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参苓白术丸联合美沙拉嗪治疗溃疡性结肠炎的疗效观察
朱凤池,杨静,刘超,乔茶,马靖,苏静伟
河北省保定市第二医院肛肠外科保定 071000;保定市第二医院消化呼吸科保定 071000;保定市第二医院儿科保定 071000;保定市曲阳县人民医院外一科保定 073100
摘要:
目的:探讨参苓白术丸联合美沙拉嗪治疗溃疡性结肠炎的临床疗效。方法:选取2016 年1 月—2018 年1 月在我院治疗的溃疡性结肠炎患者50 例,依据随机数字表法分成观察组与对照组,每组25 例。对照组患者给予美沙拉嗪肠溶片进行治疗,观察组患者在对照组基础上联合使用参苓白术丸进行治疗,两组患者均治疗3 个月,比较两组患者治疗前后的临床症状缓解率及血清细胞因子水平的变化。结果:观察组患者临床疗效显著,其腹泻缓解率、脓血便缓解率和腹痛缓解率均在80% 以上,而对照组的以上3 个数值在52%~56%,观察组优于对照组(P <0.05);两组患者治疗后的白细胞介素(IL)-17、IL-23、肿瘤坏死因子(TNF)-α 水平均显著降低,且观察组明显低于对照组(P <0.05)。结论:参苓白术丸能有效改善溃疡性结肠炎的症状,提高临床疗效,改善患者血清细胞因子的水平。
关键词:  参苓白术丸  美沙拉嗪  溃疡性结肠炎  临床疗效  细胞因子
DOI:10.3969/j.issn.1007-6948.2020.04.029
投稿时间:2019-10-28
基金项目:
Evaluation of Effects of Shenlingbaizhuwan Combined with Mesalazinein on the Treatment of Ulcerative Colitis
ZHU Feng-chi,YANG Jing,LIU Chao
Abstract:
Objective To discuss the efficacy of Shenlingbaizhu wan combined with Mesalazinein on the treatment of ulcerative colitis. Methods 50 ulcerative colitis patients from January 2016 to January 2018 were divided into two groups according to the random number table method: observation group and control group. 25 patients in each group. The control group was treated with Mesalazine. The observation group was treated with Shenlingbaizhu wan and Mesalazine.Two groups were treated for 3 months in order to observe clinic effects and the levels of cytokines in serum. Results The total effective rate of the observation group was statistically significant (P <0.05) compared with the control group.The diarrhea relief rate, Pus and blood stool relief rate and abdominal pain relief rate were all over 80%, while the values of the control group were between 52% and 56%.The levels of IL-17, IL-23 and TNF-α reduced. The observation group was lower than those of the control group with statistically significant differences (P <0.05). Conclusion The effect of Shenlingbaizhu wan combined with Mesalazine on the treatment of ulcerative colitis could be better under the improvement of cytokines levels.
Key words:  ShenlingBaizhu wan  mesalazine  ulcerative colitis  clinic effect

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