中医药治疗溃疡性结肠炎60例临床分析

作者	单位
宋桂琴	沈阳中国医科大学附属一院中医教研室
徐振兴	沈阳中国医科大学附属一院中医教研室
李佩玉	沈阳中国医科大学附属一院中医教研室
王庆显	沈阳中国医科大学附属一院中医教研室
赫甡	中国医科大学免疫研究室
马德元	沈阳中国医科大学附属一院中医教研室
王燕	沈阳中国医科大学附属一院中医教研室

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中文摘要:

用中药口服兼青黛散保留灌肠的方法,治疗溃疡性结肠炎60例,疗效较好,不仅症状消失,肠道溃疡亦完全恢复。并探索了溃疡性结肠炎抗大肠抗体的检测,取得初步成果。

英文摘要:

In 1983～1984,60 patients with ulcerative colitis were treated,among whom 33 were males and 27 females. Their ages ranged from 20 to 61,the majority being young and adult people.There was no history of dysentery in all cases. In all the cases,there were blood and mucus of various degrees in the stool,but the results of 3 cultures for dysenterial bacterium and other pathogenic bacteria were negative,and so were 3 examinations for active ameboid form and cyst.In 31 cases(51.6%)anti-colon antibodies were positive.In 36 cases(60%),IgG and IgM levels were slightly elevated.No obvious abnormality in respect to cell-mediated immunity was found.Through sigmoidoscopy or colic fiberscopy multiple ulcers or erosions could be seen in all the cases,most evidently along the region 10-25 cm above the anus. These cases were diagnosed as 5 cases of the active stage of ulcerative entire-colitis,15 cases of the active stage of left colitis and 40 cases of rectum-sigmoid-colitis.According to TCM diagnoses and treatment Shen Ling Bat Zhu San(参芩白术散)was used for 35 cases of spleen asthenia type,Shen Ling Bai Zhu San and Si Shen Wan(四神丸) were used for 8 cases of spleen-kidney asthenia type,Bat To u Weng Tang(白头翁汤)was used for 17 cases of dampness heat in the colon type,in conjunction with Qing Dai San(青黛散)to preserve enema.After treatment, blood in the stool disappeared in 71.6% cases within 20 days,and intestinal ulcers disappeared in 68.3% cases within 50 days.The total effective rate was 96.7%.

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