[1]史英,张铁△,祝斌野,等.溃结2号方治疗脾虚湿盛型溃疡性结肠炎临床研究*[J].陕西中医,2019,(11):1520-1522.
 SHI Ying,ZHANG Tie,ZHU Binye,et al.Clinical observation on Kuijie No.2 recipe in treating ulcerative colitis of spleen deficiency and dampness[J].,2019,(11):1520-1522.
点击复制

溃结2号方治疗脾虚湿盛型溃疡性结肠炎临床研究*
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年11期
页码:
1520-1522
栏目:
临床研究
出版日期:
2019-11-05

文章信息/Info

Title:
Clinical observation on Kuijie No.2 recipe in treating ulcerative colitis of spleen deficiency and dampness
文章编号:
DOI:10.3969/j.issn.10007369.2019.11.009
作者:
史英1张铁2△祝斌野1孙杰1吴洁琼1相祎1刘金响1吴婷1张莹1
1.陕西中医药大学第二附属医院脾胃病科(咸阳712000);2.西安交通大学第一附属医院长安医院内四科(西安 710118)
Author(s):
SHI YingZHANG TieZHU Binyeet al.
Second Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine(Xianyang 712000)
关键词:
溃疡性结肠炎溃结2号方脾虚湿盛证中医症状结肠镜临床观察
Keywords:
Key words Ulcerative colitisKuijie No.2 recipe Spleen deficiency and dampness syndromeSymptoms of TCMMirror imagesClinical observation
分类号:
R516.1
文献标志码:
A
摘要:
摘要目的:研究观察溃结2号方治疗脾虚湿盛型溃疡性结肠炎的临床疗效。方法:采用随机数字表法将72例脾虚湿盛型溃疡性结肠炎随机分为口服溃结2号方治疗组,口服美沙拉嗪肠溶片对照组,两组均治疗4个疗程。结果:两组治愈率及总有效率无统计学差异(P>005);在治疗及改善中医主要症状方面,两组组内治疗前后主要临床症状均较治疗前好转。组间比较,治疗组优于对照组(P<005);但对于食少症状改善两者无明显区别(P>005);在治疗及改善水肿、糜烂、溃疡等体征方面,治疗组对结肠镜下的改善结果明显高于对照组(P<005)。结论:溃结2号方与美沙拉嗪治疗总有效率无明显差别,但溃结2号方更能改善患者的腹泻、腹痛、脓血便、神疲懒言、腹胀、肢体倦怠的临床症状及充血水肿、糜烂、溃疡的体征。但两者对于患者食少的改善无明显区别。
Abstract:
AbstractObjective: To study the clinical efficacy of Kuijie No.2 recipe in the treatment of spleendeficiency and splenic colitis.Methods: 72 cases of spleendeficiency and spleentype ulcerative colitis were randomly divided into oral Kuijie No.2 recipe treatment groups and oral mesalazine entericcoated tablets.The two groups were treated for 4 courses.Results: There was no significant difference in the cure rate and total effective rate between the two groups (P>005).In the treatment and improvement of the main symptoms of TCM,the main clinical symptoms before and after treatment were better than before treatment.Compared with the control group,the treatment group was superior to the control group (P<005).However,there was no significant difference between the two groups (P>005).In the treatment and improvement of signs such as edema,erosion,ulcer,etc.,the treatment group was on the colon.The improvement of mirror images were significantly higher than those in the control group (P<005).Conclusion: There is no significant difference in the total effective rate of Kuijie No.2 recipe and Mesalazine.However,Kuijie No.2 recipe can improve patient’s diarrhea,abdominal pain, and bloody stools,dizziness,bloating,and limb burnout.Clinical symptoms and signs of congestion,edema,erosion,and ulcers.However,there is no significant difference between the two in improving the patient's food intake.

参考文献/References:

[1]江学良,崔慧斐.溃疡性结肠炎[M].北京:中国医药科技出版社, 2005:120.
[2]杨红,张慧敏,金梦,等.溃疡性结肠炎诊断与鉴别诊断要点解析[J].临床荟萃, 2016, 31(8): 813816.
[3]王建红.溃疡性结肠炎诊断及治疗的临床观察[J].世界最新医学信息文摘,2015,15(76):3435.
[4]肖劲夫.柳氮磺胺吡啶配伍枯草杆菌肠球菌二联活菌治疗溃疡性结肠炎32例[J].陕西医学杂志,2014,43(5):614615.
[5]Haberman Y,Karns R,Dexheimer PJ,et al.Ulcerative colitis mucosal transcriptomes reveal mitochondriopathy and personalized mechanisms underlying disease severity and treatment response[J].Nat Commun,2019,10(1): 38.
[6]Poursadegh F,Ahadi M,Vosoughinia H,et al.A strobe compliant observational study on trace elements in patients with ulcerative colitis and their relationship with disease activity[J].Medicine (Baltimore),2018, 97(52): 13523.
[7]江学良,崔慧斐.中国溃疡性结肠炎10218例的特点[J].世界华人消化杂志,2001,9 (8): 869873.
[8]韩捷.脾虚湿热型溃疡性结肠炎量化诊断标准的确立[J].中国中医基础医学杂志,2015,21(8):972973.
[9]杨淑娟,赵庆华,周永志,等.白头翁汤加减联合灌肠治疗溃疡性结肠炎湿热蕴结型临床研究[J].陕西中医,2018,39(3):331333.
[10]梁笑楠,尹凤荣,张晓岚.炎症性肠病诊断与治疗的共识意见溃疡性结肠炎部分解读[J].临床荟萃,2018,33(11):987990.
[11]吴开春,梁洁,冉志华,等.炎症性肠病诊断与治疗的共识意见 [J].中国实用内科杂志,2018,38(9):796813.
[12]张声生,沈洪,郑凯,等.溃疡性结肠炎中医诊疗专家共识意见[J].中华中医药杂志,2017,32(8):35853589.
[13]国家食品药品监督管理总局.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:129134.
[14]魏茂桂,刘财堂,晁丽华.溃疡性结肠炎患者不同中医证型Mayo评分、血清pANCA水平的研究[J].山东医学高等专科学校学报, 2017,39 (5): 321324.
[15]安宇,王阶,李赵陵.中药新药临床疗效评价的现状与发展[J].中华中医药杂志,2015,30(1):911.
[16]陈岚,贾波,邓怀涵,等.基于“逆流挽舟”法探索人参败毒散对溃疡性结肠炎模型大鼠胃肠功能的影响及作用机制[J].陕西中医,2019,40(3):283286.

