升阳益胃汤加减治疗食管贲门癌术后腹泻的临床对比分析

Treatment of postoperative diarrhea in patients with esophageal and cardiac cancer with modified Shengyang Yiwei Decoction

目的:评价升阳益胃汤加减水煎服与西药对照治疗食管贲门癌术后出现腹泻的治疗作用,观察该药的毒副作用和不良反应,对其安全性作出评价。方法:88例食管贲门癌术后腹泻患者随机分成2组。治疗组44例用升阳益胃汤,对照组44例采用传统止泻西药思密达(蒙脱石散)、多酶片疗程均为4周。治疗效果以包宗昭"临床诊断及疗效判断的四级加权评分法介绍"进行综合分析评价。结果:治疗组的痊愈率及总有效率均优于对照组,差异有统计学意义(P<0.05)。结论:升阳益胃汤加减水煎服治疗食道癌术后腹泻可以明显减轻腹泻症状,且能改善病人腹泻的伴随症状,不易复发,无西药长期服用所带来的毒副作用,安全有效。

Objective：To observe the effect of Shengyang Yiwei Decoction jiajian on diarrhea after esophageal and cardiac surgery. Methods： 88 patients with diarrhea after esophageal and cardiac surgery were randomly divided into treatment group, treated with Shengyang Yiwei Decoction, and control group,with traditional medicine. The course was 4 weeks.The therapeutic eftect was evaluated according to ＂4 level weighted scoring method＂. Results： Recovery rate and total effective rate of the treatment group were better than that of the control group, and the difference was statistically significant （P〈0.05）. Conclusion： Shengyang Yiwei Decoction can significantly reduce diarrhea symptoms. The curative effect is better than the traditional mediceine, without side effects and safe.