祛湿清肠方内服和清热利湿灌肠方灌肠治疗慢性复发型溃疡性结肠炎临床研究
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R547.62

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Clinical Study on Oral Administration of Qushi Qingchang Prescription and Enema with Qingre Lishi Guanchang Prescription for Chronic Relapsing Ulcerative Colitis
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    摘要:

    目的:观察祛湿清肠方内服和清热利湿灌肠方灌肠治疗大肠湿热型慢性复发型溃疡性结肠炎的临床疗效。方法:将80 例大肠湿热型慢性复发型溃疡性结肠炎患者随机分为2 组各40 例,治疗组以祛湿清肠方内服和清热利湿灌肠方灌肠治疗,对照组服用美沙拉嗪肠溶片治疗。2 组均以1 个月为1 个疗程,共治疗3 个疗程。治疗前后评定中医证候评分和检测免疫球蛋白M(IgM)、免疫球蛋白A(IgA)、免疫球蛋白G(IgG) 水平。疗程结束后评价2 组的临床疗效。结果:治疗后,治疗组临床疗效总有效率高于对照组(P<0.05)。2 组中医证候积分均较治疗前降低,治疗组中医证候积分低于对照组,差异均有统计学意义(P<0.05)。对照组IgG 水平较治疗前降低(P<0.05),治疗组血清IgM、IgG 水平均较治疗前降低,亦低于对照组,差异均有统计学意义(P<0.05)。结论:采用祛湿清肠方内服联合清热利湿灌肠方灌肠治疗慢性复发型溃疡性结肠炎大肠湿热证患者疗效确切,可有效缓解患者的临床症状,调节免疫功能,提高疗效。

    Abstract:

    Abstract:Objective:To observe the clinical effect of oral administration of Qushi Qingchang prescription and enema with Qingre Lishi Guanchang prescription for chronic relapsing ulcerative colitis of large intestine dampness-heat type. Methods:A total of 80 cases of patients with chronic relapsing ulcerative colitis of large intestine dampness- heat type were randomly divided into two groups, 40 cases in each group. The treatment group was treated with oral administration of Qushi Qingchang prescription and enema with Qingre Lishi Guanchang prescription, and the control group was treated with mesalazine enteric-coated tablets. Both groups were treated for three courses,one month being a course. Before and after treatment,Chinese medicine syndrome scores were evaluated,and the levels of immunoglobulin including immunoglobulin M(IgM), immunoglobulin A(IgA), immunoglobulin G(IgG) were detected. After treatment, the clinical effect in the two groups was evaluated. Results:After treatment,the total effective rate in the treatment group was higher than that in the control group(P<0.05). The Chinese medicine syndrome scores in the two groups were decreased when compared with those before treatment,and the above score in the treatment group was lower than that in the control group,differences being significant(P<0.05). The IgG level in the control group was decreased when compared with that before treatment(P< 0.05); the levels of IgM and IgG in serum in the treatment group were decreased when compared with those before treatment,and the levels in the treatment group were lower than those in the control group,differences being significant(P< 0.05). Conclusion: The application of oral administration of Qushi Qingchang prescription and enema with Qingre Lishi Guanchang prescription has definite curative effect in treating patients with chronic relapsing ulcerative colitis of large intestine dampness- heat type, which can effectively relieve the clinical symptoms of patients, regulate the immune function and enhance the curative effect.

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汪华英.祛湿清肠方内服和清热利湿灌肠方灌肠治疗慢性复发型溃疡性结肠炎临床研究[J].新中医,2020,52(13):78-81

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  • 在线发布日期: 2020-07-10
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