中西药结合灌肠治疗活动期溃疡性结肠炎39例临床分析

Enema combined Chinese and western medicine treatment of 39 cases of active ulcerative colitis Clinical Analysis

目的观察中西药联用灌肠治疗溃疡性结肠炎疗效。方法随机将78例溃疡性结肠炎患者分为治疗组(39例)和对照组(39例),治疗组采用地塞米松1mg,思密达粉6mg,白芨30g,2%普鲁卜因8ml,高渗盐水50ml,保留灌汤,每晚1次;对照组采用柳氮磺胺嘧啶4mg,2%普鲁卜因8ml,高渗盐水50ml,保留灌肠,每晚1次,疗程1个月。结果治疗组有效率为92.3%(36/39),对照组有效率为53.8%(21/39)。组间比较差异有非常显著性(P<0.05)。结论中西药联用保留灌肠是治疗溃疡性结肠炎的有效方法。

Objective To observe the Chinese and Western medicine combined with enema for ulcerative colitis. Methods 78 cases were randomly divided into treatment in patients with ulcerative colitis group （ 39 cases） and control group （ 39 cases） ,treatment group were treated with dexamethasone 1 mg,Smecta pow-der 6 mg,Baiji 30 g,2% due to Pu Lubo 8 ml,hypertonic saline 50 ml,retention clyster,every night a meeting; the control group were treated with sulfasalazine 4 mg,2% Pu Lubo due to 8 ml,hypertonic saline 50 ml,retention enema every night a second course of treatment 1 month. Results The response rate was 92. 3% （ 36/39） ,the control group was 53. 8% （ 21/39）. The difference between the two groups was significant （ P 0. 005）. Conclusion The Chinese and Western medicine combined with retention enema is an effective method of treatment of ulcerative colitis.