辨证治疗慢性非特异性直结肠炎合并慢性胃炎276例

chronic nonspecific rectitis combined with chronic gastritis 276 Cases of Treated based on differentiation

临证发现部分慢性非特异性直结肠炎患者 ,常常并患慢性胃炎。共诊治该类患者 2 76例 ,分为肝脾不调、脾胃湿热、脾虚湿盛、脾胃虚寒、脾肾阳虚、寒热错杂、气滞血瘀 7型 ,内服中药配合中药保留灌肠取得较好效果。治愈 10 9例 (39 4 9% ) ,显效 114例 (4 1 31% ) ,总有效率 80 80 %。

Some patients of chronic nonspecific rectitis also suffered from chronic gastritis in clinic. 276 cases are divided into 7 types: incoordination between the liver and the spleen, damp-heat in the spleen and the stomach, insufficiency of the spleen with ooverabundance of dampness, weakness of the spleen and the stomach, insufficiency of the spleen-yang, simultaneous occurrence of cold and heat syndromes and stagnancy of Qi and blood stasis. Good result were gained after treated with oral Traditional Chinese Medicine combined with retention-enema. 109 cases or 39.49% were cured. 114(41.31%) were significant, total effective rate was 80.80%. Key word: Diagnosis and treatment based on differentiation of symptoms and signs chronic nonspecific rectitis chronic gastritis 10% to 15% were selected by clustering sampling and the Villages were divided into two groups randomly. Inquiring and physical examination methods (IPE) were carried out in six villages which the population (6～60 years old) were screeened once a year. Indirect hemagglutination assay (IHA) method were applied to another six villages which the half of population in this group were screened once a year. [Results] The chemotherapy coverage rates for two years were 47.5%, 39.2% and 22.7%,22.4% in IPE group and IHA group respectively. The stool positive rates were reduced from 12.5% and 11.2% in 1997 to 5.8% and 5.9% in 1999 in IPE group and IHA group respectively. [Conclusion] Under the situation of similar effectiveness in two groups, the IHA test maybe applied to the detection of chemotherapy targets in moderately endemic areas of Schistosomiasis which the cost of IHA group was about half of that of the IPE group.