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健脾止泻汤口服及保留灌肠联合西药治疗慢性结肠炎随机平行对照研究 被引量:1

Jianpizhixie Soup and Retention Enema combined with Western Medicine for Oral Treatment of Chronic Colitis Randomized Controlled Study
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摘要 [目的]观察健脾止泻汤口服及保留灌肠联合西药治疗慢性结肠炎疗效。[方法]使用随机平行对照方法,将100例住院患者按抛硬币法简单随机分为两组。对照组50例甲硝唑,0.4~0.6g/次,3次/d;庆大霉素,80mg/次,4次/d。治疗组50例健脾止泻汤(黄芪、党参、白术炒各15g,升麻6g,山楂、鸡内金各15g,防风10g,力曲15g,山药淮、薏苡仁、茯苓各20g,藿香10g),1剂/d,水煎200mL,早晚饭后分服,100mL/次;另煎100mL,保留灌肠,30min/次,1次/d;西药治疗同对照组。连续治疗14d为1疗程。观测临床症状、便常规、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈21例,显效12例,有效15例,无效2例,总有效率96.00%。对照组痊愈17例,显效11例,有效13例,无效9例,总有效率82.00%。治疗组疗效优于对照组(P<0.05)。[结论]健脾止泻汤口服及保留灌肠联合西药治疗慢性结肠炎疗效满意,无严重不良反应,值得推广。 [Objective]To observe Jianpizhixie soup and retention enema combined with western medicine for oral treaunent of chronic colitis.[Methods]Randomized parallel controlled method,100 inpatients law by simple coin toss randomized into two groups.The control group of 50 patients with metronidazole,0.4-0.6g/time,3 times/d;l d.Treatment group of 50 patients Jianpizhixie soup (Huangqi,Dangshen,Baizhu 15g,Shengma 6g,Shanzha Jineijin each 15g,Fangfeng 10g.Liqu 15g, Huaishanyao,Yiyiren,Fuling 20g, Huoxiang lOg),l/d,decoction 2J3OmLmoming and evening dinner hours service.Another fried 100mLretention enema,30 rain/times,1 times/d.Westem medicine with the control group.14d for a course of continuous treatment.Observation of clinical symptoms,then routine,adverse reactions.One course of treatment,to determine efllcacy.[Resultx]The cure 21 cases,12 cases markedly effective in 15 cases2 cases,the total efficiency of 96.00%.The control group recovered 17 cases,11 cases markedly effective in 13 cases,9 eases,the total efficiency of 82.00%.Treatment group than the control group (P〈0.05).[Conclusion]Jianpizhixie soup and retention enema combined with Western medicine for oral treatment of chronic colitis results were satisfactory,no serious adverse reactions,it is worth promoting.
作者 白德胜
出处 《实用中医内科杂志》 2015年第9期117-118,共2页 Journal of Practical Traditional Chinese Internal Medicine
关键词 慢性结肠炎 泄泻 健脾止泻汤 保留灌肠 甲硝唑 庆大霉素 便常规 中西医结合治疗 随机平行对照研究 chronic colitis diarrhea Jianpizhixie soup retention enema metronidazole gentamicin thenroutine combination therapy randomized controlled study
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