中西医结合治疗急性胰腺炎90例临床观察

目的 研究中西医结合治疗急性胰腺炎的临床疗效.方法 将90例急性胰腺炎患者按随机数字表法分为治疗组和对照组各45例,对照组采用予禁食,持续胃肠减压、营养支持,补液、纠正水、电解质紊乱、酸碱平衡失调,抑制胃酸分泌,抑制胰酶分泌等常规治疗,治疗组在对照组治疗基础上加用疏肝解郁、清热泻火、通里攻下中药内服.结果 治疗组45例患者痊愈19例,好转22例,无效4例,总有效率91.3%,对照组45例痊愈13例,好转25例,无效7例,总有效率84.6%,两组比较有显著性差异(P<0.05),两组主要观察指标恢复时间比较显示,治疗组腹痛、腹胀和上腹部压痛等症状的恢复时间明显少与对照组,二者差异有显著性(P<0.05),而发热、尿淀粉酶和白细胞指标则无显著性差异(P<0.05).结论 在西医常规治疗基础上加用中药治疗,充分发挥中西医结合治疗急性胰腺炎的优势,可提高临床疗效、缩短疗程,减少并发症,减少西药的副作用,值得进一步的推广.     

Obstinate cases of stromal keratitis treated by combined traditional Chinese and Western medicine.

Twenty-two cases 23 eyes with obstinate stromal keratitis treated by combination of traditional Chinese and Western medicines are reported in this paper. According to clinical manifestations, they are consistent with the clinical diagnosis of stromal herpes simplex keratitis. Since no specific Western medicine is known to be effective in treating this disorder, it is proposed to apply systemic and topical TCM and, if necessary, add beta-ray irradiation to shorten the clinical course of disease, decrease or prevent recurrence and maintain useful visual acuity, avoiding frequent relapses leading to blindness.     

中西药治疗冻疮

目的：对冻疮的中西药治疗方法作一综述。方法：冻疮的中西药的一些治疗方法加以分析、整理。结果：展现中西药治疗冻疮的最近成果。结论：选择近几年中西药治疗冻疮有效方法，来治疗这种常见皮肤病。     

SARS的中西医结合诊治

SARS的临床诊断，目前采用卫生部公布的修订标准，其难点是缺乏成熟、临床实用的客观方法。西医治疗包括抗病毒疗法、肾上腺糖皮质激素治疗、抗生素的使用、给氧治疗、恢复期SARS患者血清治疗等方法。中医认为本病属热病范畴，治疗主要采用分期、分证基础上辨证施治。如何发挥中西医结合治疗SARS的优势，是我们面临的课题。要加强中药抗病毒作用、对症治疗、免疫调节、抗肺纤维化、对抗激素副作用等方面的研究，同时针对目前中医研究中存在的问题进行改进。     

中西医结合治疗重型再生障碍性贫血26例

目的：观察多种药物联合治疗重型再生障碍性贫血的疗效及中西医结合治疗重型再生障碍性贫血的效果。方法：联合应用抗淋巴细胞球蛋白和环孢素及中药治疗重型再生障碍性贫血,从患者临床表现及血常规、骨髓象变化观察治疗效果。结果：治疗总有效率达89%,显著高于单用环孢素或抗淋巴细胞球蛋白治疗,且取得临床缓解的时间明显缩短。结论：中西医结合方法治疗再生障碍性贫血有较好的疗效。     

中西医结合治疗胆道蛔虫症67例报告

目的:探讨中西医结合在治疗胆道蛔虫疾病中的作用.方法:67例胆道蛔虫症患者进行辨证施治,并给予解痉止痛、利胆驱虫、抗感染等手段处理.结果:本组67例患者全部治愈,住院时间2～20 d,平均5 d.结论:中西医结合治疗胆道蛔虫症驱虫彻底,复发率低,可有效地预防或减少胆管结石、胆源性胰腺炎、肝脓肿和急性胆管炎的发生.     

中西医结合治疗儿童支气管哮喘

儿童支气管哮喘（简称儿童哮喘），是多种细胞和细胞组分参与的慢性气道炎症性疾病，这种慢性炎症与导致反复发作的喘息、气促、胸闷和咳嗽（尤其是夜间或清晨）的气道高反应性有关；这些症状发作通常与肺内广泛存在但变异较大的气流阻塞有关，后者可自发或经治疗后缓解。据我国27省（市）1988年-1990年的小儿哮喘抽样调查，发病率为0．11％～0．23％，以1岁～6岁患病较多，大多在3岁内起病，青春期以前患者男女比为2：1，成年期则无性别差异。预防与治疗小儿支气管哮喘已成为儿科临床工作者关注的热点，笔者从中西医治疗方面就小儿支气管哮喘作一简要评述，希望有益于临床诊疗。     

