中医药治疗溃疡性结肠炎临床剖析.docVIP

中医药治疗溃疡性结肠炎临床剖析 　　[摘要] 目的 探讨中医药治疗溃疡性结肠炎的临床疗效。 方法 选择笔者所在医院2009年5月～2011年9月就诊的患者75例采用中药内服加灌肠治疗，同时选择同期采用西药治疗的47例患者作为对照组，比较两组患者的临床疗效。 结果 中医药组总有效率为89.33%，对照组为72.34%。两组比较，差异有统计学意义（P ＜ 0.05）。停药后3个月，进行随访，其中，中医药组复发10例（13.33%），对照组复发13例（27.66%），两组复发率比较，差异有统计学意义（P ＜ 0.05）。 结论 中医药内服联合灌肠治疗溃疡性结肠炎，临床疗效肯定，副作用少，值得临床推广应用。 　　[关键词] 中医药；溃疡性结肠炎；疗效；西医治疗 　　[中图分类号] R574.62 [文献标识码] A [文章编号] 1674-4721（2012）03（a）-0102-02 　　 　　Clinical analysis of Chinese medicine treatment of ulcerative colitis 　　XU Yuling 　　Gastroenterology Department, the TCM Hospital of Zhengzhou City in Henan Province, Zhengzhou 450007, China 　　[Abstract] Objective To explore the clinical efficacy of TCM treatment with ulcerative colitis patients. Methods Chose the patients in the writer′s hospital from May 2009 to September 2011 clinic of 75 patients with the important internal and added enema therapy, and chose the same period of western medicine therapy 47 patients as control group. Compared with two groups of patients with clinical curative effect. Results The effectiveness of Traditional Chinese medicine group was 89.33%, while in the control group was 72.34%. The difference was statistically significant betwent the two groups (P ＜ 0.05). 3 months after stopping discontinuation, the recurrence of Chinese medicine group was 10 cases (13.33%), and the control group recurrence was 13 cases (27.66%), the difference was statistically significant betwent the two groups (P ＜ 0.05). Conclusion Traditional Chinese medicine oral administration combined with enema in treatment of ulcerative colitis, the clinical has curative effect, less side effects, and it is worthy of clinical application. 　　[Key words] Traditional Chinese medicine; Ulcerative colitis; Curative effect; Western medicine therapy 　　 　　溃疡性结肠炎（ulcerative colitis，UC）又称非特异性溃疡性结肠炎，是一种原因不明的以局部结肠黏膜炎症反应为主的慢性非特异性、炎症性肠病，与肠道免疫功能异常、遗传、环境、微生物等因素密切相关[1]。该病属中医学“泄泻”“痢疾”“肠风”“滞下”等范畴。中医认为其主要因先天禀赋不足、脾胃亏虚，外感外邪、饮食不节或忧思恼怒等因素单独或联合作用下，使脾失健运，邪阻大肠，传导失司，发生本病[2]。本研究选择笔者所在医院2009年5月