首页|化湿运脾汤联合美沙拉秦治疗脾虚湿蕴型溃疡性结肠炎临床观察

化湿运脾汤联合美沙拉秦治疗脾虚湿蕴型溃疡性结肠炎临床观察

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目的:观察化湿运脾汤联合美沙拉秦治疗脾虚湿蕴型溃疡性结肠炎的临床疗效。方法:选取70例脾虚湿蕴型溃疡性结肠炎患者,采用随机字母表法将其分为两组各35例。对照组予美沙拉秦肠溶片口服,治疗组在对照组基础上予化湿运脾汤治疗,疗程为2个月。对两组治疗前后的中医证候评分(腹痛、腹泻、里急后重、便血)、C-反应蛋白水平及中医临床疗效变化进行比较。结果:治疗组的显效率96。87%明显高于对照组的84。84%(P<0。05)。两组临床症状积分(腹痛、腹泻、里急后重、便血)及C-反应蛋白水平均下降(P<0。05),且治疗组优于对照组(P<0。05)。结论:化湿运脾汤联合美沙拉秦治疗脾虚湿蕴型溃疡性结肠炎疗效良好,对腹痛、腹泻、里急后重、便血的症状有明显的缓解作用,能有效降低炎性指标C-反应蛋白水平。
Efficacy observation of Huashi Yunpi decoction and mesalazine on ulcerative colitis with syndrome of spleen deficiency and dampness stagnancy
Objective:To observe the clinical efficacy of Huashi Yunpi decoction and mesalazine on ulcerative colitis with syndrome of spleen deficiency and dampness stagnancy.Methods:70 cases of patients with ulcerative colitis with syndrome of spleen deficiency and dampness stagnancy were selected and randomly divided into two groups,35 cases in each group.The control group was treated with oral mesalazine enteric-coated tablets,while the treatment group was treated plus with Huashi Yunpi decoction on the basis of control group.The course of treatment was 2 months.The changes of TCM syndrome scores(abdominal pain,diarrhea,tenesmus,bloody stool),C-reactive protein level and TCM clinical efficacy were compared between two groups before and after treatment.Results:The total effective rate of treatment group was 96.87%,which was significantly higher than 84.84%of control group(P<0.05).The scores of clinical symptoms(abdominal pain,diarrhea,tenesmus,bloody stool)and the level of C-reactive protein were decreased in both groups(P<0.05),and the treatment group was better than control group(P<0.05).Conclusion:The clinical efficacy of Huashi Yunpi decoction and mesalazine on ulcerative colitis with syndrome of spleen deficiency and dampness stagnancy is better,which can obviously alleviate the symptoms of abdominal pain,diarrhea,tenesmus and bloody stool,and effectively reduce the level of C-reactive protein of inflammatory indexes.

ulcerative colitisspleen deficiency and dampness stagnancyHuashi Yunpi decoctionmesalazineintegrated therapy of traditional Chinese and western medicine

田永森、李文、高斐、于庆生

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安徽中医药大学附属太和县中医院(太和236600)

安徽中医药大学第一附属医院

溃疡性结肠炎 脾虚湿蕴 化湿运脾汤 美沙拉秦 中西医结合疗法

2024

山西中医
山西省中医药学会 山西中医药研究院

山西中医

影响因子:0.59
ISSN:1000-7156
年,卷(期):2024.40(3)
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