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慢性非特异性溃疡性直结肠炎(下称溃疡性结肠炎)治疗上比较困难。近年我们试用溃疡膏纱布卷结肠内留置的方法治疗6例,效果比较满意,现报道如下。一、方法及适应证强的松片75mg,金霉素粉1500mg,乙菧酚片30mg,达克罗宁粉500mg,蜂蜜30g。将上述药物研成细粉后与蜂蜜搅拌均匀放塘瓷缶内备用(此膏遇冷凝固,用时可用热水加温)。用普通纱布卷成直径约2cm,长约20cm的纱布卷(布卷要卷紧),卷外再用丝线缠绕数圈以防纱布卷松散。将药膏均匀涂在整个布卷外一层。放置前嘱病人排净大便后取胸膝卧位,术者用左手将双叶直肠窥镜插入肛门并撑开,右手持无齿大镊子将纱布卷徐徐送入肠腔,使其远端超过齿状线即可。治疗期间应避免受凉,忌酒及辛辣食品。食少渣或无渣饮食,以减少排便次数,延长纱布卷在肠内留置时间。一般可留置48～72小时后随粪便排出,休息一日后再进行第二次。
Chronic non-specific ulcerative colitis (hereinafter referred to as ulcerative colitis) is more difficult to treat. In recent years, we try ulcer cream gauze roll indwelling method of treatment of 6 cases, the effect is more satisfactory, are reported below. First, the method and indications strong pine tablets 75mg, chlortetracycline powder 1500mg, acenaphthene tablets 30mg, dacronen 500mg, honey 30g. The above-mentioned drug research into fine powder and honey mixing evenly put Tang porcelain 缶 spare (this cream case of cold coagulation, when used with hot water heating). With ordinary gauze roll into a diameter of about 2cm, about 20cm gauze roll (cloth roll to be tight), rewinding the thread and then use a few turns to prevent the gauze loose volume. Apply the ointment evenly to the entire outer layer of cloth. Put the patient before placing the bowel and bowel position after rowing the stool, the surgeon with his left hand bilobed rectal speculum into the anus and distraction, the right hand holding toothless tweezers will be slowly sent gauze rolls into the intestine, the distal more than Teeth can be. During the treatment should avoid cold, bogey and spicy food. Eat less residue or residue-free diet to reduce the number of bowel movements, prolong the gauze roll indwelling time. Generally 48 to 72 hours can be placed with the feces after discharge, rest a day after the second.