【摘 要】目的：探讨参苓白术散加减配合中药灌肠治疗溃疡性结肠炎的临床疗效。方法：选择脾胃虚弱型溃疡性结肠炎患者154例，将所有患者随机分为对照组和观察组各77例，对照组应用常规西药柳氮磺胺嘧啶治疗加柳氮磺胺嘧啶栓每晚睡前塞入肛门治疗，观察组应用参苓白术散加减中药灌肠治疗。观察治疗前后两组患者腹痛、便血消失时间和总疗效。结果：对照组腹痛、便血消失时间明显长于观察组。对照组总有效率明显低于对照组，两组比较均具有显著性差异(P<0.05)。结论：参苓白术散加减配合中药灌肠治疗溃疡性结肠炎比常规西药柳氮磺胺嘧啶治疗加柳氮磺胺嘧啶栓效果好，能有效提高治疗总有效率，降低并发症的发生几率，值得临床推广。

    【关键词】参苓白术散；溃疡性结肠炎；柳氮磺胺嘧啶栓；中藥灌肠

    【Abstract】Objective： To investigate the clinical effect of Shen ling bai zhu powder addition and subtraction combined with traditional Chinese medicine enema in the treatment of ulcerative colitis. Methods： 154 patients with spleen and stomach type ulcerative colitis were randomly divided into control group and observation group (n =77 ). The control group was treated with conventional western medicine sulfasalazine. Results： In the control group ......