清胃止痛微丸治疗十二指肠溃疡火郁证的临床研究

目的：研究清胃止痛微丸治疗十二指肠溃疡（火郁证）的临床疗效和安全性，方法：160例入选患者，采用随机分组，双盲双模拟对照（治疗组：清胃止痛微丸，对照组：四方胃片）的方法，其中治疗组60例，对照组60例，开放治疗组40例。结果：清胃止痛微丸治疗组胃镜疗效；愈显率为48．33％，总有效率为76．67％，中医证候愈显率为73．33％，总有效率为88．33％，组间比较，有显著性差异（P＜0．05），胃痛平均起效时间为4．25d，明显优于对照组（平均7．75d)，清胃止痛微丸有较好的抑制幽门螺旋杆菌的作用（P＜0．01），结论：清胃止痛微丸治疗十二指肠溃疡（火郁证）疗效确切，未发现毒副作用。     

中西医结合治疗婴幼儿腹泻64例疗效观察

目的：观察中西医结合方法治疗婴幼儿腹泻的临床疗效。方法：将116例患儿随机分为2组。对照组52例采用西医常规方法治疗，并予思密达散剂口服；治疗组64例采用中西医结合方法，在对照组治疗基础上加用中药（处方：吴茱萸、丁香、干姜、鸡内金）研末外敷脐部。治疗3～5天后观察临床疗效。结果：显效率、总有效率治疗组分别为71．88％、96．88％，对照组分别为46．15％、80．77％，2组比较，差异均有显著性意义（P〈0．05）。大便镜检恢复正常时间治疗组为1～5天，平均2．0天；对照组为2～5天，平均2．6天。平均止泻时间治疗组为2．1天，对照组为2．7天。结论：中西医结合治疗婴幼儿腹泻方法简便易行，疗效显著。     

中西医结合治疗消化性溃疡并出血40例临床观察

目的：观察中西医结合治疗消化性溃疡并出血的临床效果。方法：将门诊80例消化性溃疡并出血患者随机分成2组各40例。对照组给予泮托拉唑治疗,治疗组在对照组治疗基础上加服自拟三黄清热愈疡汤,4周为1疗程,治疗2疗程。观察止血效果、溃疡愈合情况等。结果：平均止血时间治疗组为（2．32±1．23）天,对照组为（3．23±1．32）天,2组比较,差异有显著性意义（P〈0．05）。治疗7天后止血疗效总有效率对照组为70．0％,治疗组为90．o％,2组比较,差异有显著性意义（P〈0．05）。治疗4周后2组溃疡愈合疗效总有效率对照组为80．0％,治疗组为95．o％,2组比较,差异有显著性意义（P〈0．05）。结论：中西医结合治疗消化性溃疡并出血具有实用、高效、安全的特点。     

中西医结合治疗小儿厌食症120例

目的：观察中西医结合治疗小儿厌食症的疗效。方法：选择符合小儿厌食诊断标准的患儿随机分为两组，中西医结合治疗组120例，纯西药治疗组（对照组）120例，治疗组口服小儿厌食舍剂为主配以葡萄糖酸锌口服，对照组采用纯西药口服。结果：治疗组总有效率95．83％，对照组总有效率78．33％（P〈0．05）；平均疗程：中西医结合治疗组21天，对照组32天（P〈0．05）。结论：中西医结合治疗小儿厌食具有显著优越性。     

中西医结合治疗腹部术后早期炎性肠梗阻36例疗效观察

目的：观察中西医结合治疗腹部术后早期炎性肠梗阻的疗效。方法：将63例腹部术后早期炎性肠梗阻患者随机分为2组。对照组27例单纯应用西医外科常规保守疗法；治疗组36例在对照组治疗基础上加用中药汤剂（处方：生大黄、芒硝、厚朴、枳实、丹参、赤芍、桃仁、瓜蒌子、黄芩、金银花）。结果：治疗组治愈35例，治愈率为97．2％，平均治愈时间为10．6天；对照组治愈22例，治愈率为81．5％，平均治愈时间为21．3天。2组治愈率比较，差异有显著性意义（P〈0．05）。结论：中西医结合治疗腹部术后早期炎性肠梗阻疗效显著，并可有效缩短治愈时间。     

小儿健脾养胃冲剂治疗小儿消化性溃疡临床研究

目的：观察小儿健脾养胃冲剂抗溃疡、止痛、增进食欲的疗效。方法：随机将小儿消化性溃疡305例分为两组．治疗组采用小儿健脾养胃冲剂，对照组采用西药抗渍疡。结果：①溃疡愈合率：治疗组有效率为76．43％，对照组为63．51％，两组有非常显著差异（P值〈0．025）。②止痛：治疗组在1周内止痛有效率为81．5％，对照组为70．95％，两组有显著差异（P值〈0．05）。③增加食欲：治疗组1周内有效率为80．25％，对照组为75．68％，比对照组更有效，两组之间有非常显著差异（P值〈0．025）。结论：小儿健脾养胃冲剂有良好抗溃疡作用，并有止痛快、增进食欲的特点，优于西药治疗。     

