首页|清肠饮加味联合美沙拉嗪治疗活动期溃疡性结肠炎(大肠湿热证)的疗效观察

清肠饮加味联合美沙拉嗪治疗活动期溃疡性结肠炎(大肠湿热证)的疗效观察

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目的 观察清肠饮加味联合美沙拉嗪治疗活动期溃疡性结肠炎(UC)(大肠湿热证)患者的疗效.方法 纳入88例UC(大肠湿热证)患者,依据随机数字表法分为观察组与对照组各44例.两组病例参考诊疗共识予常规措施;对照组予美沙拉嗪缓释颗粒剂;观察组在对照组基础上予清肠饮加味治疗.两组病例观察2周.比较两组患者临床疗效、Sutherland疾病活动指数(DAI)评分、腹痛与生活质量改善情况.结果 治疗后,观察组总有效率为95.45%,显著高于对照组的75.00%(P<0.05);治疗后,两组DAI评分、视觉模拟量表(VAS)评分显著降低、炎症性肠病问卷(IBDQ)评分显著升高,且观察组改善更明显(P<0.05).结论 清肠饮加味联合美沙拉嗪对活动期UC(大肠湿热证)疗效显著,有利于病情的控制,减轻疼痛,改善患者的生活质量.
Effect of Qingchang Decoction Combined with Mesalazine for Active Ulcerative Colitis with Syndrome of Dampness and Heat in the Large Intestine
Objective:To observe the efficacy of Qingchang Decoction combined with mesalazine for active ul-cerative colitis(UC)with syndrome of dampness and heat in the large intestine.Methods:88 cases of confirmed UC with syndrome of dampness and heat in the large intestine were divided into two groups according to random number table method(n=44 cases in each group).The two groups were treated by routine measures referring to the consensus of diagnosis and treatment;the control group was given with mesalazine sustained-release granules,and the observation group was treated with Qingchang Decoction on the basis of control group.The two groups were observed for 2 weeks.The therapeutic effect,Sutherland disease activity index(DAI)score,abdominal pain,and quality of life improvement were compared between the two groups.Results:After treatment,the total effec-tive rate of observation group(95.45%)was significantly increased compared with control group(75.00%)(P<0.05).After treatment,DAI score of the two groups was significantly decreased,and the decrease of the observa-tion group was more evident than that of the control group at the same point(P<0.05).After treatment,the visual analogue scale(VAS)score of the two groups was significantly decreased,and the decrease was more obvious in the observation group(P<0.05).After treatment,the inflammatory bowel disease questionnaire(IBDQ)scores of the two groups were significantly decreased,and the decrease was more significant in the observation group(P<0.05).Conclusion:Qingchang Decoction combined with mesalazine for active UC with syndrome of dampness and heat in the large intestine has an evident efficacy,is beneficial to the control of disease,relieve pain,and im-prove the quality of life of patients.

Ulcerative colitisQingchang DecoctionQuality of lifeSyndrome of dampness and heat in the large intestineMesalazine

陈敬博、厉馨、王雯、曾斌芳

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新疆维吾尔自治区人民医院,新疆 乌鲁木齐 830001

新疆医科大学,新疆 乌鲁木齐 830011

溃疡性结肠炎 清肠饮 生活质量 大肠湿热证 美沙拉嗪

新疆维吾尔自治区自然科学基金

2022D01C142

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(3)
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