首页|阿达木单抗联合美沙拉嗪对炎症性肠病患者透壁愈合的影响

阿达木单抗联合美沙拉嗪对炎症性肠病患者透壁愈合的影响

Effect of Adalimumab Combined with Mesalazine on Transmural Healing in Patients with Inflammatory Bowel Disease

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目的:探究阿达木单抗联合美沙拉嗪对炎症性肠病患者透壁愈合的影响.方法:选取2020-2022年于我院就诊的68例炎症性肠病患者为研究参与者,将其随机分为观察组和对照组,每组34例.对照组患者采用美沙拉嗪肠溶片治疗,观察组在对照组的基础上联用阿达木单抗注射液治疗,疗程为8周.治疗结束后对比2组患者的临床疗效、透壁愈合率、磁共振活动指数(MaRIA)评分以及并发症发生情况.结果:观察组患者总有效率明显高于对照组(P<0.05),且观察组患者的治愈率明显升高;观察组患者透壁愈合率明显高于对照组(P<0.05);观察组患者MaRIA评分明显低于对照组(P<0.05);观察组患者并发症发生率明显低于对照组(P<0.05),并且腹痛腹泻症状的发生率明显降低.结论:阿达木单抗联合美沙拉嗪治疗炎症性肠病能显著提高疗效,改善患者透壁愈合的效果,降低并发症发生率.
Objective To explore the effect of adalimumab combined with mesalazine on transmural heal-ing in patients with inflammatory bowel disease(IBD).Methods Total 68 patients with IBD treated in our hospital from 2020 to 2022 were selected as the study participants and randomly divided into the obser-vation group and the control group,with 34 cases in each group.The control group was treated with me-salazine enteric-coated tablets,while the observation group was treated with adalimumab injection on the basis of the control group,and the course of treatment was 8 weeks.After treatment,the clinical efficacy,transmural healing rate,magnetic resonance index of activity(MaRIA)score and the incidence of compli-cations were compared between the two groups.Results The total effective rate of the observation group was significantly higher than that of the control group(P<0.05),and the cure rate of the observa-tion group was significantly increased.The transmural healing rate of the observation group was signifi-cantly higher than that of the control group(P<0.05).The MaRIA score of the observation group was significantly lower than that of the control group(P<0.05).The incidence of complications of the obser-vation group was significantly lower than that of the control group(P<0.05),and the incidence of ab-dominal pain and diarrhea was significantly reduced.Conclusion Adalimumab combined with mesalazine in the treatment of IBD can significantly improve the curative effect,improve the effect of transmural heal-ing and reduce the incidence of complications.

Inflammatory bowel diseaseTransmural healingAdalimumabMesalazine

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洛阳市东方人民医院(河南科技大学第三附属医院)消化内科(河南 洛阳 471000)

炎症性肠病 透壁愈合 阿达木单抗 美沙拉嗪

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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