活动期溃疡性结肠炎是治疗棘手的一种肠道疾病，我们采用小剂量地塞米松、思密达粉联合灌肠治疗，取得了满意的近期疗效，特报道如下。１材料与方法１．１ 临床资料选择符合１９９３年太原召开的全国慢性非感染性肠道疾病学术研讨会制定的溃疡性结肠炎诊断标准的病例７８例（男 Active ulcerative colitis is a difficult treatment of intestinal diseases, we use a small dose of dexamethasone, Smecta powder combined enema treatment, and achieved satisfactory short-term efficacy, especially reported as follows. 1 Materials and Methods 1.1 Clinical data selected in line with the 1993 National Conference on Chronic Non-Infectious Intestinal Diseases in Taiyuan developed diagnostic criteria for ulcerative colitis 78 cases (male