首页|中医分期疗法联合维得利珠单抗治疗中重度溃疡性结肠炎的临床观察及对发病机制的调控作用

中医分期疗法联合维得利珠单抗治疗中重度溃疡性结肠炎的临床观察及对发病机制的调控作用

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目的:观察中医分期疗法联合维得利珠单抗(Ved)治疗中重度溃疡性结肠炎(UC)的临床疗效及对发病机制的调控作用。方法:纳入符合标准的40例患者,随机分为治疗组(20例)和对照组(20例)。治疗组基于中医辨证论治理论将患者病程分为发作期、恢复期和稳定期,结合各期特征予相应中医治疗,同时联合Ved;对照组仅予Ved治疗。评价治疗前后2组中医证候积分、Mayo积分、粪便钙卫蛋白(FC)、血清超氧化物歧化酶(SOD)、蛋白C系统(PC)变化及疗效。结果:2组治疗后上述积分及指标较治疗前均有明显改善(P<0。01,P<0。05);治疗后2组在肛门灼热感、舌脉、Mayo积分及内镜疗效方面差异无统计学意义(P>0。05)。治疗后治疗组在中医证候主症积分、FC、SOD、PC表达、中医证候疗效、临床疗效方面优于对照组(P<0。01,P<0。05)。结论:相较于单纯Ved,中医分期疗法联合Ved治疗中重度UC的临床疗效更为理想,其作用机制与抑制肠道炎症水平、调节氧化反应和凝血异常有关。
Clinical observation on the combination of traditional Chinese medicine staging therapy and vitilizumab in the treatment of moderate to severe ulcerative colitis and its regulatory effect on the pathogenesis
Objective:To observe the clinical efficacy and regulatory role of traditional Chinese medicine staging therapy combined with Ved in the treatment of moderate to severe ulcerative colitis(UC).Methods:Forty patients who met the criteria were randomly divided into a treatment group(20 cases)and a control group(20 cases).The treatment group divided each patient's disease course into three stages based on the theory of traditional Chinese medicine syndrome differentiation and treatment:attack stage,recovery stage,and stable stage.Corresponding traditional Chinese medicine treatment was given according to the characteristics of each stage,while Ved was combined;The control group was given Ved.Evaluate the changes in traditional Chinese medicine syndrome score,Mayo score,fecal calprotectin(FC),serum superoxide dismutase(SOD),protein C system(PC),and ther-apeutic effect before and after treatment in two groups.Results:After treatment,the above scores and indicators in the two groups showed significant improvement compared to before treatment(P<0.01,P<0.05);Compari-son between groups after treatment:There was no significant difference between the two groups in terms of anal burning sensation,tongue pulse,Mayo score,and endoscopic efficacy after treatment(P>0.05).After treat-ment,the treatment group outperformed the control group in terms of TCM syndrome main symptom score,FC,SOD,PC expression,TCM syndrome efficacy,and clinical efficacy(P<0.01,P<0.05).Conclusion:The combi-nation of traditional Chinese medicine staging therapy and Ved has an ideal therapeutic effect on moderate to severe UC compared to Ved alone.Its mechanism of action is related to inhibiting intestinal inflammation levels,regula-ting oxidative reactions,and coagulation abnormalities.

ulcerative colitistraditional Chinese medicine staging therapytraditional Chinese medicine syn-drome scoreinflammation level

郑薇薇、于俊晓、刘仁昌

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潍坊市中医院脾胃病科(山东潍坊,261000)

山东中医药大学第一临床医学院

溃疡性结肠炎 中医分期疗法 中医证候积分 炎症水平

潍坊市卫生健康委中医药科研项目

WFZYY2022-1-001

2024

中国中西医结合消化杂志
华中科技大学同济医学院,中国中西医结合学会消化系统疾病专业委员会,中华中医药学会脾胃病专业委员会

中国中西医结合消化杂志

CSTPCD
影响因子:1.363
ISSN:1671-038X
年,卷(期):2024.32(5)