首页|美沙拉嗪肠溶片与柳氮磺吡啶肠溶片治疗溃疡性结肠炎的疗效比较

美沙拉嗪肠溶片与柳氮磺吡啶肠溶片治疗溃疡性结肠炎的疗效比较

Comparison of Clinical Efficacy of Mesalazine Enteric-coated Tablets and Salazepyridine Enteric-coated Tab-lets in Treatment of Ulcerative Colitis

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目的:观察比较美沙拉嗪肠溶片与柳氮磺吡啶肠溶片治疗溃疡性结肠炎的疗效.方法:将我院2018年1月至2023年1月诊治的溃疡性结肠炎患者96例随机分为对照组和观察组,每组48例.对照组患者给予口服柳氮磺吡啶肠溶片治疗,观察组患者给予口服美沙拉嗪肠溶片治疗,比较2组患者的临床疗效、炎性因子水平、结肠镜检评分及不良反应发生情况.结果:观察组患者临床总有效率为93.75%,明显高于对照组的62.50%(P<0.05).治疗前2组患者白细胞介素-8(IL-8)、白细胞介素-6(IL-6)和肿瘤坏死因子-a(TNF-a)水平比较差异无统计学意义(P>0.05);治疗结束时,2组患者IL-8、IL-6、TNF-a水平均低于治疗前(P<0.05),且观察组均低于对照组(P<0.05).治疗前2组患者结肠镜检评分比较差异无统计学意义(P>0.05);治疗结束时,2组患者结肠镜检评分均低于治疗前,且观察组低于对照组(P<0.05).观察组患者不良反应发生率明显低于对照组(P<0.05).结论:与柳氮磺吡啶肠溶片相比,美沙拉嗪肠溶片治疗溃疡性结肠炎疗效显著,不但可以降低炎症水平,而且安全性更高.
Objective To observe and compare the clinical efficacy of mesalazine enteric-coated tablets and salazine sulfamyridine enteric-coated tablets in the treatment of ulcerative colitis.Methods Total 96 patients with ulcerative colitis diagnosed and treated in our hospital from January 2018 to January 2023 were randomly divided into the control group and the observation group,with 48 patients in each group.The control group was treated with oral salazopyridine enteric-coated tablets,and the observation group was treated with oral mesalazine enteric-coated tablets.The clinical efficacy,inflammatory factor levels,colonoscopy score and the occurrence of adverse reactions were compared between the two groups.Re-sults The total effective rate of the observation group was 93.75%,which was significantly higher than that of the control group(62.50%)(P<0.05).There was no significant difference in the levels of inter-leukin-8(IL-8),interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)between the two groups before treatment(P>0.05).At the end of treatment,the levels of IL-8,IL-6 and TNF-α in both groups were lower than before treatment(P<0.05),and were lower in the observation group than in the control group(P<0.05).There was no significant difference in colonoscopy score between the two groups before treatment(P>0.05).At the end of treatment,the colonoscopy scores of both groups were lower than be-fore treatment,and were lower in the observation group than in the control group(P<0.05).The inci-dence of adverse reactions in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Compared with salazopyridine enteric-coated tablets,mesalazine enteric-coated tablets are effective in the treatment of ulcerative colitis,which can not only reduce the levels of inflamma-tion but also have higher safety.

Ulcerative colitisMesalazine enteric-coated tabletsSalazopyridine enteric-coated tabletsComparison of clinical efficacy

陈喜翠、宋佳、韩波

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安阳市人民医院(河南安阳 455000)

溃疡性结肠炎 美沙拉嗪肠溶片 柳氮磺吡啶肠溶片 疗效比较

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(1)
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