中西医结合治疗溃疡性结直肠炎并发肛瘘30例疗效分析  

Integrated Therapy of TCM and Western Medicine in the Treatment of Ulcerative Coloproctitis Complicated with Anal Fistula:Effect Analysis of 30 Cases

作　　者：黄晓东 胡立群 刘琼琼 HUANG Xiao-dong;HU Li-qun;LIU Qiong-qiong(No.3 Dept.of Surgery,Shenzhen City's Hospital of TCM,Guangdong 518000)

机构地区：[1]广东省深圳市中医肛肠医院外三科,广东深圳518000

出　　处：《中国肛肠病杂志》2020年第12期30-32,共3页Chinese Journal of Coloproctology

摘　　要：为研究中西医结合治疗溃疡性结直肠炎并发肛瘘的效果,将本院收治的60例结直肠炎并发肛瘘患者,随机分为观察组和对照组,各30例。对照组行甲硝唑联合地塞米松灌肠治疗,观察组在对照组治疗基础上加用改良清热利湿汤保留灌肠治疗。比较两组腺体异常、隐窝脓肿、炎性细胞浸润及溃疡的发生率,肛门坠胀,脓血便,腹泻及腹痛改善时间。结果显示,治疗后观察组腺体异常、隐窝脓肿、炎性细胞浸润及溃疡的发生率明显低于对照组(P<0.05)。观察组肛门坠胀、脓血便、腹泻及腹痛改善时间短于对照组(P<0.05)。结果表明,中西医结合治疗溃疡性结直肠炎并发肛瘘效果显著,可进一步改善患者肠黏膜异常病理情况及临床症状,值得推广应用。This study was to investigate the effect of integrated therapy of TCM and Western medicine for ulcerative coloproctitis(UCP)complicated with anal fistula,60cases met above conditions treated in authors'hospital were randomly divided into control group(30cases,adopted combination therapy of metronidazole and dexamethasone)and observation group(30cases,based on that of control group,added with modified Qingrelishi Tang for enema retention);then,compared both groups'incidence of glandular abnormality,crytoabscess,inflammatory cell infiltration,and ulcer;as well improved time for bear down-swelling of anus,mucopurulent bloody stool,diarrhea and abdominal pain,and so on.As results,in above-mentioned incidences of every mucosa pathology,and in the improved time of above every symptoms observation group was respectively and significantly lower,and shorter than control group(all,P<0.05).Results show that the integrated therapy of TCM and Western medicine for UCP complicated with anal fistula has significant effect,can further improve patients'glandular abnormality,etc pathology status and clinical symptoms,thus is worthy to be popularized to use clinically.

关 键 词：溃疡性结直肠炎 肛瘘 灌肠 疗效 

分 类 号：R574.62[医药卫生—消化系统] R657.16[医药卫生—内科学]