首页|消翳止泻丸治疗脾肾阳虚型溃疡性结肠炎的疗效观察及对血清炎性因子的影响

消翳止泻丸治疗脾肾阳虚型溃疡性结肠炎的疗效观察及对血清炎性因子的影响

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目的:探究消翳止泻丸对脾肾阳虚型溃疡性结肠炎的临床治疗效果及对血清炎性因子的影响.方法:选取2022年6月-2023年6月宁夏回族自治区中医医院门诊收治的脾肾阳虚型溃疡性结肠炎患者64例,根据随机数字表法分成对照组和观察组,每组各32例.对照组患者采用口服美沙拉嗪肠溶片的方式进行治疗,观察组则采用口服消翳止泻丸进行治疗;治疗30 d.比较两组患者的临床疗效及治疗前后临床症状(腹泻、腹痛、黏液便、腹胀、形寒肢冷)评分、血清炎性因子(IL-6、IL-8、TNF-α)水平、电子结肠镜评分变化情况.结果:治疗30 d后,观察组总有效率93.8%,高于对照组75.0%(P<0.05);与治疗前相比,治疗30 d后两组患者腹泻、腹痛、黏液便、腹胀、形寒肢冷等症状评分、电子结肠镜评分及血清IL-6、IL-8、TNF-α水平均降低(P<0.05),观察组上述指标均低于对照组,呈现出显著性差异(P<0.05).结论:消翳止泻丸可有效缓解脾肾阳虚型溃疡性结肠炎患者的临床症状,调节血清炎性因子水平,改善结肠黏膜病变情况.
Observation on Therapeutic Effect of Xiaoyi Zhixie Pill(消翳止泻丸)on Ulcerative Colitis Patients of Spleen-Kidney Yang Deficiency Type and Impacts on Serum Inflammatory Factors
Objective:To explore the clinical therapeutic effect of Xiaoyi Zhixie Pill on ulcerative colitis of spleen-kidney yang deficiency type and influences on serum inflammatory factors.Methods:64 patients with ulcerative colitis of spleen-kidney yang deficiency type were selected from the outpatient clinic of Ningxia Hos-pital of Chinese Medicine from June 2022 to June 2023.Patients were randomly allocated into two groups(the control group and the observation group)at a 1:1 ratio,with each group comprising 32 individuals.The control group was treated with oral Mesalazine enteric coated tablets,while the observation group was given oral Xiaoyi Zhixie pill,both the two groups were treated for 30 days.Compare the clinical efficacy of the two group,and the changes of clinical symptom scores,serum inflammatory factors(IL-6、IL-8、TNF-α)levels,and changes in electronic colonoscopy scores between the two groups of patients before and after treatment.Results:After 30 days of treatment,the observation group achieved a total effective rate of 93.8%,which was higher than 75.0%in the control group(P<0.05).Compared with before treatment,after 30 days of treatment,the clinical symp-tom scores such as diarrhea,abdominal pain,mucus stools,abdominal distension,cold limbs,electronic colonoscopy scores,as well as serum IL-6,IL-8 and TNF-α levels in patients of the two groups were lo-wered(P<0.05),all above changes in the observed were more significant than those in the control group(P<0.05).Conclusion:Xiaoyi Zhixie Pill can effectively alleviate clinical symptoms of ulcerative colitis patients with spleen-kidney yang deficiency syndrome,regulate serum inflammatory factor levels,improve colonic muco-sal lesions.

ulcerative colitisspleen-kidney yang deficiency typeXiaoyi Zhixie PillMesalazineelectronic colonoscopy scoresIL-6IL-8TNF-α

马也名、王海、齐哲、丁玲芳

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甘肃中医药大学·甘肃兰州 730000

宁夏回族自治区中医医院暨中医研究院·宁夏银川 750000

溃疡性结肠炎 脾肾阳虚型 消翳止泻丸 美沙拉嗪 结肠镜评分 IL-6 IL-8 TNF-α

2024

中国中医药科技
中华中医药学会

中国中医药科技

影响因子:1.156
ISSN:1005-7072
年,卷(期):2024.31(5)