相似文献/References:

[1]陈 岚,贾 波△,邓怀涵,等.基于“逆流挽舟”法探索人参败毒散对溃疡性结肠炎模型大鼠〖JZ〗胃肠功能的影响及作用机制*[J].陕西中医,2019,(3):283.
[2]陈立冬,刘智慧,于 蕊.康复新液灌肠联合美沙拉嗪治疗溃疡性结肠炎疗效研究*[J].陕西中医,2019,(9):1187.
[3]乔峰,强文娟,高东,等.葛根芩连汤配合针刺治疗溃疡性结肠炎活动期大肠湿热证临床研究*[J].陕西中医,2019,(11):1516.
 QIAO Feng,QIANG Wenjuan,GAO Dong,et al.Gegen Qinlian decoction combined with acupuncture for ulcerative colitis with large intestine dampheat syndrome at active stage[J].,2019,(11):1516.
[4]赵克学,徐 辰,戴高中,等.愈疡膏外敷联合西药治疗复发型活动期溃疡性结肠炎临床研究*[J].陕西中医,2020,(5):600.[doi:DOI:10.3969/j.issn.10007369.2020.05.013]
 ZHAO Kexue,XU Chen,DAI Gaozhong,et al.Observation on the efficacy of Yuyang plaster combined with western medicine in the treatment of recurrent active ulcerative colitis[J].,2020,(11):600.[doi:DOI:10.3969/j.issn.10007369.2020.05.013]
[5]白鹏飞,张艳君,李 敏.荆芥连翘汤加减从肺论治溃疡性结肠炎疗效及对患者肠黏膜屏障功能、免疫调节、氧化应激指标的影响*[J].陕西中医,2020,(7):897.[doi:DOI:10.3969/j.issn.10007369.2020.07.017]
 BAI Pengfei,ZHANG Yanjun,LI Min..Effect of treating ulcerative colitis with nepeta forsythia decoction and its influence on intestinal barrier function,immune regulation and oxidative stress[J].,2020,(11):897.[doi:DOI:10.3969/j.issn.10007369.2020.07.017]
[6]郭 琳,王雅婷,考延磊,等.闫雪洁运用寒热并用法治疗溃疡性结肠炎经验*[J].陕西中医,2020,(8):1148.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.036]
 GUO Lin,WANG Yating,KAO Yanlei,et al.Clinical experience of YAN Xuejie in treating ulcerative colitis with the theory of combination of cold and heat[J].,2020,(11):1148.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.036]
[7]梁 想,王梅青△.参苓白术散联合美沙拉嗪治疗溃疡性结肠炎疗效研究[J].陕西中医,2020,(9):1251.[doi:DOI:10.3969/j.issn.1000-7369.2020.09.021]
[8]袁子云,杜晓泉△.杜晓泉运用健脾调肠汤治疗溃疡性结肠炎脾虚湿热证经验总结*[J].陕西中医,2020,(12):1800.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.032]
[9]邹林焘,邹正华,杜学芳.清肠解毒汤治疗溃疡性结肠炎湿热内蕴证临床研究[J].陕西中医,2021,(5):597.[doi:DOI:10.3969/j.issn.1000-7369.2020.05.013]
 ZOU Lintao,ZOU Zhenghua,DU Xuefang.Qingchang Jiedu decoction in the treatment of ulcerative colitis with internal accumulation of damp-heat[J].,2021,(11):597.[doi:DOI:10.3969/j.issn.1000-7369.2020.05.013]
[10]张 波,惠永峰,李海玲,等.益脾祛湿理肠汤治疗溃疡性结肠炎疗效及对患者肠黏膜屏障功能的影响[J].陕西中医,2021,(8):1024.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.009]
 ZHANG Bo,HUI Yongfeng,LI Hailing,et al.Yipi Qushi Lichang decoction on ulcerative colitis and its influence on intestinal mucosal barrier function[J].,2021,(11):1024.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.009]

备注/Memo

备注/Memo:
*陕西省中医药管理局科研项目(JCPT047)
更新日期/Last Update: 2019-11-15