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目的：观察中西医结合治疗上消化道出血的疗效。方法：中西医结合组５０例辨证分型，分为脾虚不摄型、脾虚寒热相挟型、肝胃积热型、胃阴损伤型和气随血脱型。采用主方四君子汤合半夏泻心汤化裁，加化瘀止血药，另予血竭粉，结合雷尼替丁注射液静滴；西药对照组用雷尼替丁注射液、止血芳酸和止血敏静滴及去甲肾上腺素稀释液口服；２组均给予必要的对症和支持治疗。结果：中西医结合组的止血显效率和总有效率均优于西药组，２组止血显效率比较有显著性差异（χ２＝８．２００３，Ｐ＜０．００５），而总有效率比较无显著性差异（χ２＝３．２０２４，Ｐ＞０．０５），止血时间中西医结合组为（３．３８±１．６８）日，西药组为（５．０５±２．４５）日，２组比较有显著性差异（ｔ′＝３．６１５２，Ｐ＜０．０１）。结论：用中医中药调正整体、化瘀止血治疗上消化道出血具有优势；中西医结合治疗可以相辅相成，取长补短
Objective: To observe the curative effect of integrated traditional Chinese and western medicine on upper gastrointestinal bleeding. Methods: Integrative Medicine Group 50 cases of syndrome differentiation, divided into spleen deficiency type, spleen type cold and heat phase relying type, liver and stomach heat type, stomach Yin injury and gas with the blood off. The main square Sijunzi Tang Banxiaxiexin soup cut, plus blood stasis hemostatic drugs, the other to blood dried powder, combined with intravenous ranitidine injection; western medicine control group with ranitidine injection, hemostatic aromatherapy And hemostatic sensitive intravenous drip and norepinephrine dilution oral; 2 groups were given the necessary symptomatic and supportive treatment. Results: The effective rate of hemostasis and total effective rate in the combination of traditional Chinese and western medicine were better than western medicine group. The effective rates of hemostasis in two groups were significantly different (χ2 = 8.2003, P <0.005), while the total effective rate was no significant difference The difference was significant (χ2 = 3.2024, P> 0.05). The time of hemostasis was (3.38 ± 1.68) days in Chinese and Western medicine combined group and (5.05 ± 2.45) days and 2 There was significant difference between the two groups (t ’= 3.6152, P <0.01). Conclusion: The use of traditional Chinese medicine to adjust the overall, stasis to treat upper gastrointestinal bleeding has the advantage; combination of traditional Chinese and Western medicine can complement each other, learn from each other’s strengths and weaknesses