慢性非特异性溃疡性结直肠炎的临床治疗-中西医结合(肛肠方向)专业毕业论文.docxVIP

中文摘要 目的：观察和评价中药内服加中药保留灌肠治疗慢性非特异性溃疡性 结肠炎的临床疗效。 方法：将确诊为慢性非特异性溃疡性结肠炎的 60 例患者随机分成试 验组与对照组，且两组病例数相等，其中试验组采用中药内服加中药 保留灌肠治疗，对照组采用中药内服加柳氮磺胺吡啶栓塞肛治疗。观 察两组病人的疗效。 结果：两组患者在有效率上无统计学差异（P﹥0.05）。两组治疗前 后总评分在统计学上均有显著性差异（P﹤0.05），说明两组方法治 疗 UC 均能有效的改善症状。两组治疗在治疗后近期粘液脓血便、腹 胀、腹痛症状改善上有统计学差异（P﹤0.05）；随访 6 个月时腹泻、 粘液脓血便、腹胀、腹痛症状改善上有统计学差异（P﹤0.05）；近 期肠镜表现改善上有统计学差异（P﹤0.05），试验组优于对照组。 结论：中药内服加中药保留灌肠在治疗慢性非特异性溃疡性结肠炎上 有良好的临床疗效。 关键词：结肠炎 中药 保留灌肠 临床疗效 Abstract Objective: To observe and evaluate the clinical efficacy of the Chinese medicine by oral administration and retention enema to cure ulcerative colitis. Methods: The 60 cases of ulcerative colitis were randomly divided into test group and control group,each group has 30 cases. The test group use Chinese medicine to oral administration and retention enema, the control group use the Chinese medicine to oral administration and use Azulfidine plug to push into anus. To observe the clinical efficacy of the two groups. Results: The two groups have no significant difference in efficiency (P0.05). The total score of the two groups before and after treatment has statistically significant differences (P0.05), it shows that the two methods of treatment can effectively improve the UC symptoms. The symptoms of the two groups after treatment such as mucin blood,abdominal distension,abdominal pain have a significant difference improvement(P 0.05); The symptoms such as diarrhea ,stool with the blood and pus , abdominal distension, abdominal pain for follow-up of 6 months have a significant difference to improve (P 0.05); there is signal statistical difference between two groups in the the performance of colonoscopy in near future (P 0.05), the test group is better than the control group. Conclusion: It has a good clinical efficacy in ulcerative -colitis which use Chinese medicine to oral administration and retention enema. Key words: colitis ;retention enema; Chinese medicine; clinical efficacy 声 明 硕士学位论文 慢性非特异性溃疡性结直肠炎的临床治疗是本人 在成都中医药大学攻读硕士学位期间在导师指导下完成的，该论文涉 及的有关知