配合中药灌肠治疗溃疡性结肠炎的临床观察

目的探讨西医内科基础治疗辅以活血化淤中药灌肠治疗溃疡性结肠炎(UC)的临床疗效。方法选择2005年5月至2007年12月我院门诊和住院溃疡性结肠炎患者39例,随机分为治疗组20例、对照组19例,两组在西医内科基础治疗的情况下,治疗组加用中药灌肠,2个疗程(60d),观察两组患者的临床疗效。结果治疗组:临床痊愈18例(90%),有效2例(10%),无效0例,总有效率100%,显效时间为1～8d,平均(4.5±3.5)d。对照组:临床痊愈13例(68%),有效4例(21%),无效2例(11%),总有效率89%,显效时间为1～21d,平均(11±10)d,两组疗效比较有统计学意义(P<0.05),治疗组疗效好于对照组。结论在对溃疡性结肠炎治疗中加用中药灌肠是可以推荐的。

The Clinical Observation to Enema with Chinese Medicine Treatment of Ulcerative Colitis

Objective To explore clinical efficient of western medical treatment assisted by Chinese medicine enema for ulcerative colitis（UC）. Methods From May 200.5 to December 2007 out-patlent and hospitalizatinn patients with ulcerative colitis in our hospital were selected,39 cases were randomly divided into treatment group（ 20 cases）and control group（ 19 cases ）, both groups have basic medical treatment of western medicine, the treatment group enema with Chinese medicine,treated 60 days. Results In the treatment group：18 cases of clinical recovery（90% ） ,effective two cases（ 10% ） ,invalid 0 cases,with a total effective rate was 100% ,effective time of 1 - 8 d,the average（ 4.5 ± 3.5 ）d. Control group： 13 cases of clinical recovery （68%） , effective in 4 cases（21% ） ,2 cases（11% ） ,the total effective rate 89% ,effective time 1 - 21 d average（ 11 ± 10）d. Treatment group had better efficacy than the control group（ P 〈 0.05 ）. Conclusions Treatment of ulcerative colitis with traditional Chinese medicine add enema is recommended.