升阳益胃汤治疗食管贲门癌术后腹泻的临床研究  

Treatment of diarrhea after esophageal and cardiac surgery with Sunyiwei Tang

作　　者：岑小波[1] 陈光明[1] 刘浩[1] 周伟[1] 林玲[1] 

机构地区：[1]泸州医学院附属中医医院胸心外科,四川泸州646000

出　　处：《西部医学》2011年第9期1660-1662,共3页Medical Journal of West China

摘　　要：目的观察升阳益胃汤治疗食管贲门癌术后腹泻的疗效,并与西药进行疗效比较对照。方法选择82例食管贲门癌术后腹泻患者进行前瞻性随机平行对照的临床试验。治疗组和对照组各41例,治疗组用升阳益胃汤,对照组采用传统止泻西药思密达(蒙脱石散)、多酶片,疗程4周。于治疗前后观察并记录腹泻、腹胀、纳差、乏力情况。停药4周后对患者进行随访。结果治疗4周后,治疗组的痊愈率为39%,总有效率为85%;对照组痊愈率为24%,总有效率为59%。随访结果,治疗组和对照组分别有4例和8例复发,两组比较,差异有统计学意义(P<0.05)。结论升阳益胃汤具有健脾益气、升阳举陷、除湿止泻、养血和营、清热减毒功效,对食管贲门癌术后腹泻和全身不适症状具有治愈和减轻作用,远期疗效优于西药。Objective To observe the effect of Sunyiwei Tang on diarrhea after esophageal and cardiac surgery.Methods 82 patients with diarrhea after esophageal and cardiac surgery patients were randomly divided into Treatment group and control group.The treatment group were treat with Sunyiwei Tang and the control group with traditional medicine.The diarrhea,abdominal distension,anorexia,fatigue situation were observed.Results The treatment group cure rate of 39%,total effective rate was 85%.The cure rate was 24% in the control group,the total effective rate was 59%,follow-up treatment and control There were 4 cases respectively,and 8 patients relapsed.Difference between two groups was statistically significant（P〈0.05）.Conclusion Sunyiwei Tang can attenuate the diarrhea after esophageal and cardiac surgery.

关 键 词：升阳益胃汤 食管贲门癌 腹泻 

分 类 号：R735.1[医药卫生—肿瘤]