CN110464799A - 一种治疗婴幼儿童肠癖的灌肠中药 - Google Patents

一种治疗婴幼儿童肠癖的灌肠中药 Download PDF

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CN110464799A
CN110464799A CN201910761182.7A CN201910761182A CN110464799A CN 110464799 A CN110464799 A CN 110464799A CN 201910761182 A CN201910761182 A CN 201910761182A CN 110464799 A CN110464799 A CN 110464799A
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赵坤
于素平
张岩
郭彦荣
陈小松
孙萌萌
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First Affiliated Hospital of Henan University of TCM
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Abstract

本发明涉及一种治疗婴幼儿童肠癖的灌肠中药,由以下重量计的中药原料制成:当归13‑17g、炉甘石13‑17g、白芨28‑32g、血竭2‑4g、制乳没(乳香、没药)各8‑12g、生龙骨28‑32g、橡皮4‑8g、珍珠粉4‑8g、青黛2‑4g,将当归、炉甘石、白芨、血竭、制乳没(乳香、没药)、生龙骨、橡皮、珍珠粉、青黛混匀,加水淹没,煎2次,每次30‑40分钟,合并2次药物并浓缩至200‑400ml,即成,本发明操作方便,成本低,副作用小,且对于婴幼儿及家长更易接受,不会对患儿肠道造成二次伤害,药物直接接触创伤面,有效提高药物利用率和疗效,有显著的经济和社会效益。

