CAJ | 학술논문

为观察中药青黛、乳香、没药、五倍子、银花煎水灌肠治疗溃疡性肠炎的疗效，将124例临床分型为轻、中度的溃疡性结肠炎病人随机分为治疗组(中药组)与对照组(西药组)，在对症支持治疗的基础上，治疗组用中药水剂200ml，地塞米松注射液5mg，保留灌肠，每晚1次，连用14天。对照组用庆大霉素注射液16万U，地塞米松注射液5mg，思密达粉剂6g，生理盐水100ml，保留灌肠，每晚1次，连用14天。结果治疗组总有效率91.93%，对照组为72.58%，差异有高度显著性(P<0.01)。认为中药灌肠治疗溃疡性结肠炎，具有药源广泛，价格便宜，方法简单，疗效确切，副作用少，复发率低等优点。
위관찰중약청대、유향、몰약、오배자、은화전수관장치료궤양성장염적료효，장124례림상분형위경、중도적궤양성결장염병인수궤분위치료조(중약조)여대조조(서약조)，재대증지지치료적기출상，치료조용중약수제200ml，지새미송주사액5mg，보류관장，매만1차，련용14천。대조조용경대매소주사액16만U，지새미송주사액5mg，사밀체분제6g，생리염수100ml，보류관장，매만1차，련용14천。결과치료조총유효솔91.93%，대조조위72.58%，차이유고도현저성(P<0.01)。인위중약관장치료궤양성결장염，구유약원엄범，개격편의，방법간단，료효학절，부작용소，복발솔저등우점。
This study investigated that the efficacy of a chinese herb decoction (containing Natural indigo, Frankincense, Myrrh, Chinese Nut-gall and Honeysuckle Flower) on the treatment of ulcerative colitis by retention-enama. 124 patients with light and middle grade of ulcerative colitis were randomly divided into the therapeutic group (traditional chinese medicine group, TCM group) and the control group (western medicine group, WM group). In addition to routine treatment, patients in the TCM group received the treatment of Chinese herb decoction of 200ml plus Dexamethasone (DXM) injection fluid 5mg by retention-enema, once every night for 14 days, and those in the WM group were given the treatment of Gentamicin 16,000U, DXM injection fluid 5mg, Smecta powder 6g and normal saline 100ml by retention enama, once every night for 14 days. Results showed that total effective rates were 91.93% and 72.58% in TCM group and WM group, respectively, and there was a statistically significant difference (P<0.01). This study indicates that the chinese herb enema on the treatment of ulcerative colitis has those advantages of abundant sources of medicine, low price, simplicity, accurate therapeutic efficacy, less side effects and low recurrences, etc.