| 吴静 单兆伟 A.S. Pena.115例炎症性肠病分型及中西医治疗回顾性分析[J].实用中西医结合临床,2004,(1):4-6 |
| 115例炎症性肠病分型及中西医治疗回顾性分析 |
|
| |
| DOI： |
| 中文关键词: 炎症性肠病 中西医结合疗法 分型 |
| 英文关键词: Inflammatory bowel disease TCM therapy Etiopathology |
| 基金项目: |
|
| 摘要点击次数: 579 |
| 全文下载次数: 316 |
| 中文摘要: |
| 目的：探讨炎症性肠病的中医病机、治疗特点，进行对比研究。方法 对1993～2002年江苏省中医院（ISSZ）收治的115例炎症性肠病病例进行了回顾性调查。并与同期荷兰阿姆斯特丹自由大学附属医院（VU）的炎症性肠病病例加以对照。结果：2所医院同期收治炎症性肠病病例性别、分型构成不同，病例以男性溃疡性结肠炎为多，且直肠炎较多，28% vs 10%，#P<0.001,OR3.9( 1.56~ 5.77)，克隆病极少。不同证型的疗效差异无显著性,但全结肠炎的疗效较差，P=0.01。结论：国内全结肠炎及克隆病发病较少，可能与种族及环境因素以及生活习惯有关；脾虚湿盛、湿热伤及肠络为溃疡性结肠炎的主要病机之一；健脾化湿、清热凉血为本病治疗的主要法则，但当根据病位、病性之不同，从实、从虚分别论治。 |
| 英文摘要: |
| Aims：To characterize the treatment and etiopathology of IBD from TCM view.Methods：Retrospective analysis for 115 cases IBD patients from Jiangsu Provincial hospital of TCM, 1993~2002,were carried out and compared with the cases from affiliated hospital of Vrije university, Amsterdam, the Netherlands in same period.Results :It was different between two groups in gender and subgroup. The IBD patients in JSSZ were mainly male and ulcerative colitis, especially proctitis, 28% vs 10%，P<0.001,OR3.9(1.56~5.77). According to TCM differentiation,there was no difference in effective ratio among the subgroup.However,the effective ratio for pancolitis was lower(P=0.01).Conclusion:Fewer cases of Crohn's disease and pancolitis in JSSZ might be due to the race,circumstances and life style.On the basis of Spleen deficiency and dampeness accumulation,dampness and heat damaged the membrane of intestine was the main pathology of ulcerative colitis.To strengthen Spleen and resove dampness,eliminate heat and cool blood were the primary methods to treat this disease.However,the principle of treatment should be altered according to the location and character (excessive or deficiencfy)of disease. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