Description

一种治疗婴幼儿童肠癖的灌肠中药
技术领域
本发明涉及一种医药,尤其涉及一种治疗婴幼儿童肠癖的灌肠中药。
背景技术
肠癖(溃疡性结肠炎)是以结肠、直肠形成多发性溃疡性病变为特征的自身免疫性疾病。急性期粘膜弥漫性充血,常伴有点状或斑块状出血,并可见大小不等的浅溃疡,晚期病变呈现广泛浅掘状溃疡,致使粘膜桥形成,进一步发展损伤修复反复进行则可见炎性息肉形成,严重者可导致肠管纤维化,肠腔瘢痕性缩窄。
患者可表现为发热、腹泻,下痢脓血,腹痛等,严重的病人因急性爆发而出现结肠扩张,肠穿孔,败血症等。西医治疗常用水杨酸盐,如美沙拉嗪、激素及免疫抑制剂治疗,但常有氨基水杨酸类药物及激素治疗无效者及激素依赖者,且免疫抑制剂硫唑嘌呤等副作用较大,且婴幼儿在服药时经常会不配合,导致用药效果不好。灌肠对于治疗婴幼儿来说易于接受,副作用较小,且中药中有治疗各种疾病的丰富资源,因此,研制一种灌肠中药,有效用于治疗溃疡性结肠炎,是人们关心要解决的技术问题。
发明内容
针对上述情况,为解决现有技术之缺陷,本发明之目的在于提供一种治疗婴幼儿童肠癖的灌肠中药,可有效解决治疗溃疡性结肠炎的用药问题。
为实现上述目的,本发明的技术方案是,一种治疗婴幼儿童肠癖的灌肠中药,由以下重量计的中药原料制成:当归13-17g、炉甘石13-17g、白芨28-32g、血竭2-4g、制乳没(乳香、没药)各8-12g、生龙骨28-32g、橡皮4-8g、珍珠粉4-8g、青黛2-4g,将当归、炉甘石、白芨、血竭、制乳没(乳香、没药)、生龙骨、橡皮、珍珠粉、青黛混匀,加水淹没,煎2次,每次30-40分钟,合并2次药物并浓缩至200-400ml,即成。
本发明操作方便,成本低,副作用小,且对于婴幼儿及家长更易接受,不会对患儿肠道造成二次伤害,药物直接接触创伤面,有效提高药物利用率和疗效,有显著的经济和社会效益。
具体实施方式
以下结合实际情况对本发明的具体实施方式作详细说明。
本发明种治疗婴幼儿童肠癖的灌肠中药在具体实施中可由以下实施例给出。
实施例1,本发明在具体实施时,该中药由以下重量计的中药原料制成:当归13g、炉甘石13g、白芨28g、血竭2g、制乳没各8g、生龙骨28g、橡皮4g、珍珠粉4g、青黛2g,将当归、炉甘石、白芨、血竭、制乳没、生龙骨、橡皮、珍珠粉、青黛混匀,加水淹没,煎2次,每次30-40分钟,合并2次药物并浓缩至200-400ml,即成。
实施例2,本发明在具体实施时,该中药由以下重量计的中药原料制成:当归15g、炉甘石15g、白芨30g、血竭3g、制乳没各10g、生龙骨30g、橡皮6g、珍珠粉6g、青黛3g,将当归、炉甘石、白芨、血竭、制乳没、生龙骨、橡皮、珍珠粉、青黛混匀,加水淹没,煎2次,每次30-40分钟,合并2次药物并浓缩至200-400ml,即成。
实施例3,本发明在具体实施时,该中药由以下重量计的中药原料制成:当归17g、炉甘石17g、白芨32g、血竭4g、制乳没各12g、生龙骨32g、橡皮8g、珍珠粉8g、青黛4g,将当归、炉甘石、白芨、血竭、制乳没、生龙骨、橡皮、珍珠粉、青黛混匀,加水淹没,煎2次,每次30-40分钟,合并2次药物并浓缩至200-400ml,即成。
在上所述药物,其中:当归:活血,调经止痛,润燥滑肠;炉甘石:收湿生肌本三药可收湿,解湿毒,溃疡不敛,脓水淋漓;白芨:消肿生肌,外伤出血,疮疡肿毒;血竭:外伤出血,疮疡不敛;制乳没(乳香、没药):活血止痛,消肿生肌;生龙骨:生肌敛疮肿消瘀化,敛疮;橡皮:生肌敛疮,溃疡久不收口;珍珠粉:解毒生肌,敛疮;青黛:解湿毒,凉血化斑无湿不成泻。
本发明各组分间相互支持,具有清热止血、活血敛疮、收敛生肌之功效,可有效用于治疗溃疡性结肠炎,并经临床试验,取得了非常满意的有益技术效果,有关临床资料如下。
一、病例选择标准。
1.1诊断标准:
本研究溃疡性结肠炎病例选择参照2010年中华医学会儿科学分会消化学组《儿童炎症性肠炎诊断规范共识意见》:
1.临床表现:持续4周以上或反复发作的腹泻,为血便或黏液脓血便,伴明显体重减轻。有腹痛、里急后重、发热、贫血等,可有关节、皮肤、眼、口及肝胆等肠外表现;
2.实验室检查:结肠镜检查:病变从直肠开始,连续性近端发展,呈弥漫性黏膜炎症,血管网纹消失、黏膜易脆(接触性出血)、伴颗粒状外观、多发性糜烂或溃疡、结肠袋囊变浅、变钝或消失(铅管状),假息肉及桥形黏膜、肠腔狭窄、肠管变短等;
3.钡灌肠检查:肠壁多发性小充盈缺损,肠腔狭窄,袋囊消失呈铅管样,肠管短缩;
4.活检组织标本或手术标本病理学检查:①活动性:固有膜内弥漫性、慢性炎性细胞及中性粒细胞、嗜酸粒细胞浸润、隐窝炎或形成隐窝脓肿;隐窝上皮增生,同时杯状细胞减少;黏膜表层糜烂、溃疡形成;②缓解期:中性粒细胞消失,慢性炎性细胞减少;隐窝不规则,排列紊乱;腺上皮与黏膜肌层间隙增大,潘氏细胞化生。
符合上述第一项,以及第2项或第3项,可拟诊本病;同时符合第4项,可确诊本病。1.2纳入标准:
①所有患者均符合溃疡性结肠炎病诊断标准;
②年龄在1个月~14岁;
③签署知情同意书,志愿参加本试验,能积极配合治疗,定期来医院复查者。
1.3排除标准:
①不符合诊断标准;
②配合欠佳者。
1.4退出(脱落)病例标准:
①病人自行退出;
②依从性差、不遵医嘱治疗致无法判断疗效或资料不全者;
③治疗用药过程中被观察者出现严重的过敏反应或不良反应。
二、入选病例治疗方案。
对确诊的24人病例均来自河南中医药大学第一附属医院2015年1月至2019年01月住院的溃疡性结肠炎病患儿,随机分为治疗组(本发明药物)和对照组(糖皮质激素组),每组各12例。
2.1所用治疗药物:治疗组使用本发明中药灌肠,对照组使用氢化可的松。
2.2具体操作方法:
两组患者温水清洗肛门,而后治疗组予本发明水煎,使用前,将药物加热至38℃左右,装入塑料输液袋中,每次婴幼儿100ml保留灌肠;学龄期儿童每次200ml,每日1次,4周为一个疗程;对照组使用琥珀酸氢化可的松25~50mg加入生理盐水50ml保留灌肠,4周一个疗程。
三、疗效评定指标。
显效(完全缓解):症状消失、镜检肠黏膜恢复正常;
有效:症状基本消失、镜检肠黏膜病变减轻或有轻度炎症;
无效:临床症状轻微改善或无改善,镜检肠黏膜糜烂溃疡面积无变化。
四、统计学处理。
采用SPSS24.0统计学软件,计数资料采用卡方检验,计量资料采用均数±标准差 描述,符合正态分布用t检验,不符合正态分布或方差不齐用秩和检验,P<0.05表示有明显统计学差异,P<0.01表示差异具有显著统计学差异。
治疗组12例,其中男7例,女5例,平均年龄(5.35±2.10)岁;对照组12例,其中男6例,女6例,平均年龄(5.26±2.25)岁;两组患者在性别、年龄等方面无显著差别(P>0.05)。
疗效统计结果:治疗组12例,显效7例,有效3例,无效2例,总有效率83.3%;对照组12例,显效5例,有效3例,无效4例,总有效率66.7%,两组总有效率比较差异有显著性(P<0.05)。
两组患儿临床治疗效果比较(%):
五、结论。
通过临床观察实验表明,本发明组方科学,配伍合理,药源丰富,制备工艺简便,使用方便,效果良好,无副作用,安全性高,且成本较低,在小儿溃疡性结肠炎方面安全有效,充分体现了中医药治疗的优势和特色,药物可以直接接触创面,使中药在局部发挥作用,使溃疡面尽快愈合,具有实际的临床意义,具有显著的社会和经济效益。

