首页|康复新液灌肠联合美沙拉嗪治疗溃疡性结肠炎患者的效果

康复新液灌肠联合美沙拉嗪治疗溃疡性结肠炎患者的效果

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目的:观察康复新液灌肠联合美沙拉嗪治疗溃疡性结肠炎患者的效果.方法:选取 2022 年 6 月至 2023 年 8 月该院收治的96 例溃疡性结肠炎患者进行前瞻性研究,按照随机数字表法将其分为研究组与对照组各 48 例.对照组采用美沙拉嗪肠溶片治疗,研究组在对照组基础上联合康复新液灌肠治疗,比较两组临床疗效,治疗前后炎性指标[可溶性细胞间黏附分子-1(sICAM-1)、可溶性晚期糖基化终末产物受体(sRAGE)]水平、结肠黏膜病变程度(改良Mayo评分)、结肠病变指标水平,以及不良反应发生率.结果:研究组治疗总有效率为 91.67%(44/48),高于对照组的 77.08%(37/48),差异有统计学意义(P<0.05);治疗后,两组sRAGE、sICAM-1 水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组改良Mayo评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组结肠黏膜血流量均高于治疗前,且研究组高于对照组,两组溃疡直径均小于治疗前,且研究组小于对照组,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:康复新液灌肠联合美沙拉嗪治疗溃疡性结肠炎患者可提高治疗总有效率,改善结肠病变指标水平,降低炎性指标水平和改良Mayo评分,其效果优于单纯美沙拉嗪治疗.
Effects of Kangfuxin liquid enema combined with Mesalazine in treatment of ulcerative colitis
Objective:To observe effects of Kangfuxin liquid enema combined with Mesalazine in treatment of ulcerative colitis.Methods:A prospective study was conducted on 96 patients with ulcerative colitis admitted to the hospital from June 2022 to August 2023.According to the random number table method,they were divided into study group and control group,48 cases in each group.The control group was treated with Mesalazine enteric-coated tablets,while the study group was treated with Kangfuxin liquid enema on the basis of that of the control group.The clinical efficacy,the inflammatory factor levels[soluble intercellular adhesion molecule-1(sICAM-1),soluble receptor for advanced glycation end products(sRAGE)],the colonic mucosal lesion degree(modified Mayo score),the colonic lesion index levels before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the study group was 91.67%(44/48),which was higher than 77.08%(37/48)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of sRAGE and sICAM-1 in the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The modified Mayo scores of the two groups were lower than those before the treatment,that in the study group was lower than that in the control group,and the differences were statistically significant(P<0.05).The colonic mucosal blood flow levels of the two groups were higher than those before the treatment,and that of the study group was higher than that of the control group;the ulcer diameter levels of the two groups were smaller than those before the treatment,that in the study group was smaller than that in the control group;and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Kangfuxin liquid enema combined with Mesalazine in the treatment of the patients with ulcerative colitis can improve the total effective rate of treatment,improve the levels of colon lesion indexes,reduce the levels of inflammatory factors and the modified Mayo scores.Moreover,it is superior to single Mesalazine treatment.

Kangfuxin liquidEnemaMesalazineUlcerative colitisInflammatory indicatormodified Mayo scoreAdverse reaction

王素茹

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烟台市北海医院消化内科,山东 烟台 265701

康复新液 灌肠 美沙拉嗪 溃疡性结肠炎 炎性指标 改良Mayo评分 不良反应

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(7)
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