中西医结合治疗病毒性心肌炎的临床研究

目的 :为探讨中西医结合治疗病毒性心肌炎的有效方法。方法 :采用随机分组的方法 ,观察对比中西医结合治疗组(n=5 0 )与单纯西药对照组 (n=48)的治疗效果。结果 :治疗组的显效率和总有效率分别为 80 %和 96 % ;明显高于对照组的 5 0 %和83% (P<0 .0 5 )。结论 :中西医结合治疗病毒性心肌炎的疗效明显优于单纯西药组 ,说明中西医结合治疗病毒性心肌炎是一种理想的治疗方法     

Cerebral infarction in 141 cases treated by traditional Chinese medicine and Western medicine

Acute cerebral infarction of 141 cases with treatment combining TCM and WM was reported. The significant effective rate and the effective rate were 65% and 84% in the LT group (low molecular dextran + TCM) respectively; in the LN group (low molecular dextran + Nicotinic acid) were 29% and 41% respectively; in the T group (Salvia miltiorrhiza + Astragalus + Puraria) were 40% and 81.8% respectively. Among them the therapeutic effect in the LT group was the best. The LT group was also superior to the other two groups in serious cases. Cerebral edema developed following cerebrovascular dilator in a week after cerebral infarction; in the early stage, the therapeutic effect could be improved by giving mannitol first and then cerebrovascular dilator. Heart failure could be easily induced by low molecular dextran in the cerebral infarction following rheumatic heart disease. The therapeutic effect was poor in those cases with recurrent cerebral infarction.     

69例消化道出血患者的中西医结合护理

消化道出血是临床常见疾病之一 ,其特点为 :急、重、危、病变迅速。及时有效地采取治疗、护理措施至关重要。2000年10月 -2002年12月 ,本科共收治消化道出血患者69例 ,经中西医结合治疗、护理后 ,患者病死率明显减少 ,现将护理体会报告如下。1临床资料1.1一般资料本组患者69例 ,男42例 ,女27例 ,年龄22～86岁 ,平均年龄54岁。胃、十二指肠出血32例 ,门静脉高压症出血20例 ,胆道疾患引起的出血17例。1.2结果本组轻度失血28例 ,死亡0例 ;中度失血22例 ,死亡1例 ;重度失血19例 ,死亡7例 ,总死亡率11.6 % ,较单纯西医护理总残废率降低3.1 %。2护…     

Tinnitus treated with combined traditional Chinese medicine and Western medicine

Cases of annoying tinnitus were selected for this observation. They were examined by general physical examination, otoscopy and some of them by audiometry and tinnitus masking patterns test, and/or Ecoch G and BSER. Two groups, TCM-WM and controls, were designed with patient's sexes, ages, severity of tinnitus almost evenly distributed. Different kinds of medicines were given to the patients of 2 groups with single blind trial. For the controls, only western medicines such as valium, nicotinic acid, mixture bromides, vitamin B Co, ATP and carbamazepine (if 100 mg of lidocaine added to 50% glucose solution intravenously was effective) were taken orally. For TCM-WM group patients, besides the drugs used above, herbal decoctions were given twice a day, and observed for 5 days per therapeutic course. The medicinal herbs consist of: Rhizoma Gastrodiae, Ramulus Uncariae cum Uncis, Poria cocos, Flos Chrysanthemi, Akebia quinata, Radix Polygoni Multiflori, Fructus Liquidambris, Radix Rehmanniae, Rhizoma Alismatis, Radix Scrophulariae, Fructus Lycii, Radix Glycyrrhizae, Semen Plantaginis and Semen Vaccariae. Of the therapeutic results in 32 cases of TCM-WM group, 11 cases (34.4%) showed absence of tinnitus, 16 (50%) improved, and 5 (15.6%) failed. The total effective rate was 84.4%. In 27 cases of the controls, 5 cases (18.6%) showed absence of tinnitus, 10 (37%) improved, and 12 (44.4%) failed. The total effective rate was 55.6%. It showed that the therapeutic results of TCM-WM group was better than those of the controls (P less than 0.05).     

中西医结合治疗肾病综合征的临床研究

将154肾病综合征患者分为实验组和对照组.实验组78例采用中西医结合治疗,实验组76例采用单纯西药(激素、环磷酸胺)进行治疗.结果实验组完全缓解和总有效率分别为55.0%和85.0%,对照组完全缓解和总有效率分别为37%和59.0%,提示中西医结合治疗肾病综合征的疗效明显优于单纯西药治疗.