葛根芩连汤加白芨灌肠治疗慢性溃疡性结肠炎急性发作疗效分析.docVIP

葛根芩连汤加白芨灌肠治疗慢性溃疡性结肠炎急性发作疗效分析 　　DOI：10.16662/j.cnki.1674-0742.2017.23.180 　　[摘要] 目的 探讨葛根芩连汤加白芨灌肠治疗慢性溃疡性结肠炎急性发作的疗效。方法 随机选择2013年1月―2016年12月至该院进行治疗的慢性溃疡性结肠炎患者60例，随机分为观察组和对照组各30例，对照组患者给予柳氮磺胺吡啶肠溶片治疗，观察组患者在对照组治疗方案基础上给予中药葛根芩连加白芨汤进行灌肠治疗。观察两组患者治疗前后中医症候评分变化和临床疗效。 结果 治疗前两组患者中医症候评分差异无统计学意义（P0.05），治疗后均较治疗前明显降低（P0.05），但观察组明显低于对照组，差异有统计学意义（P0.05）；观察组治疗总有效率为93.33%，明显高于对照组的70.00%，差异有统计学意义（P0.05）。 结论 葛根芩连汤加白芨灌肠对慢性溃疡性结肠炎急性发作的患者具有明显的临床疗效，能够减轻患者临床症状，提高患者的临床疗效，具有良好的临床应用前景。 　　[关键词] 葛根芩连汤；白芨；灌肠；慢性溃疡性结肠炎；急性发作 　　[中图分类号] R453 [文献标识码] A [文章编号] 1674-0742（2017）08（b）-0180-03 　　Analysis of Curative Effect of Gegenqinlian Decoction Combined with Bletilla Enema on Acute Attack of Chronic Ulcerative Colitis 　　ZENG Yun 　　Hi-tech Zhonghe Community Health Service Center， Chengdu， Sichuan Province， 610212 China 　　[Abstracts] Objective This paper tries to observe the curative effect of Gegenqinlian decoction combined with bletilla injection on acute exacerbation of chronic ulcerative colitis. Methods 60 patients of chronic ulcerative colitis from January 2013 to December 2016 treated in this hospital were random selected and randomly divided into the observation group and the control group， with 30 cases in each group， the control group was treated with sulfasalazine enteric coated tablets treatment， the observation group was treated with Gegenqinlian Decoction combined with Bletilla for enema treatment. The changes of TCM symptom score and clinical efficacy were observed before and after treatment in the two groups. Results The scores of the two groups of TCM symptoms had no significant difference（P0.05） before treatment， while the scores were obviously declined after treatment（P0.05）， and the score of the observation group was significantly lower than that of the control group， and the difference was statistically significant （P0.05）； the total efficiency of the observation group was 93.33%， significantly higher than 70% in the control group， and the difference was statistically significant（P0.0