中西医结合治疗溃疡性结肠炎60例临床观察

发布时间：2018-04-08 10:26

本文选题：西医治疗　切入点：溃疡性结肠炎　出处：《中国医药科学》2015年14期

【摘要】：目的探讨中西医结合治疗溃疡性结肠炎60例的临床疗效。方法选取2013年10月~2014年12月我院就诊的溃疡性结肠炎患者120例,所有患者随机分为观察组及对照组各60例。对照组口服柳氮磺胺吡啶片和黄连素片,观察组在此基础上服用中药汤剂。观察两组患者的临床疗效,治疗前后两组症状分级评分及疾病活动指数,毒副作用情况。结果两组患者总有效率比较,观察组为93.33%,对照组为81.67%,两组比较,差异有统计学意义(P0.05)。两组患者治疗后的单项症状积分皆比治疗前明显下降,差异有统计学意义(P0.05)。观察组治疗后脓血便、腹痛、里急后重等指标高于对照组,两组比较,差异有统计学意义(P0.05)。两组患者治疗后,DAI评分皆比治疗前明显降低,差异有统计学意义(P0.05);观察组治疗后DAI评分明显低于对照组,两组比较差异有统计学意义(P0.05)。观察组患者的不良反应发生率为6.67%,明显低于对照组的25.00%,两组比较,差异显著(P0.05)。结论中西医结合治疗溃疡性结肠炎临床疗效显著,明显减少不良反应,值得临床推广应用。
[Abstract]:Objective to investigate the clinical effect of 60 cases of ulcerative colitis treated with integrated traditional Chinese and western medicine.Methods 120 patients with ulcerative colitis from October 2013 to December 2014 were randomly divided into observation group (n = 60) and control group (n = 60).The control group took sulfamyridine tablets and berberine tablets, and the observation group took traditional Chinese medicine decoction on this basis.The clinical efficacy, symptom grading, disease activity index and side effects of the two groups were observed before and after treatment.Results the total effective rate of the two groups was 93.33 in the observation group and 81.67 in the control group. The difference between the two groups was statistically significant (P 0.05).The single symptom scores of the two groups after treatment were significantly lower than that before treatment, the difference was statistically significant (P 0.05).The indexes of purulent blood stool, abdominal pain and acute pain after treatment in the observation group were higher than those in the control group. The difference between the two groups was statistically significant (P 0.05).After treatment, the Dai scores of the two groups were significantly lower than those before treatment, and the DAI scores in the observation group were significantly lower than those in the control group (P 0.05).The incidence of adverse reactions in the observation group was 6.67, which was significantly lower than that in the control group (25.00). The difference between the two groups was significant (P 0.05).Conclusion the treatment of ulcerative colitis by combination of traditional Chinese and western medicine is effective, and it is worth popularizing.
【作者单位】：黑龙江省林甸县林甸镇卫生院肛肠科;
【分类号】：R574.62

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