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康复新液联合云南白药及西药灌肠治疗直肠型溃疡性结肠炎144例临床疗效观察
作者:刁凌云  
单位:徐州市中医院
关键词:康复新液  云南白药  保留灌肠  直肠型溃疡性结肠炎  
分类号:
出版年·卷·期(页码):2013·41·第十一期(841-844)
摘要:

目的 观察康复新液联合云南白药及西药灌肠治疗直肠型溃疡性结肠炎疗效。方法 144例直肠型溃疡性结肠炎患者随机分为西药治疗组、中药治疗组及联合用药组。西药治疗组48例,给予地塞米松5mg,庆大霉素16万U加生理盐水100毫升每晚一次保留灌肠;中药治疗组给予康复新液100毫升加云南白药胶囊2粒每晚一次保留灌肠;联合用药组予地塞米松5mg,庆大霉素16万U,云南白药胶囊2粒加康复新液100毫升每晚一次保留灌肠,连续观察4周,比较三组的治疗效果。结果 中药治疗组总有效率、电子结肠镜征象改变有效率、IL-8、CRP降低水平与西药治疗组相比无显著差异(P>0.05),而联合用药组临床症状总有效率、电子结肠镜征象改变有效率、IL-8、CRP降低水平均高于西药及中药单独用药组(P<0.05)。结论 康复新液联合云南白药及西药灌肠治疗直肠型溃疡性结肠炎疗效优于单纯西药及中药治疗。

[Abstract]  Objective  To observe the clinical efficacy of kangfuxin solution combined with Yunnan Baiyao and West medicine in 144 patients with distal ulcerative colitis. Methods  One hundred and forty-four patients with ulcerative colitis were randomly divided into three groups. 48 cases in The West group that was given dexamethasone 5mggentamycin 160 thousand Unormal sodium 100ml daily by etention enema for 4 weeks48 cases in The TCM group that was given kangfuxin solution 100ml and Yunnan Baiyao 2 # daily by etention enema for 4 weeksAnd 48 cases in The TCM that patients in combination group was given dexamethasone 5mggentamycin 160 thousand Ukangfuxin solution 100ml and Yunnan Baiyao 2 # daily by etention enema for 4 weeksthe therapeutic effectsThe gastroscopy   examination and the serum levels of IL-8 and CRP were compared. Results The total effective rate of clinical symptom and gastroscopy   examination The serum levels of IL-8 and CRP in the TCM group was  not significantly difference than that in The West medicine group (P0.05)and the combination group, the total efficiency of clinical symptoms, signs of change have electronic colonoscopy efficiency, IL-8, decreased CRP levels were higher than those in western medicine and traditional Chinese medicine alone group (P<0.05). Conclusion the clinical efficacy of kangfuxin solution combined with Yunnan Baiyao and West medicine in patients with ulcerative colitis was better than that in the West medicine group and TCM group. 


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