首页|参苓白术散联合肠愈灌肠方治疗活动期溃疡性结肠炎疗效观察

参苓白术散联合肠愈灌肠方治疗活动期溃疡性结肠炎疗效观察

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目的:观察中药参苓白术散内服联合肠愈灌肠方保留灌肠对活动期溃疡性结肠炎的疗效.方法:选取符合标准的安徽省中医院肛肠科收治的70例活动期溃疡性结肠炎患者,随机分为观察组(35例)、对照组(35例).观察组运用参苓白术散内服配合肠愈灌肠方保留灌肠,内服中药每早晚各200mL温服;灌肠中药每晚睡前灌肠1次.对照组则选用美沙拉嗪栓1粒每晚纳肛,分别比较治疗前和治疗30天后2组的临床疗效、中医症候积分(腹泻、腹痛、脓血便、里急后重)、肠镜Baron评分以及炎症因子[C反应蛋白(CRP)、降钙素原(PCT)]水平.结果:观察组临床总有效率94.29%,远高于对照组的80%(P<0.05);2组治疗后肠镜Baron评分均低于治疗前,且观察组低于对照组(P<0.05);2组治疗后中医症候积分均低于治疗前,且观察组低于对照组(P<0.05);2组治疗后CRP、PCT水平均低于治疗前,且观察组低于对照组(P<0.05).结论:参苓白术散联合肠愈灌肠方治疗活动期溃疡性结肠炎具有确切的效果,可提高临床治疗有效率,其机制可能与抑制炎症反应、快速促进结肠黏膜恢复有关,且具有良好的安全性.
Observation of Curative Effect of ShenlingBaizhu Powder Combined with Changyu Guanchang Prescription on Active Ulcerative Colitis
Objective:To observe the efficacy of oral administration of Chinese medicine Shenling Baizhu Powder combined with Changyu Enema Recipe retention enema on active ulcerative colitis.Methods:70 patients with active ulcerative colitis admitted to the Anorectal Department of Anhui Provincial Hospital of Traditional Chinese Medicine who met the standards were selected and randomly divided into an observation group(35 cases)and a control group(35 cases).The observation group uses Shenling Atractylodes Powder orally combined with Changyu Enema Recipe to retain the enema,and takes 200ml of Chinese medicine warmly every morning and evening;the Chinese medicine for enema is administered once every night before going to bed.In the control group,one mesalazine suppository was taken into the anus every night.The clinical efficacy,TCM symptom scores(diarrhea,abdominal pain,purulent and bloody stools,tenesmus),colonoscopy Baron score and inflammatory factors were compared between the two groups before treatment and after 30 days of treatment.[C-reactive protein(CRP),procalcitonin(PCT)]levels.Results:The total clinical effec-tive rate of the observation group was 94.29%,which was much higher than the 80%of the control group(P<0.05);the Baron scores of colonoscopy in both groups after treatment were lower than before treatment,and the observation group was lower than that of the control group(P<0.05));the TCM symptom scores of both groups after treatment were lower than before treatment,and the observation group was lower than that of the control group(P<0.05);the CRP and PCT levels of the two groups after treatment were both lower than before treatment,and the observation group was lower than that of the control group(P<0.05).Conclusion:Shenling Baizhu Powder combined with Changyu Enema Recipe has a definite effect in the treatment of active ulcerative colitis and can improve the clinical treatment efficiency.The mecha-nism may be related to inhibiting the inflammatory response and quickly promoting the recovery of colon mucosa,and it has good safety sex.

Shenling Baizhu PowderChangyu enema recipeMesalazine suppositoryUlcerative colitisEfficacy observation

陈红、王树杰、李惠珠、李明

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安徽中医药大学 安徽合肥 230038

安徽中医药大学第一附属医院肛肠科(安徽省中医院肛肠科) 安徽合肥 230038

参苓白术散 肠愈灌肠方 美沙拉嗪栓 溃疡性结肠炎 疗效观察

安徽省青年领军人才项目

2020qnqhxz20220011

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(6)