中西医结合抗早孕的临床观察

目的观察中西医结合抗早孕的临床疗效。方法治疗组147例,对照组95例,均予序贯口服米非司酮与米索前列醇抗早孕,治疗组再加服中药逐瘀缩宫汤。结果治疗组完全流产率93．88％,完全流产者阴道出血时间平均7．21天,均与对照组（78．95％,17．62天）有显著性差异。结论中西医结合抗早孕能缩短阴道出血时间。     

中西医结合治疗粘连性肠梗阻40例疗效观察

目的：观察中西医结合治疗粘连性肠梗阻的临床疗效。方法：将80例粘连性肠梗阻患者随机分为2组，治疗组40例采用西药治疗，同时加用复方大承气汤；对照组40例单用西药治疗。结果：治疗组总有效率为92．5％，对照组为72．5％，两组比较差异有显著性意义（P〈0．05）。治疗组平均疗程为（5．0±2．5）天，对照组平均疗程为（7．5±2．9）天，两组比较，差异有显著，陛意义（P〈0．05）。结论：中西医结合治疗粘连性肠梗阻有较好的临床疗效。     

中西医结合治疗急性胃溃疡临床观察

目的观察中西医结合疗法治疗急性胃溃疡对患者预后的影响作用。方法按照简单随机法将112例急性胃溃疡患者随机分为观察组和对照组各56例。对照组采用常规治疗方法进行治疗,观察组采用中西医结合疗法进行治疗。比较两组患者胃痛消失时间、用药时间、药物不良反应发生率以及治疗后6个月临床复发率。结果观察组治疗7d内胃痛发作频率和持续时间均有效降低,患者胃痛消失时间、用药时间缩短,均优于对照组（均P〈0．05）。观察组不良反应发生率为7．14％,6个月复发率为8．93％,分别明显低于对照组的12．50％、21．43％（P〈0．05）。结论中西医结合疗法可有效发挥两种治疗方法的优势,迅速控制症状,促进溃疡愈合,减低临床复发。     

中西医结合治疗术后早期炎性肠梗阻疗效观察

目的：观察中西医结合治疗术后早期炎性肠梗阻的疗效。方法：将63例患者随机分为两组。治疗组36例，采用中医辨证，中药加传统一般西医外科保守疗法；对照组27例，单纯应用传统西医一般外科保守疗法。结果：治疗组平均治愈时间为10．6天，治愈率为97．2％；对照组平均治愈时间为21．3天，治愈率为81．5％。两组比较有显著性差异（P＜0．05）。结论：中西医结合治疗术后早期炎性肠梗阻比单纯西医保守治疗有明显优点，可明显提高治愈率，缩短治愈时间，降低病人住院费用。     

体外反搏加中西药治疗突发性耳聋32例

用体外反搏加中西药治疗突发性耳聋３２例，并与中西药和单纯西药治疗作比较，其平均治疗天数分别为１３，１９和２１天；有效率分别为７５％，５６．６％和５３．３％；３年复发率分别为１６．７％，２９．４％和３７．５％。前者较后二者治疗时间短，有效率高，复发率低，有统计学意义（Ｐ〈０．０５）。说明体外反搏加中西药治疗突发性耳聋较单独应用中西药或西药具有显著的优越性。     

糖肾Ⅱ号胶囊合并西药治疗非胰岛素依赖型糖尿病伴微白蛋白尿的临床观察

目的：中西医结合从阏论治糖尿病性心脏植物神经病变。方法：共收治明确诊断为糖尿病性心脏植物神经病变的患者６０例，近随机原则分为２组各３０例；治疗组在采用西医药有效控制知糖水平的基础上，加用具有益气养阴、活血化阏散结功效的糖心神中药方治疗；对照组则采用单纯西医药治疗，两组均治疗３上月。结果：治疗组有效率７３．３％，对照组有效率３３．３％，经ｘ＾２检验，Ｐ〈０．００５。结论：对于糖尿病性心脏植物神经病变     

Treatment of 100 children with infantile nephrotic syndrome by integrated traditional Chinese medicine and Western medicine]

For ten years (1979-1989), 150 cases of infantile nephrotic syndrome were treated by integrated TCM and Western medicine (WM). The WM group (50 cases) was treated by conventional WM drugs (prednisone, CLB, etc) and the TCM-WM group (100 cases) was treated by the above-mentioned WM plus treatment according to Syndrome Differentiation with decoction of Chinese medicinal herbs. Wulin San, Zhenwu Tang and Zhibai Dihuang Tang were selected in treating Spleen-Qi Deficiency distressed by Dampness, both Spleen-Kidney Yang Deficiency and both Liver-Kidney Yin Deficiency Syndrome respectively. The total effective rate was 100%, and the efficacy of TCM-WM group was higher than that of WM group (P < 0.005). The efficacy of TCM-WM treatment of nephritic nephropathy was far better than that of simple nephropathy (P < 0.05). Also the efficacy of TCM-WM was superior in raising plasma albumin and reducing blood cholesterol than that of WM (P < 0.001). The cellular immunity function and plasma cortisol of TCM-WM group were significantly improved than that of WM, P < 0.01 and 0.001 respectively. The result showed that the curative effect of the TCM-WM group in treating nephrotic syndrome was much better than that of WM alone.     

