益气活血法治疗慢性缺血性肠病临床观察

Clinical Observation of Applying Yiqi Huoxue Method in the Treatment of Chronic Ischemic Bowel Disease

目的:观察益气活血法治疗慢性缺血性肠病的临床疗效。方法:将43例患者随机分成2组,均予以常规治疗,中医治疗组22例在常规治疗基础上加中药汤剂灌肠或口服,西医治疗组21例在常规治疗基础上予前列地尔,治疗2周,比较两组中医证候积分的差异。结果:治疗前两组中医证候积分无显著差异(22.00±4.58vs.20.00±4.25,P=0.146),治疗2周后,两组的证候积分较治疗前均下降,均具有显著性差异(P<0.01);但治疗后,中医治疗组的中医证候积分显著小于西医治疗组(3.82±2.34vs.5.33±2.46,P=0.045)。结论:益气活血法可有效改善慢性缺血性肠病者的症状,关于药物作用机制值得进一步研究。

Objective： To observe the method of Yiqi Huoxue Method in the treatment of chronic ischemic bowel disease. Methods： 43 patients were randomly divided into 2 groups, the group treated with the traditional Chinese medicine was 22 cases that received medicinal with herbal treatment either enema or oral besides the routine treatments; and the other 21 patients were given alprostadil besides the routine treatments, both of these two groups were treated for 2 weeks. To compare the difference of TCM syndrome scores between the two groups. Results ： The symptom scores of the two groups were no significant difference be- fore treatment （22.00±4.58 vs 20.00±4. 25, P = 0. 146） , but 2 weeks after treatment, both of the two groups＇ symptom scores were decreased, and had a significant difference （P 〈 0. 01 ） , what＇s more, the curative effect of the TCM group was superior to the western medicine treatment group （3.82±2. 34 vs 5.33±2.46, p = 0. 045）. Conclusion： Yiqi Huoxue Method can effective- ly improve the symptoms of chronic ischemic bowel diseases, and the mechanism of drug effection deserves further study.