中国医药
中國醫藥
중국의약
CHINA MEDICINE
2010年
6期
555-556
,共2页
放射性直肠炎%中药汤剂
放射性直腸炎%中藥湯劑
방사성직장염%중약탕제
Radioactive rectitis%Chinese medicine mixture
目的 评价中药口服加灌肠治疗放射性直肠炎的临床疗效.方法 将200例放射性直肠炎患者完全随机分为3组:中医组、中西医结合组和西医组.中医组以中药加水煎煮2次,共取250 ml,早晚各服100 ml,余下50 ml加温至38℃～40℃于晚间睡前嘱患者排空大便予以保留灌肠,每晚1次,10 d为1个疗程,连用2个疗程.西医组予抗生素静脉滴注,同时予2%普鲁卡因40 ml,庆大霉素8万U,地塞米松5 mg,蒙脱石散剂3 g,生理盐水10 ml保留灌肠,每晚1次,10 d为1个疗程,连用2个疗程.中西医结合组予以上中药早晚口服,同时给予西药(所用西药同西药组)保留灌肠,1次/d,10 d为1个疗程,连用2个疗程.观察3组治疗10、20 d后疗效及治疗后20 d直肠镜检情况.结果 中医组有效率(直肠溃疡消失和缩小者所占比例)为95.0%,优于中西医结合组及西医组(分别为88.3%与67.5%).治疗后10、20 d中医组进食情况、睡眠状况、精神状况较其他组明显改善,差异有统计学意义(P＜0.01或P＜0.05).结论 中药口服加灌肠能有效改善放射性直肠炎症状,且无明显不良反应,无复发.
目的 評價中藥口服加灌腸治療放射性直腸炎的臨床療效.方法 將200例放射性直腸炎患者完全隨機分為3組:中醫組、中西醫結閤組和西醫組.中醫組以中藥加水煎煮2次,共取250 ml,早晚各服100 ml,餘下50 ml加溫至38℃～40℃于晚間睡前囑患者排空大便予以保留灌腸,每晚1次,10 d為1箇療程,連用2箇療程.西醫組予抗生素靜脈滴註,同時予2%普魯卡因40 ml,慶大黴素8萬U,地塞米鬆5 mg,矇脫石散劑3 g,生理鹽水10 ml保留灌腸,每晚1次,10 d為1箇療程,連用2箇療程.中西醫結閤組予以上中藥早晚口服,同時給予西藥(所用西藥同西藥組)保留灌腸,1次/d,10 d為1箇療程,連用2箇療程.觀察3組治療10、20 d後療效及治療後20 d直腸鏡檢情況.結果 中醫組有效率(直腸潰瘍消失和縮小者所佔比例)為95.0%,優于中西醫結閤組及西醫組(分彆為88.3%與67.5%).治療後10、20 d中醫組進食情況、睡眠狀況、精神狀況較其他組明顯改善,差異有統計學意義(P＜0.01或P＜0.05).結論 中藥口服加灌腸能有效改善放射性直腸炎癥狀,且無明顯不良反應,無複髮.
목적 평개중약구복가관장치료방사성직장염적림상료효.방법 장200례방사성직장염환자완전수궤분위3조:중의조、중서의결합조화서의조.중의조이중약가수전자2차,공취250 ml,조만각복100 ml,여하50 ml가온지38℃～40℃우만간수전촉환자배공대편여이보류관장,매만1차,10 d위1개료정,련용2개료정.서의조여항생소정맥적주,동시여2%보로잡인40 ml,경대매소8만U,지새미송5 mg,몽탈석산제3 g,생리염수10 ml보류관장,매만1차,10 d위1개료정,련용2개료정.중서의결합조여이상중약조만구복,동시급여서약(소용서약동서약조)보류관장,1차/d,10 d위1개료정,련용2개료정.관찰3조치료10、20 d후료효급치료후20 d직장경검정황.결과 중의조유효솔(직장궤양소실화축소자소점비례)위95.0%,우우중서의결합조급서의조(분별위88.3%여67.5%).치료후10、20 d중의조진식정황、수면상황、정신상황교기타조명현개선,차이유통계학의의(P＜0.01혹P＜0.05).결론 중약구복가관장능유효개선방사성직장염증상,차무명현불량반응,무복발.
Objective To evaluate the therapeutic effect of chinese medicine (by oral and enema) treatment on radioactive reetitis.Methods Two hundred eases with radioactive proetitis were randomized divided into three groups.Traditional Chinese group were given oral traditional Chinese medicine and enema for giving medicine.Western medicine group were given Intravenous antibiotics and 10 ml saline enema, once per night.Integrative medicine were given traditional Chinese medicine.After treatment, the microscopic effects and rectal conditions of three groups were observed.Results The efficiency in the traditional Chinese medicine group(95.0%) were better than the other two groups[integrative medicine was 88.3%, western medicine group was 67.5%].After treatment swallowing, sleep, mental state in traditional Chinise group was improved better than that of other groups.Conclusion Chinese medicine can improve the symptoms of radioactive rectitis.
