首页|白头翁汤合益脾祛湿理肠汤加减对大肠湿热型溃疡性结肠炎患者的临床疗效

白头翁汤合益脾祛湿理肠汤加减对大肠湿热型溃疡性结肠炎患者的临床疗效

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目的:探讨大肠湿热型溃疡性结肠炎(UC)患者给予白头翁汤合益脾祛湿理肠汤加减的临床疗效.方法:选取 2022 年 3 月—2023 年 2 月江西中医药大学附属医院收治的大肠湿热型UC患者共计86 例,以随机数字表法分成研究组(43 例)与对照组(43 例),对照组给予白头翁汤治疗,研究组给予白头翁汤合益脾祛湿理肠汤加减治疗,两组均治疗 6 周.比较两组临床疗效、肠黏膜屏障功能、炎症因子水平及不良反应.结果:研究组治疗总有效率(90.70%)较对照组(74.42%)更高,差异有统计学意义(P<0.05);两组治疗后D-乳酸(D-LA)、内毒素(BT)、二胺氧化酶(DAO)水平均降低,研究组均较对照组更低,差异均有统计学意义(P<0.05);两组治疗后白细胞介素-17(IL-17)、白细胞介素-23(IL-23)水平均降低,研究组均较对照组更低,差异均有统计学意义(P<0.05);研究组不良反应发生率(6.98%)与对照组(2.33%)比较差异无统计学意义(P>0.05).结论:大肠湿热型UC患者给予白头翁汤合益脾祛湿理肠汤加减治疗,能够提升临床效果,改善患者肠黏膜屏障功能、炎症因子水平,安全性较高.
Clinical Efficacy of Modified Baitouweng Decoction and Yipi Qushi Lichang Decoction in Patients with Ulcerative Colitis of Colorectal Dampness Heat Type
Objective:To explore the clinical efficacy of modified Baitouweng Decoction and Yipi Qushi Lichang Decoction in patients with ulcerative colitis(UC)of colorectal dampness heat type.Method:A total of 86 patients with UC of colorectal dampness heat type who were admitted in the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from March 2022 to February 2023 were selected,and divided into the study group(43 cases)and the control group(43 cases)by random number table method.The control group was treated with modified Baitouweng Decoction,while the study group was treated with modified Baitouweng Decoction and Yipi Qushi Lichang Decoction.Both groups were treated for 6 weeks.The clinical efficacy,intestinal mucosal barrier function,inflammatory factor levels,and adverse reactions in both groups were compared.Result:In comparision of the control group(74.42%),the total effective rate of the study group(90.70%)was higher,the difference was statistically significant(P<0.05).After treatment,the levels of D-LA,BT and DAO were decreased in both groups,and in comparision of the control group,those in the study group were lower,the differences were statistically significant(P<0.05).After treatment,the levels of IL-17 and IL-23 in both groups were decreased,and in comparision of the control group,those in the study group were lower,the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the study group(6.98%)and the control group(2.33%)(P>0.05).Conclusion:The combination of modified Baitouweng Decoction and Yipi Qushi Lichang Decoction can improve clinical efficacy,intestinal mucosal barrier function,inflammatory factor levels,and safety in patients with UC of colorectal dampness heat type.

Colorectal dampness heat syndromeUlcerative colitisBaitouweng DecoctionYipi Qushi Lichang DecoctionIntestinal mucosal barrier functionInflammatory factors

杨苏琴、陈光华、吴云翔、贺应林

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江西中医药大学附属医院肛肠科 江西 南昌 330006

大肠湿热证 溃疡性结肠炎 白头翁汤 益脾祛湿理肠汤 肠黏膜屏障功能 炎症因子

江西省卫生健康委科技项目

202310691

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(10)
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