517例肝硬化西医和中西医结合治疗的疗效对比

本文统计了甘肃省12家医院用西医及中西医结合方法治疗肝硬化517例。在降低无腹水组的 SGPT 值、升高有腹水组血清总蛋白和白蛋白、纠正肝性脑病方面,中西医结合治疗组明显优于西医治疗组(P<0.01);有腹水者的治愈好转率达82.7%,亦较西医组的66.1%为高(P<0.01);病死率远低于西医组(P<0.01),提示中西医结合治疗肝硬化的效果较单纯西医治疗优越。     

中西医结合治疗成人常复发性原发性肾病综合征疗效观察

采用中西医结合方法治疗成人常复发性原发性肾病综合征（ＰＮＳ），并与西医治疗该病对照观察。西医治疗组（对照组）３２例，中西医结合治疗组（中西组）３０例。结果对照组缓解后６个月，１２个月和４７个月时复发率分别为１１．８％，２３．５％和３５．３％，平均缓解其为１２．４±３．２个月；中西组复发率分别为０，３．３％和１３．３％，平均缓解期为３５．９±３．７个月。中西组各期复发率显著低于对照组（Ｐ＜０．０１）     

慢性肾小球肾炎病理分型与中医治疗分析

189例慢性肾炎均经肾穿刺活检作病理组织分型。西药对照组77例总有效率55.8%,中西医结合组50例总有效率86%,单纯中药组62例总有效率67.3%。中医及中西医结合组共112例,其中具有湿热证候占全部病例67%,因此清热利湿是慢性肾炎的重要治则之一。中西医结合对系膜增生性肾炎及膜型肾病疗效优于对照组。IgA肾病、膜增生型及局灶硬化性肾炎,西医治疗较为棘手,运用益气健脾、清热利湿、活血化瘀等中药治疗可获得一定疗效。     

Analysis of the treatment with traditional Chinese medicine in chronic glomerulonephritis based on histopathologic type]

The histopathologic type of 189 cases of chronic glomerulonephritis (GN) were confirmed by renal biopsies, they were subdivided into 3 groups. 77 patients of Western medicine (WM) group was treated by conventional WM (prednison or CTX), and after treatment the total effective rate was 55.8%. The TCM-WM group was treated by the same WM plus treatment according to Syndrome Differentiation with Chinese medicinal herbs, and the total effective rate was 86% in 50 patients. The TCM group was treated by Chinese medicinal herbs, and the total effective rate was 67.3% in 62 cases. There was very significant difference (P < 0.01) between the WM and the TCM-WM group. Among the patients of TCM-WM and TCM groups, 67% of 112 cases were manifested as Dampness-Heat Syndrome, so it suggested that one of the important method for GN treatment is clearing away Dampness-Heat. The effects of TCM-WM group is much better than the WM group in treating mesangio-proliferative GN and membranous GN. It was difficult for WM in treating IgA nephropathy, membrano-proliferative GN and focal glomerulosclerosis, but Chinese medicinal herbs were effective with replenishing Qi and strengthening the Spleen, clearing away Dampness-Heat, promoting blood circulation and relieving Stasis, etc.     

Treatment of IgA nephropathy by integrated traditional and Western medicine]

45 cases of IgA nephropathy were confirmed by renal biopsy and were divided into 2 groups, the integrated traditional and western medicine (TCM-WM) therapeutic group and the western medicine (WM) therapeutic group. The WM group was treated by conventional western medicine (persantin, vitamin B co.), and the TCM-WM group was treated by the same western medicine plus differential symptomatic treatment with decoction of Chinese crude herbs. In this paper, most patients (30 cases) were present as deficiency of Yin of the Liver and Kidney type, and were treated by Qiju Dihuang pill plus Erzhi pill. All types in TCM-WM group were also used herbs of promoting blood circulation and remove blood stasis in almost every case. After 6 months of such treatment, the total effective rate of TCM-WM group and the WM group were 86.4% and 13.0% respectively. There was very significant difference (P less than 0.01) between them. The results showed that the curative effect of the TCM-WM group was much superior than WM alone for the treatment of IgA nephropathy.     

中西医结会治疗成人原发性肾病综合征134例观察

本文探讨了中西医结合治疗成人原发性肾病综合征(PNS)的方法及效果,西医治疗组66例,主要用激素治疗;中西医结合组68例,用中药配合激素治疗。结果表明:用中药配合激素治疗,无论在增加疗效和减少不良反应上,均有相得益彰之效。中西组的有效率达85.3%,而西医组仅56.1%。中西组用激素的不良反应发生率为14.8%,而西医组为48.4%。     

中西医结合治疗狼疮性肾炎74例疗效观察

本研究探讨了中西医结合治疗狼疮性肾炎，结果表明，中西医结合组有效率达９５．９％，复发率仅４．１％，副作用发生率仅为３７．９％；而对照组有效率为８０．３％，复发率为２１．２％，副作用发生率达７７．３％，由此可见，中西医结合组在提高疗效，减少复发和减少副作用方面，均显著优于西医组。