|
|
Clinical effect of retention enema with Lianshao Enema Agent in the treatment of mild and moderate ulcerative colitis |
HONG Zifu JIA Fei YUAN Liang LI E HE Yinghua QU Mouwen FENG Lipeng |
Department of Proctology, Guang′anmen Hospital of China Academy of Chinese Medical Sciences, Beijing 100053, China |
|
|
Abstract Objective To investigate the clinical efficacy of Lianshao Enema Agent retention enema in the treatment of ulcerative colitis (UC). Methods A total of 40 cases of mild and moderate UC patients from January 2013 to December 2014 in the Department of Proctology, Guang′anmen Hospital were selected and divided into the treatment group and the control group according to the random number table method, with 20 cases in each group. However, one patient in the treatment group showed obvious rectal stimulation symptoms after enema and withdrew automatically, so 19 cases were included in the treatment group. Both groups took Mesalazine Enteric-coated Tablets orally for 1 g, 3 times/d. In the treatment group, the retention enema was added with the Lianshao Enema Agent, once a night, once a day. The treatment course was 3 weeks. Clinical efficacy, traditional Chinese medicine syndrome score and traditional Chinese medicine symptom score before and after treatment were observed. Results The effective rate of the treatment group was higher than that of the control group, and the difference was statistically significant (P < 0.05). There was no significant difference in traditional Chinese medicine syndrome scores between the two groups before treatment (P > 0.05). After treatment, the traditional Chinese medicine syndrome scores of the two groups were lower than those before treatment, and the treatment group was lower than the control group, with statistically significant differences (all P < 0.05). There was no significant difference in traditional Chinese medicine symptom score between the two groups before treatment (P > 0.05). After treatment, the traditional Chinese medicine symptom scores in the two groups were lower than those before treatment, and the scores of mucus blood stools, abdominal pain, tenesmus and anal burning symptoms in the treatment group were lower than those in the control group, with statistically significant differences (all P < 0.05). There was no statistically significant difference in diarrhea symptom scores between the two groups after treatment (P > 0.05). Conclusion Lianshao Enema Agent retention enema for the treatment of mild to moderate UC is effective, especially in the improvement of clinical symptoms, the efficacy is significant, and easy to use, it is worthy of promotion and application.
|
|
|
|
|
[1] 胡连海,肖成,洪子夫,等.灌肠方对溃疡性结肠炎大鼠血清IL-4和IL-10的影响[J].光明中医,2010,25(10):1793-1795.
[2] 梁笑楠,尹凤荣,张晓岚.炎症性肠病诊断与治疗的共识意见(2018年,北京)[J],临床荟萃,2018,33(11):987-990.
[3] 毛堂友,胡立明,孙中美,等.溃疡性结肠炎中医药治疗进展[J].辽宁中医药大学学报,2018,20(11):59-61.
[4] 刘丹,李桂贤,王雪,等.中医药治疗溃疡性结肠炎的研究进展[J].湖南中医杂志,2017,33(3):167-169.
[5] 袁亮,李国栋,邱剑锋,等.中药灌肠治疗慢性复发型溃疡性结肠炎急性发作期30例[J].江西中医药,2006,37(11):21-22.
[6] 陈文华,黄国栋,方承康.溃疡性结肠炎现代医学研究进展[J].中国医药科学,2011,1(7):51-53.
[7] 中华医学会消化病学分会炎症性肠病协作组.我国炎症性肠病诊断治疗规范的共识意见[J].胃肠病学,2007,12(8):488-495.
[8] 中华中医药学会脾胃病分会.溃疡性结肠炎中医诊疗共识意见[J].中华中医药杂志,2010,25(6):891-895.
[9] 中华医学会消化病学分会炎症性肠病学组.炎症性肠病诊断与治疗的共识意见(2012年,广州)[J],胃肠病学,2012,32(12):796-813.
[10] 郑筱萸.中药新药临床研究指导原则(试行)[Z].北京:中国医药科技出版社,2002.
[11] 宋敬锋,罗林山,刘瑞涛,等.滋阴消溃口服液治疗难治性溃疡性结肠炎的临床研究[J].中国肛肠病杂志,2019, 39(6):36-38.
[12] 何琼,李建栋.炎症性肠病流行病学研究进展[J].实用临床杂志,2019,35(18):2962-2966.
[13] 中国炎症性肠病协作组.3100例溃疡性结肠炎住院病例回顾分析[J].中华消化杂志,2006,26(6):368-372.
[14] 谭蓓,钱家鸣.炎症性肠病规范化药物治疗[J].中国实用外科杂志,2017,37(3):217-221.
[15] 叶俊玲,徐训贞,刘圣活,等.从“温中健脾、清利涩肠”论治溃疡性结肠炎[J].中国医药科学,2019,9(18):50-52.
[16] 陈红宇,沈洪.沈洪教授运用灌肠方治疗溃疡性结肠炎经验[J].浙江中医药大学学报,2017,41(1):66-68.
[17] 钟晨,王佳佳,迟莉,等.当代名中医治疗溃疡性结肠炎经验集萃[J].中国医药导报,2019,16(4):137-140.
[18] 张北平,刘思德,李明松,等.溃疡性结肠炎内镜分型、粘膜组织学分期与中医虚实证候的相关性研究[J].中国消化内镜,2008,2(3):5-8.
[19] 马艳.美沙拉嗪对溃疡性结肠炎患者肠道黏膜屏障功能和免疫功能的系统评价[J].中国现代医生,2018,56(9):35-38.
[20] 张瑞芬,苏和.黄连的药理研究进展[J].内蒙古中医药,2010,29(3):114-117.
[21] 刘双利,姜程曦,赵岩.防风化学成分及其药理作用研究进展[J].中草药,2017,48(10):2046-2152.
[22] 高鸿霞,邵世和,王国庆.中药防风的研究进展[J].井冈山医专学报,2004(4):12-14.
[23] 李乃谦.探讨白芍的药理作用及现代研究进展[J].中医临床研究杂志,2017,9(20):137-139.
[24] 盖晓红,刘素香,任涛,等.黄连的化学成分及药理作用研究进展[J].中草药,2018,49(20):4919-4927.
[25] 辛国,李鑫,黄晓巍.防风化学成分及药理作用[J].吉林中医药,2018,38(11):1323-1325.
[26] 马凤梅.炎性肠病合并胰腺病变的研究进展[J].疑难病杂志,2019,18(3):306-310.
[27] 刘得民.改进溃疡性结肠炎灌肠方法及结肠镜下的效果观察[J].世界最新医学信息文摘,2018,18(30):83,85. |
|
|
|