中西醫(yī)結(jié)合治療潰瘍性結(jié)腸炎的療效分析

[摘要] 目的 探討臨床上中西醫(yī)結(jié)合治療潰瘍性結(jié)腸炎的機制和療效。 方法 將90例患者隨機分為治療組和對照組，各45例，對照組患者口服柳氮磺胺嘧啶，治療組在此基礎(chǔ)上口服中藥煎劑，并配合灌腸治療。 結(jié)果 治療組有效率為95.6%，對照組有效率為71.1%，兩組有效率比較差異有統(tǒng)計學意義（P<0.05）。 結(jié)論 中西醫(yī)結(jié)合治療潰瘍性結(jié)腸炎具有活血化瘀、協(xié)同作用，充分發(fā)揮二者的優(yōu)勢。

[關(guān)鍵詞] 潰瘍性結(jié)腸炎；中西醫(yī)結(jié)合治療；灌腸治療

[中圖分類號] R259 [文獻標識碼] B [文章編號] 2095-0616（2012）22-86-02

Clinical observation of ulcerative cotitis treated with combined therapy of traditional Chinese and western medicine

QU Lianjun

Department of Second Surgical，Chinese Medicine Hospital in Siping City，Jilin Provience，Siping 136001，China

[Abstract] Objective To observe and explore the mechanism and effect of combined therapy of traditional Chinese and western medicine for ulcerative cotitis. Methods 90 patients were randomLy divided into treatment group and control group，each group of 45 cases，patients of the control group were treated with salazosulfamide. patients of the treatment group were treated with traditional Chinese medicine decoction based on the Therapeutic method of control group，combined with the treatment of enema. Results The effective rate of treatment was 95.6%，the effective rate of control group was71.1%，there has a efficient significant difference between two groups（P<0.05）. Conclusion combined therapy of traditional Chinese and Western medicine for Ulcerative Cotitis is provided with promting blood circulation and synergistic effect，could give full play to the advantages of both

[key words] Ulcerative cotitis；Combined therapy of traditional Chinese and Western medicine；Treatment of enema

潰瘍性結(jié)腸炎（ulcerative cotitis，UC）又稱慢性非特異性潰瘍性結(jié)腸炎或特發(fā)性潰瘍性結(jié)腸炎，臨床表現(xiàn)有反復發(fā)作的腹瀉、黏液膿血便、腹痛等。由于潰瘍性結(jié)腸炎易復發(fā)，其發(fā)病原因和機制尚未清楚，已成為較難治療的疾病[1]，典型的潰瘍性結(jié)腸炎在中醫(yī)學辨證看來，表現(xiàn)為黏液膿血便，屬痢疾中“休息痢”“久痢”范疇；單純使用西醫(yī)或單純使用中醫(yī)治療不免有失偏頗。本研究對筆者所在醫(yī)院90例潰瘍性結(jié)腸炎的患者采用中西醫(yī)結(jié)合治療，療效較好，現(xiàn)報道如下。

1 資料與方法

1.1 一般資料

選取2010年6月～2011年12月入院治療潰瘍性結(jié)腸炎的患者90例，所有患者均符合1994年中國慢性腸道疾病研討會制定潰瘍性結(jié)腸炎的診斷標準[2]，男51例，女39例，隨機分為治療組和對照組，各45例。治療組男26例，女19例，年齡17～68歲，平均（32.4±4.1）歲，病程3個月～8年，平均（3.4±0.9）年。對照組男25例，女20例，年齡18～71歲，平均（34.1±3.7）歲，病程5個月～7年，平均（3.9±1.1）年。所有患者均出現(xiàn)不同程度的腹痛、腹瀉、黏液膿血便、里急后重、納差、乏力等典型癥狀，在治療前均行血常規(guī)、糞常規(guī)及肝腎功能檢測?！?br>