64排螺旋CT肠道造影对清肠化湿方治疗溃疡性结肠炎活动期湿热内蕴症的疗效观察

摘要

目的：比较64排螺旋CT肠道造影对清肠化湿方治疗溃疡性结肠炎(UC)的活动期湿热内蕴症的疗效观察。方法：选择90例轻度或中度湿热内蕴症的溃疡性结肠炎患者，按照随机数字表法将其分为A组、B组和C组，每组30例。所有患者采用清肠化湿方配合灌肠法灌肠，用药后A组采用64排螺旋CT肠道造影检查，B组采用CT平扫检查，C组采用结肠镜检查，观察3组患者肠壁增厚程度下降例数、黏膜下气泡下降例数、肠系膜血管恢复例数以及肠腔恢复例数。结果：治疗结束后采用3种方法检查均可观察到清肠化湿方对UC的活动期湿热内蕴证的治疗有疗效。A组与B组相比，观察到的黏膜增厚程度有所下降、黏膜下气泡减少及肠系膜血管增多下降等3项均有明显差异(x2=6.720，x2=8.297，x2=5.711；P＜0.05)。A组与C组相比，观察到的黏膜增厚程度有所下降、黏膜下气泡减少、肠系膜血管增多下降及肠腔恢复情况等4项均无明显差异(x2=0.067， x2=0.111，x2=0.322，x2=1.028；P＞0.05)。结论：采用64排螺旋CT肠道造影，对检查清肠化湿方治疗UC的疗效可以得到与结肠镜检查相同的效果。%Objective:To compare the 64-slice spiral CT angiography efficacy of intestinal bowel Huashi recipe on ulcerative colitis (UC) in the event of damp disease.Methods:90 patients were selected who was diagnosis mild or moderate damp disease patients with ulcerative colitis, and were randomly divided into group A, group B and group C, with 30 patients in each group. All patients were treated with bowel enema and Huashi recipe. After treatment, 64-slice spiral CT angiography, CT scan and colonoscopy were used in group A, group B and group C, respectively. Then we observed the decline in the number on the patients with bowel wall thickening, the decline in the number with submucosal bubbles, and recovery number of mesenteric blood vessels and intestine.Results:After treatment, there were obviously efficient to UC activities of damp syndrome by using the three methods. Compared with group B, mucosal thickening declined, submucosal bubble reduced and increased mesenteric vascular declined in group A. There were significantly different (x2=6.720,x2=8.297,x2=5.711,P<0.05). There was no significant difference in the decline of mucosal thickening, submucosal bubble reduction, increased mesenteric vascular decreasing and intestine recovery (x2=0.067,x2=0.111,x2=0.322,x2=1.028;P>0.05).Conclusion: The technology of 64-slice spiral CT angiography can have the same effect with intestinal colonoscopy to evaluate UC.