药膳辅助治疗溃疡性结肠炎164例的临床观察(1)
 |
| 第1页 |
参见附件。
中图分类号:R574.62
文献标识码: A
文章编号: 1672-3783(2009)-08-0005-03
【摘 要】为了观察药膳对溃疡性结肠炎的作用,将164例UC患者随机分成2组,治疗组84例,对照组80例,两组均给予常规治疗,如中药口服、中药直肠点滴保留灌肠和对症治疗,治疗组加用药膳,辨证论治。治疗组与对照组有效率分别为98.81%和88.75%,两组对比差别有统计学意义(P<0.01)。结果表明:药膳辅助治疗溃疡性结肠炎有较好的疗效且使用方便,灵活、患者易接受等。
【关键词】溃疡性结肠炎;药膳;辨证论治; 临床观察
Clinical Observation of Subsidiary Treatment
of Ulcerative Colitis for 164 Cases by Medicine Meals
GONG Yue-sheng
Large Intestine Anus Disease Hospital of Zhengzhou,Zhengzhou 450004,China
【Abstract】For the purpose of observation of medicine meals 's function in the treatment of ulcerative colitis, 164 UC sufferers are divided by random into two groups, namely treatment group (84 cases), control group (80 cases).conventional treatments areoffered to the two groups, for example, taking orally Chinese traditional medicine, proctoclysis, retention enema and expectant treatment, however, the treatment group is added with medicine mealsfor treatment according to syndrome differentiation. Theeffective rates for treatment group and control group are respectively 98.81% and 88.75%. The contrast difference between the two groups has significance of statistics. (P<0.01)
Results: Medicine meal as a subsidary treatment of ulcerative colitis has a favorable curative effect, and it features usableness, hospitable to suferers etc.
【Key Words】Ulcerative Colitis;Medicine Meals;Selection of treatment according to differential diagnosis;Clinical observation
溃疡性结肠炎是一种以黏膜和黏膜下层炎症浸润为主,特发于大肠的非特异性炎症性肠病。由于目前病因病机尚未十分明了,临床疗效尚不够理想,我院在采用常规治疗(口服中药、中药点滴保留灌肠及对症治疗)的基础上,配合采用药膳治疗且对164例溃疡性结肠炎进行了随机的对比观察取得了良好的效果,现报告如下。
1 资料和方法
1.1 一般资料 1989年10月全国肛肠病学会召开的中医药治疗非特异性大肠炎学术计论会,制定的中医辨证分型标准(讨论稿)如下:
1.2 实证 湿热内蕴型,主证:便中夹脓带血,里急后重,身热,舌苔黄腻,脉滑数。兼证:肛门灼热,胃痞纳呆,大便秽臭,小便短赤。气滞血瘀型,主证:肠鸣,腹胀或腹痛拒按,面色晦暗,舌紫或有瘀斑,瘀点,脉弦。兼证:泻下不爽,嗳气少食,胸胁胀满。
1.3 虚证 脾肾两虚型,主症:久泻不愈,形寒肢冷,食减纳呆,腰膝酸软,寒加重,舌淡苔白,脉沉细。兼症:少气懒言,腹中隐痛喜按,腹胀,肠鸣,五更泄泻。
观察组:84例,男44例,女40例,年龄16~72岁,平均38.1岁,其中湿热内蕴型22例,气滞血瘀型19例,脾肾两虚型43例。对照组:80例,男42例,女38例,年龄15~70岁平均37.9岁。其中湿热内蕴24例,气滞血瘀型20例,脾肾两虚型36例。
2 治疗方法
两组病人均按本院溃疡性结肠炎常规治疗(中药口服、中药直肠点滴灌肠及对症治疗)的基础上,观察组病人每天三餐按照我院拟定的治疗溃疡性结肠炎的药膳进食,对照组病人正常饮食。
我院溃疡性结肠炎三餐:A.虚证:(脾肾两虚型)药物以山药、黄芪、党参等为主,辅以食物粳米、糯米、猪肚、牛肚、红枣、莲子、牛肉、鸡肉、鹌鹑肉(蛋)、粟子等,根据病人的主证兼证合理搭配烹调成粥、汤、菜等以供病人食用治疗。如早餐南瓜山药小米粥:南瓜性甘,温益气润肺;小米性甘咸,凉,有和中益肾;山药性甘,平,有健脾补肺固肾益精,益气养阴。再加上鹌鹑蛋2~3个。午餐用黄芪鸡丝面条:黄芪性甘,微温,补气升阳,益卫固表;鸡丝性甘,温,益气养血,补肾养精.;配合用凉拌山药:山药性甘,平,有健脾补肺固肾益精,益气养阴。晚餐用莲子黄芪羊肉枸杞汤:黄芪性甘,微温,补气升阳,益卫固表;莲子性甘,涩,平,补脾益胃,涩肠固精,养心安神;羊肉性甘,温,温中暖肾,益气补虚;枸杞子性甘,平,滋肾,益肺,补肝,明目。或用红枣山药糯米粥:红枣性甘,温补脾和胃,益气生津,调营卫,解药毒;糯米性甘,温,补中益气;山药性甘,平,有健脾补肺固肾益精,益气养阴 ......
您现在查看是摘要介绍页，详见PDF附件(2247kb)。