Claims (4)

1.一种治疗婴幼儿童肠癖的灌肠中药,其特征在于,由以下重量计的中药原料制成:当归13-17g、炉甘石13-17g、白芨28-32g、血竭2-4g、制乳没各8-12g、生龙骨28-32g、橡皮4-8g、珍珠粉4-8g、青黛2-4g,将当归、炉甘石、白芨、血竭、制乳没、生龙骨、橡皮、珍珠粉、青黛混匀,加水淹没,煎2次,每次30-40分钟,合并2次药物并浓缩至200-400ml,即成。
2.根据权利要求1所述的治疗婴幼儿童肠癖的灌肠中药,其特征在于,由以下重量计的中药原料制成:当归13g、炉甘石13g、白芨28g、血竭2g、制乳没各8g、生龙骨28g、橡皮4g、珍珠粉4g、青黛2g,将当归、炉甘石、白芨、血竭、制乳没、生龙骨、橡皮、珍珠粉、青黛混匀,加水淹没,煎2次,每次30-40分钟,合并2次药物并浓缩至200-400ml,即成。
3.根据权利要求1所述的治疗婴幼儿童肠癖的灌肠中药,其特征在于,由以下重量计的中药原料制成:当归15g、炉甘石15g、白芨30g、血竭3g、制乳没各10g、生龙骨30g、橡皮6g、珍珠粉6g、青黛3g,将当归、炉甘石、白芨、血竭、制乳没、生龙骨、橡皮、珍珠粉、青黛混匀,加水淹没,煎2次,每次30-40分钟,合并2次药物并浓缩至200-400ml,即成。
4.根据权利要求1所述的治疗婴幼儿童肠癖的灌肠中药,其特征在于,由以下重量计的中药原料制成:当归17g、炉甘石17g、白芨32g、血竭4g、制乳没各12g、生龙骨32g、橡皮8g、珍珠粉8g、青黛4g,将当归、炉甘石、白芨、血竭、制乳没、生龙骨、橡皮、珍珠粉、青黛混匀,加水淹没,煎2次,每次30-40分钟,合并2次药物并浓缩至200-400ml,即成。
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CN1203803A (zh) * 1997-12-25 1999-01-06 刘旭山 治疗溃疡性结肠炎和直肠炎的散剂

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CN1203803A (zh) * 1997-12-25 1999-01-06 刘旭山 治疗溃疡性结肠炎和直肠炎的散剂

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Application publication date: 20191119