中国当代医药2024,Vol.31Issue(10) :105-109.

穴位贴敷联合乌梅丸加减治疗寒热错杂型溃疡性结肠炎的临床效果

Clinical effect of acupoint application combined with Wumei Pills concoc-tion in the treatment of ulcerative colitis mixed with cold and heat type

皇金萍 刁凌云
中国当代医药2024,Vol.31Issue(10) :105-109.

穴位贴敷联合乌梅丸加减治疗寒热错杂型溃疡性结肠炎的临床效果

Clinical effect of acupoint application combined with Wumei Pills concoc-tion in the treatment of ulcerative colitis mixed with cold and heat type

皇金萍 1刁凌云1
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作者信息

  • 1. 江苏省徐州市中医院脾胃病科,江苏徐州 221000
  • 折叠

摘要

目的 探索穴位贴敷联合乌梅丸加减对寒热错杂型溃疡性结肠炎患者的临床疗效、免疫功能、粪钙卫蛋白(FC)及血常规的影响.方法 选取2019年1月至2021年1月徐州市中医院收治的60例寒热错杂型溃疡性结肠炎患者作为研究对象,按照就诊先后顺序分为对照组和观察组,各30例.对照组服用乌梅丸加减,观察组在对照组基础上联合穴位贴敷.比较两组临床疗效、溃疡性结肠炎活动度指数评分、外周血T淋巴细胞亚群(CD3+、CD4+、CD8+、CD4+/CD8+)水平、FC、全血细胞计数.结果 两组治疗后临床有效率、CD3+、CD4+、CD4+/CD8+高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05),两组治疗后Sutherland疾病活动指数评分、CD8+水平、FC低于治疗前,且治疗后观察组低于对照组,差异有统计学意义(PP<0.05).两组治疗前后白细胞(WBC)、红细胞(RBC)、血红蛋白(Hb)计数比较,差异无统计学意义(P>0.05).结论 穴位贴敷联合乌梅丸加减安全有效,对于寒热错杂型溃疡性结肠炎不能耐受水杨酸制剂患者可以改善患者临床症状,减轻炎症反应,增强免疫功能.

Abstract

Objective To evaluate the effect of acupoint application combined with Wumei Pills concoction on clinical effi-cacy,immune function,faecal calprotectin(FC)and blood routine in patients with ulcerative colitis mixed with cold and heat type.Methods A total of 60 patients with ulcerative colitis mixed with cold and heat type admitted to Xuzhou City Hospital of TCM from January 2019 to January 2021 were selected as the research objects.According to the order of treatment,they were divided into control group and observation group,with 30 cases in each group.The control group took Wumei Pills concoction,and the observation group combined acupoint application on the basis of the control group.The clinical efficacy,activity index score of ulcerative colitis,peripheral blood T lymphocyte subsets(CD3+,CD4+,CD8+,CD4+/CD8+)levels,FC and complete blood count were compared between the two groups.Results After treatment,the clinical effective rate,CD3+,CD4+,CD4+/CD8+of the two groups were higher than those before treatment,and those of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The Sutherland disease activity index score,CD8+level and FC of the two groups after treatment were lower than those before treatment,and those of the observa-tion group after treatment were lower than those of the control group,the differences were statistically significant(P<0.05).There were no significant difference in the count of white blood cell(WBC),red blood cell(RBC)and hemoglobin(Hb)be-tween two groups before and after treatment(P>0.05).Conclusion Acupoint application combined with Wumei Pills con-coction is safe and effective.It can improve clinical symptoms,reduce inflammation and enhance immune function for pa-tients with ulcerative colitis mixed with cold and heat type who cannot tolerate salicylic acid preparation.

关键词

溃疡性结肠炎/乌梅丸/穴位贴敷/免疫功能/粪钙卫蛋白

Key words

Ulcerative colitis/Wumei Pills/Acupoint application/Immunologic function/Faecal calprotectin

引用本文复制引用

出版年

2024
中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
参考文献量26
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