十味芪术通窍合剂治疗脾不统血型鼻出血临床观察  

Efficacy observation of Shiweiqizhu Tongqiao mixture on epistaxis with syndrome of splenic failure in governing blood

作　　者：孙楚悦 韦党军 SUN Chu-yue;WEI Dang-jun(Taihe Hospital of Traditional Chinese Medicine Affiliated to Anhui University of Traditional Chinese Medicine,Taihe 236600,China)

机构地区：[1]安徽中医药大学附属太和中医院,太和236600

出　　处：《山西中医》2024年第6期29-31,共3页Shanxi Journal of Traditional Chinese Medicine

摘　　要：目的:观察十味芪术通窍合剂加减治疗脾不统血型鼻出血的临床疗效。方法:收集100例脾不统血型鼻出血患者,随机分为两组各50例。对照组予金霉素眼膏涂鼻治疗,治疗组在对照组基础上予十味芪术通窍合剂治疗,疗程均为2周。分别统计两组患者的止血时间、出血量、再出血率、鼻出血伴随症状的VAS评分、鼻内镜检查评分,评价十味芪术通窍合剂对鼻出血的临床疗效。结果:治疗组总有效率为90.00%,明显高于对照组的64.00%(P﹤0.05);治疗后,治疗组止血时间、出血量、再出血率、VAS评分、鼻内镜检查评分相对于对照组均明显改善(P﹤0.05)。结论:十味芪术通窍合剂治疗脾不统血型鼻出血临床疗效较好,可以有效改善鼻出血量、再出血率和临床症状等。Objective:To observe the clinical efficacy of modified Shiweiqizhu Tongqiao mixture on epistaxis with syndrome of splenic failure in governing blood.Methods:100 cases of patients with epistaxis with syndrome of splenic failure in governing blood were collected and randomly divided into two groups,50 cases in each group.The control group was treated with chlortetracycline eye ointment for applying nose,while the treatment group was treated with Shiweiqizhu Tongqiao mixture on the basis of control group.The course of treatment was 2 weeks for both groups.Hemostatic time,bleeding amount,rebleeding rate,VAS score of accompanied symptoms of epistaxis and nasal endoscopy score of patients were statistically counted in two groups respectively.The clinical efficacy of modified Shiweiqizhu Tongqiao mixture on epistaxis was evaluated.Results:The total effective rate of treatment group was 90.00%,which was significantly higher than 64.00%of control group(P﹤0.05).Hemostatic time,bleeding amount,rebleeding rate,VAS score and nasal endoscopy score of treatment group were significantly improved after treatment compared with those of control group(P﹤0.05).Conclusion:The clinical efficacy of modified Shiweiqizhu Tongqiao mixture on epistaxis with syndrome of splenic failure in governing blood is better,which can effectively improve bleeding amount,rebleeding rate and clinical symptoms,etc of nose.

关 键 词：鼻出血 脾不统血 十味芪术通窍合剂 中医药疗法 

分 类 号：R276.1[医药卫生—中医五官科学]