首页|美沙拉秦结合胶体果胶铋颗粒治疗溃疡性结肠炎的临床效果及对炎症因子的影响

美沙拉秦结合胶体果胶铋颗粒治疗溃疡性结肠炎的临床效果及对炎症因子的影响

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目的 分析美沙拉秦结合胶体果胶铋颗粒治疗溃疡性结肠炎的临床效果及对炎症因子的影响.方法 选取2021年 1月至 2022 年6月收治的82例溃疡性结肠炎患者为研究对象,以随机法将其分为常规组(41例,胶体果胶铋颗粒治疗)和观察组(41 例,美沙拉秦结合胶体果胶铋颗粒治疗).比较两组的治疗效果.结果 观察组的治疗总有效率高于常规组(P<0.05).观察组的上腹部疼痛、反酸、嗳气、脓血便消失时间短于常规组(P<0.05).治疗后,观察组的一氧化氮(NO)、骨桥蛋白(OPN)、白细胞介素-33(IL-33)水平低于常规组,表皮细胞生长因子(EGF)、白细胞介素-35(IL-35)水平高于常规组(P<0.05).治疗后,观察组的CD4+、CD4+/CD8+及免疫球蛋白G(IgG)、免疫球蛋白A(IgA)水平高于常规组,CD8+低于常规组,差异具有统计学意义(P<0.05).治疗后,观察组的肛管静息压、肛管最大收缩压低于常规组,直肠静息压高于常规组,差异具有统计学意义(P<0.05).两组治疗期间的不良反应总发生率无显著差异(P>0.05).结论 美沙拉秦结合胶体果胶铋颗粒治疗溃疡性结肠炎可取得安全高效的临床效果.
Clinical effect of mesalazine combined with colloidal bismuth pectin granules in the treatment of ulcerative colitis and its influence on inflammatory factors
Objective To analyze the clinical effect of mesalazine combined with colloidal bismuth pectin granules in the treatment of ulcerative colitis and its influence on inflammatory factors.Methods A total of 82 patients with ulcerative colitis admitted from January 2021 to June 2022 were selected as the study subjects.The patients were randomly divided into conventional group(41 cases,colloidal bismuth pectin granules treatment)and observation group(41 cases,mesalazine combined with colloidal bismuth pectin granules treatment).The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the conventional group(P<0.05).The disappearance time of upper abdominal pain,acid reflux,belching and purulent blood in the observation group were shorter than those in the conventional group(P<0.05).After treatment,the levels of nitric oxide(NO),osteopontin(OPN)and interleukin-33(IL-33)in the observation group were lower than those in the conventional group,and the levels of epidermal growth factor(EGF)and interleukin-35(IL-35)were higher than those in the conventional group(P<0.05).After treatment,the CD4+,CD4+/CD8+,immunoglobulin G(IgG)and immunoglobulin A(IgA)levels in the observation group were higher than those in the conventional group,and CD8+ was lower than that in the conventional group,the differences were statistically significant(P<0.05).After treatment,the anal resting pressure and anal maximum systolic pressure in the observation group were lower than those in the conventional group,and the rectal resting pressure was higher than that in the conventional group,the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups during treatment(P>0.05).Conclusion Mesalazine combined with colloidal bismuth pectin granules in the treatment of ulcerative colitis can achieve safe and efficient clinical results.

ulcerative colitiscolloidal pectin bismuth granulemesalazine

贾高鹏、郭华平、郭剑

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白水县医院内科,陕西 渭南,715600

陕西省渭南市中心医院消化内科,陕西 渭南,714000

溃疡性结肠炎 胶体果胶铋颗粒 美沙拉秦

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(2)
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