摘要
目的：探讨自拟中药疏肝健脾止痢方联合中药保留灌肠对治疗慢性非特异性溃疡性结肠炎的临床疗效及临床应用价值。方法：回顾性分析本科室从2010年6月到2011年2月期间60例慢性非特异性溃疡性结肠炎患者的临床资料,观察患者治疗前后症状的改善及临床疗效,应用统计学分析比较患者各症状治疗前后的差别,以及对于不同年龄段、不同病情、不同发病类型以及不同病程的患者服用本药的疗效差别。结果：口服疏肝健脾止痢方联合保留灌肠一个疗程后,临床疗效、中医症状疗效及肠镜改善均有效,根据统计学比较治疗后中医主要症状均较治疗前具有可比性,次要症状除肠鸣及肢体倦怠外均具有可比性,不同年龄、不同发病类型及不同病程的疗效无明显差别,P>0.05。重度患者与轻中度患者疗效具有可比性,P<0.05。结论：1.口服自拟中药疏肝健脾止痢方联合保留灌肠对治疗慢性非特异性溃疡性结肠炎临床效果显著2.本治疗方案对不同年龄、病程及发病类型影响不大,但病情较重者疗效不及病情较轻者3.慢性非特异性溃疡性结肠炎的发病可能与肝气郁结、情志不畅有关。
Objective:to explore the spleen ShuGan to traditional Chinese medicine from the traditional Chinese medicine retention enema combined celiac party for the treatment of chronic nonspecific ulcerative colitis clinical effectiveness and value of clinical applications. Methods:a retrospective analysis of undergraduate course room from June 2010 during February 201160 patients with chronic nonspecific ulcerative colitis patients for clinical material, the patients were observed before and after the treatment of symptom improement and clinical curative effect, used statistical analysis and comparison of various symptoms before and after treatment with difference, and for different age groups and different condition and different types and different progression of the curative effect of the patients took this drug difference. Results:the ShuGan celiac party oral spleen joint retention enema, after a period of treatment, clinical curative effect, TCM symptoms improve treatment and colonoscopy all effective, according to statistics compare TCM major symptoms after treatment were relatively before treatment, the secondary symptoms comparable satisfactory and body burnout except all comparable, the different age groups and different types and different disease has no obvious difference between the curative effect of course, P>0.05. Severe patients with mild-to-moderate patients curative effect comparable, P<0.05. Conclusion:1. To ShuGan oral medicine since the spleen stop diarrhoea square in the treatment of chronic joint retention enema nonspecific ulcerative colitis clinical effect is remarkable 2. This treatment for different age, duration, and type of illness JiaoChongZhe difference, but as the illness is light effect.3. chronic nonspecific ulcerative colitis with the onset of diseases with stagnation, sentiment may be clogged related.
引文
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