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云南白药是一种活血、消肿、止血、定痛之药。对于各种外伤出血、跌打损伤、瘀血肿痛、妇科一切血症、慢性胃痛、十二指肠溃疡出血等症均有确切疗效。现将近几年来临床应用的进展情况综述如下。 1 治疗伤寒并发肠出血 刘必敦等报告将伤寒并发肠出血的66例患者分成两组,治疗组与对照组均用止血敏3.0g/d静脉滴注,安络血20mg/d肌肉注射。另治疗组给云南白药成人剂量2.0~3.0g/d,小儿剂量每日0.05g/kg,冲服。结果:①治疗组36例中痊愈35例,对照组30例中痊愈28例。②因多种并发症死亡数:治疗组1例,对照组2例。③平均止血时间:治疗组4.92天,对照组6.27天。④平均出血量:治疗组716ml,对照组1078ml。经统计学处理两组痊愈率无显著性差异(P>0.05),但平均止血时间及出血量有显著性差异(P均<0.01)。
Yunnan Baiyao is a medicine that promotes blood circulation, swelling, bleeding, and pain. For a variety of trauma bleeding, bruises, bleeding, blood stasis, gynecological allergies, chronic stomach pain, duodenal ulcer bleeding embolism have exact effect. The progress of clinical application in recent years is summarized as follows. 1 Treatment of typhoid complicated by intestinal bleeding Liu Bidun et al reported that 66 patients with typhoid complicated by intestinal hemorrhage were divided into two groups. The treatment group and the control group were treated with intravenous infusion of 3.0 g/d hemostatic, and 20 mg/d intramuscularly. Another treatment group to Yunnanbaiyao adult dose 2.0 ~ 3.0g / d, pediatric dose daily 0.05g/kg, blunt. Results: 1 In the treatment group, 35 cases were cured in 36 cases, and 28 cases were recovered in the control group in 30 cases. 2 Number of deaths due to multiple complications: 1 in the treatment group and 2 in the control group. 3 Average time for hemostasis: 4.92 days in the treatment group and 6.27 days in the control group. 4 The average blood loss: 716 ml in the treatment group and 1078 ml in the control group. There was no significant difference in the rate of cure between the two groups (P>0.05), but there was a significant difference in mean time to stop bleeding and bleeding (P<0.01).