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生白芨、生大黄结合西咪替丁治疗上消化道出血136例疗效观察 被引量:1

Observation on efficacy of cimetidine associated with the tuber hyacinth bletilla,rhubarb on 136 patients with upper gastrointestinal hemorrhage
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摘要 目的探讨在西咪替丁注射液治疗的基础上加用中药生大黄、生白芨治疗消化性溃疡、应激性溃疡、急性糜烂性胃炎、肝硬化门脉高压引起的食道-胃底静脉丛破裂和胃癌引起的消化道出血的疗效。方法136例上消化道大出血患者随机分为两组,治疗组(69例):在西咪替丁治疗的基础上加用中药生大黄、生白芨。对照组(67例)单用西咪替丁。观察两组治疗后的止血效果。结果治疗组在应激性溃疡、急性糜烂性胃炎、消化性溃疡和胃癌的止血效果优于对照组(P<0.05),而肝硬化门脉高压引起的上消化道大出血的止血效果两组无差异(P>0.05)。结论中西医结合治疗对应激性溃疡、急性糜烂性胃炎、消化性溃疡和胃癌引起的上消化道大出血具有较好的止血作用,而且副作用小,安全性好。 Objective To compare the effect of cimetidine associated with bletilla striata,rhubarb on peptic ulcer, cushingulcer, acute erosive gastritis,bleeding of esophagus and gastric funds varicosis of cirrhotic portal hypertension and gastri cancer. Methods 136 patients with upper gastrointestinal hemorrhage were randomly divided into 2 groups. The treated group ( n = 69) was given cimitidine associated with bletilla striata, rhubarb and the control group( n = 67) was given cimitidine only. The effects of hemostasis in 2 groups were observed. Results The effect of hemostasis in the treated group was better than that in the control group on peptic ulcer, cushingulcer, acute erosive gastritis and gastric cancer(P 〈 0.05). There were no difference between 2 groups about bleeding of esophagus and gastric funds varicosis of cirrhotic portal hypertension(P〉0.05). Conclusion The effect of hemostasis on upper gastrointestinal hemorrhage treated by integrated traditional Chinese medicine and western medicine might achieve better on cushingulcer, acute erosive gastritis, peptic ulcer and gastri cancer. It has less adverse effect and more safety.
出处 《中国基层医药》 CAS 2006年第8期1328-1329,共2页 Chinese Journal of Primary Medicine and Pharmacy
关键词 生大黄 生白芨 西咪替丁 上消化道大出血 Blctilla striata Rhubarb Cimetidine Upper gastrointestinal hemorrhage
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