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我院1997年1月～1998年12月,通过纤维结肠镜用比特诺尔对溃疡性、慢性结肠炎进行治疗,取得较好疗效.现报告如下:1 临床资料1.1 病例选择:本组46例中溃疡性结肠炎16例,慢性结肠炎30例;男28例,女18例;年龄25岁～65岁,平均42岁.1.2 药物配制:将比特诺尔440mg加生理盐水60ml备用.1.3 治疗方法:治疗期间忌烟、酒,避免酸辣等刺激性食物.每次治疗前用等渗盐水800ml清洁灌肠1次.在结肠镜下找到病变部位,吸尽肠腔内气体,将比特诺尔水溶液注入肠腔,然后稍退镜身,边退边吸尽肠腔内残留气体,注意不要把药液吸出,直至将镜身退出.嘱病人尽量保持药液存留,时间越长越好.每日1次,5天为一疗程.停止用药两天,依照病灶粘膜改变确定灌肠治疗周期.
Our hospital from January 1997 to December 1998, through the use of fiber colonoscopy Bitynol ulcer, chronic colitis treatment, and achieved good results .Reports are as follows: 1 clinical data 1.1 case selection: the group of 46 cases Ulcerative colitis in 16 cases, chronic colitis in 30 cases; 28 males and 18 females; aged 25 years old to 65 years, mean 42 years.1.2 Drug Preparation: Bisoprolol 440mg plus saline 60ml.1.3 Treatment: Treatment during the avoidance of tobacco, alcohol, to avoid hot and sour and other irritating foods before each treatment with isotonic saline 800ml clean enema 1. Lesions in the colon to find the site to exhaust the gas inside the intestine, the infusion of bitolol into the intestine Cavity, and then slightly to the mirror body, while withdrawing the exhaust residual gas in the intestine, be careful not to suck out the liquid until the mirror body exit.Instruct the patient try to keep the liquid retention, the longer the better. , 5 days for a course of treatment stop medication for two days, in accordance with the lesions mucosal changes to determine the enema treatment cycle.