Ji Tang was better than the control group in treating ulcerative colitic (UC) . 【Key Words】: Xian Ji Tang, ulcerative colitic,clyster 溃疡性结肠炎（ulcerative colitic, UC）又称慢性非特异性溃疡性结肠炎，是一种病因不明的直肠和结肠慢性炎性疾病，炎症主要位于结肠的黏膜层，且以溃疡为主，亦可累及黏膜下层，主要临床表现是腹痛、腹泻脓笔师从江苏医孙凤医师汤减治疗溃疡结肠33例，疗满意数58例，均有反复发作、腹泻脓为临现状结肠镜检确诊为溃疡结肠32例，女性26例，病程均在2a以上，最长达10a龄62岁龄29岁30-50岁之间为疗组33对组25两组况p0.05）具有可比性。 治疗 治疗组汤减本组鹤15g、桔梗10g、乌6g、槟6g、生地榆12g、地锦12g、煨木香12g、炒白术12g12g、炒扁豆花15g，随减白头汤白头15g、苦参15g黄连7g黄15g、秦皮12g、白芨12g、生地榆12g等）灌肠疗内方剂剂2个1疗对组2个1疗疗效观3.1疗标 腹痛、腹泻脓状消随访半发为痊愈疗状消内发，状较轻经疗缓为显疗状缓时为疗无改为无3.2治疗结 经1-2个疗疗疗组3310例，显15例，有效6例，无2例，显75.8%，总93.9%；对组252例，显10例，有效10例，无3例，显48.0%，总88.0%。2组显显著p0.05），2组总无显p0.05）。 4， 结果讨论 慢性溃疡结肠属于医学泻畴饮节损伤，还规禀赋肠调关发导运内生湿浊湿蕴热伤络损临见、腹泻脓状汤为疗泻经验鹤脏肠温泻乌肠经涩肠泻锦肠经，凉术肠泻对中药白头汤减肠疗较药溃疡直达从进愈医孙XX36岁沛县,个户2006-10-12初诊：三载夹带鲜3年来4-7次，经医治疗未见显转疗详见黄无华夹带鲜脐调纳黄腻质脉细结肠镜检溃疡结肠2006.10 本院）。 处鹤15g、桔梗10g、乌6g、槟6g、生地榆12g、地锦12g、煨木香12g、炒白术12g12g、炒扁豆花15g、白蔻仁6g(后下)、诃10g、白芨12g、甘草3g。七剂剂