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目的:观察黄连消痞方联合西药治疗消化道出血的临床疗效。方法:随机双盲法将符合纳入标准的82例消化道出血患者分为2组,每组41例。对照组采取常规西药治疗,观察组在对照组基础上联合黄连消痞方治疗,比较2组临床疗效、不良反应、治疗前后症状积分、平均止血时间、潜血阴转时间及住院时间。结果:观察组总有效率显著高于对照组的(P<0.05);观察组治疗后吐血、便血、头晕、心悸症状积分明显低于对照组(P<0.05);2组治疗期间均未出现明显不良反应;2组平均止血时间、大便潜血阴转时间及住院时间比较差异有统计学意义(P<0.05)。结论:黄连消痞方联合西药治疗消化道出血安全有效,能明显改善吐血、便血症状,止血时间短,值得临床推广。
Objective: To observe the clinical efficacy of Huanglian Xiaopi Fang combined with Western medicine in the treatment of gastrointestinal bleeding. Methods: A total of 82 patients with gastrointestinal bleeding complying with the inclusion criteria were randomly divided into two groups (41 in each group). The control group was treated with routine western medicine. The observation group was treated with Huanglian Xiaopi Prescription on the basis of the control group. Clinical efficacy, adverse reactions, symptom scores, mean hemostasis time, occult blood transfer time and hospital stay were compared between the two groups. Results: The total effective rate in the observation group was significantly higher than that in the control group (P <0.05). The scores of vomiting, blood in the stool, dizziness and palpitations in the observation group were significantly lower than those in the control group (P <0.05) Obvious adverse reactions; mean hemostasis time, fecal occult blood transfer time and hospital stay were significantly different (P <0.05). Conclusion: Huanglian Xiaopi Fang combined with Western medicine in the treatment of gastrointestinal bleeding is safe and effective, can significantly improve vomiting blood, blood in the stool, bleeding time is short, worthy of clinical promotion.