首页|布拉氏酵母菌散联合美沙拉嗪肠溶片治疗对溃疡性结肠炎患者症状改善时间及肠黏膜炎性因子水平的影响

布拉氏酵母菌散联合美沙拉嗪肠溶片治疗对溃疡性结肠炎患者症状改善时间及肠黏膜炎性因子水平的影响

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目的 探讨布拉氏酵母菌散联合美沙拉嗪肠溶片治疗对溃疡性结肠炎(UC)患者症状改善时间及肠黏膜炎性因子水平的影响.方法 选择 2021 年 12 月—2023 年10 月微山县人民医院收治的 60 例UC患者为研究对象,采用随机数字表法将其分为对照组和观察组,各 30 例.对照组采用美沙拉嗪肠溶片治疗,观察组在对照组基础上联合布拉氏酵母菌散治疗.比较两组的临床疗效、症状改善时间、肠黏膜炎性因子水平、肠道菌群水平及不良反应发生情况.结果 观察组治疗总有效率为 90.00%,高于对照组的 63.33%,差异有统计学意义(P<0.05);观察组脓血便、腹泻、里急后重改善时间均短于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组肿瘤坏死因子-α、白细胞介素-6水平均低于对照组,组间差异有统计学意义(P<0.05);观察组有益菌群水平高于对照组,中性菌群、有害菌群水平均低于对照组,组间差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 在UC患者中采用布拉氏酵母菌散联合美沙拉嗪肠溶片治疗的效果显著,可明显改善不适症状,减轻炎症反应,调节肠道菌群,且用药安全.
Effect of Saccharomyces Boulardii Sachets Combined with Mesalazine Enteric Coated Tablets on Symptom Improvement Time and Intestinal Mucosal Inflammatory Factor Levels in Patients with Ulcerative Colitis
Objective Exploring the effect of combination therapy of saccharomyces boulardii sachets and mesalazine enteric coated tablets on symptom improvement time and intestinal mucosal inflammatory factor levels in patients with ulcerative colitis(UC).Methods Selecting 60 UC patients admitted to Weishan County People's Hospital from December 2021 to October 2023 as the research subjects,using a random number table method,they were divided into a control group and an observation group,with 30 cases in each group.The control group was treated with mesalazine enteric coated tablets,while the observation group was treated with combination therapy of saccharomyces boulardii sachets on the basis of the control group.Compare the clinical efficacy,symptom improvement time,levels of intestinal inflammatory factors,levels of gut microbiota,and incidence of adverse reactions between two groups.Results The total effective rate of the observation group was 90.00%,which was higher than 63.33%of the control group,the difference was statistically significant(P<0.05);the improvement time of purulent and bloody stool,diarrhea,and severe diarrhea in the observation group were shorter than those of the control group,the differences between the groups were statistically significant(P<0.05).After treatment,the levels of tumor necrosis factor-α and interleukin-6 in the observation group were lower than those in the control group,the differences between the groups were statistically significant(P<0.05);the level of beneficial bacteria in the observation group was higher than that in the control group,while the levels of neutral and harmful bacteria were lower than those in the control group,the differences between groups were statistically significant(P<0.05).Comparison of incidence of adverse reactions between two groups,the difference was not statistically significant(P>0.05).Conclusion The use of saccharomyces boulardii sachets combined with mesalazine enteric coated tablets in the treatment of UC patients has a significant effect,which can significantly improve discomfort symptoms,reduce inflammatory reactions,regulate intestinal microbiota,and ensure medication safety.

Ulcerative colitisSaccharomyces boulardii sachetsMesalazine enteric coated tabletsSymptom improvemen timeIntestinal mucosal inflammatory factors

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微山县人民医院消化内科,山东 济宁 277600

溃疡性结肠炎 布拉氏酵母菌散 美沙拉嗪肠溶片 症状改善时间 肠黏膜炎性因子

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(14)