首页|清理肠道方联合美沙拉嗪治疗急性发作期溃疡性结肠炎的临床观察

清理肠道方联合美沙拉嗪治疗急性发作期溃疡性结肠炎的临床观察

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目的 观察清理肠道方联合美沙拉嗪治疗急性发作期溃疡性结肠炎的临床效果并初步探讨其作用机制。方法 将90例患者随机分为治疗组与对照组各45例。在基础治疗的基础上,对照组采用美沙拉嗪口服;治疗组采用清理肠道方联合美沙拉嗪口服。治疗4周后观察两组临床疗效及治疗前后血清白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、白细胞介素-10(IL-10)、白细胞介素-17(IL-17)水平、炎症性肠病患者生存质量分析(IBDQ)评分以及Mayo评分变化。结果 两组治疗后血清IL-6、IL-8、IL-17水平及Mayo评分较治疗前均降低(P<0。05),IL-10水平及IBDQ评分较治疗前均升高(P<0。05),且治疗组优于对照组(P<0。05);疗效相比,治疗组优于对照组(P<0。05)。结论 清理肠道方联合美沙拉嗪治疗活动期溃疡性结肠炎临床效果满意,降低炎性因子可能是其作用机制之一。
Clinical Study on the Combined Treatment of Qingli Changdao Decoction and Mesalazine for Acute Exacerbation of Ulcerative Colitis
Objective:To observe the clinical effect of intestinal Qingli Changdao Decoction combined with methalazine in the treatment of active ulcerative colitis and to preliminarily explore its mechanism.Methods:A total of 90 patients were randomly divided into the treatment group(45 cases)and control group(45 cases).On the basis of basic treatment,the control group received mesalazine orally;the treatment group was treated with Qin-gli Changdao Decoction combined with mesalazine orally.After 4 weeks of treatment,the clinical efficacy,serum levels of IL-6,IL-8,IL-10,IL-17,Inflammatory Bowel Disease Questionnaire(IBDQ)and Mayo scores were ob-served in both groups.Results:After treatment,the levels of serum IL-6,IL-8,IL-17 and Mayo score decreased compared with before treatment(P<0.05),the levels of IL-10 and IBDQ score increased compared with before treatment(P<0.05),and the treatment group was better than the control group(P<0.05).The therapeutic effect of the treatment group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Qingli Changdao Decoction combined with methalazine has satisfactory clinical effect in the treatment of active ulcerative colitis,and its ability to reduce inflammatory factors may be one of its mechanisms of action.

Ulcerative colitisQingli Changdao DecoctionMesalazineClinical efficacy

王倩倩、郭珺、张俊美、吴京伟

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北京市肛肠医院,北京 100120

北京中医药大学附属护国寺中医医院,北京 100035

溃疡性结肠炎 清理肠道方 美沙拉嗪 临床疗效

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(12)