柴胡疏肝散联合美沙拉嗪治疗中度溃疡性结肠炎临床观察
Clinical efficacy of Chaihu Shugan Powder Combined with mesalazine in treatment of moderate ulcerative colitis
万朝星 1肖乔枫 2叶祯 1代雪莉 1郑凯杰 2叶菁3
作者信息
- 1. 江西中医药大学研究生院,南昌 330004
- 2. 江西中医药大学临床医学院,南昌 330004
- 3. 江西中医药大学附属医院消化二科,南昌 330006
- 折叠
摘要
目的 观察柴胡疏肝散联合美沙拉嗪对中度溃疡性结肠炎(UC)患者焦虑抑郁状态、症状及生存质量的影响.方法 选取2018年1月—2022年12月在江西中医药大学附属医院就诊的UC患者137例,根据治疗方案即是否服用柴胡疏肝散分为对照组82例、观察组55例进行回顾性研究.对照组给予美沙拉嗪口服,2 g/次,3次/d.观察组在对照组基础上联合中药柴胡疏肝散,1袋/次,2次/d.14 d为1个疗程,共2个疗程.对比2组治疗前后汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、改良Mayo评分、炎症性肠病问卷调查(IBDQ)评分.结果 治疗后,2组HAMA、HAMD评分均较治疗前降低(P<0.05),且观察组低于对照组(P<0.05).2组Mayo、IBDQ评分均较治疗前改善(P<0.05),且观察组优于对照组(P<0.05).结论 柴胡疏肝散联合美沙拉嗪可显著改善中度UC患者焦虑抑郁状态、症状及生存质量,效果优于单用美沙拉嗪治疗.
Abstract
Objective To observe the effect of Chaihu Shulang Powder combined with mesalazine on the anxiety-depression status,symptoms,and quality of life in patients with moderate ulcerative colitis(UC).Methods A retrospective study was conducted on 137 UC patients who were treated at the Affiliated Hospital of Jiangxi University of Chinese Medicine from January 2018 to December 2022.According to the treatment plan,patients were divided into two groups:the control group(82 cases)and the observation group(55 cases).The control group was treated with oral mesalazine(2 g per dose,3 times per day).The observation group received the same mesalazine treatment,with the addition of Chaihu Shulang Powder(1 packet per dose,2 times per day).One treatment course lasted 14 days,and the total treatment duration was 2 courses.The Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),Modified Mayo Score,and Inflammatory Bowel Disease Questionnaire(IBDQ)scores were compared between the two groups before and after treatment.Results After treatment,both the HAMA and HAMD scores decreased in both groups(P<0.05),with the observation group showing significantly lower scores than the control group(P<0.05).The Mayo and IBDQ scores also improved in both groups(P<0.05),with the observation group showing better results than the control group(P<0.05).Conclusion Chaihu Shulang Powder combined with mesalazine can significantly improve the anxiety-depression status,symptoms,and quality of life in patients with moderate UC,and its effect is superior to mesalazine treatment alone.
关键词
溃疡性结肠炎/柴胡疏肝散/美沙拉嗪/生存质量/焦虑/抑郁Key words
Ulcerative colitis/Chaihu Shugan Powder/mesalazine/quality of life/anxiety/depression引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据