摘要
目的:探讨美常安联合美沙拉嗪对溃疡性结肠炎患者的效果研究。方法:选择2017年10月~2018年11月治疗的112例溃疡性结肠炎患者作为对象,按照随机数字表分为对照组(n=56)和观察组(n=56)。对照组给予单一美沙拉嗪颗粒治疗,观察组采用美常安联合美沙拉嗪治疗。1个月治疗后对患者效果进行评估,比较两组血清中炎性因子含量、临床症状改善状况。结果:治疗前两组患者中各种血清炎性因子含量均相近(P>0.05);治疗后,观察组血清中IL-8、TNF-α和MIF含量均低于对照组(P<0.05);经1个月联合治疗后,观察组腹泻改善率、腹痛改善率均显著高于对照组(P<0.05)。结论:将美常安联合美沙拉嗪治疗用于溃疡性结肠炎患者术后治疗中,能提高治疗效果,减轻炎症反应,值得推广应用。
Objective:To investigate the efficacy of Mei-Chang-An combined with mesalazine in the treatment of patients with ulcerative colitis.Methods:112 patients with ulcerative colitis who were treated from October 2017 to November 2018 were selected as subjects and divided into the control group(n=56)and the observation group(n=56)according to the random number table method.The control group was treated with single mesalazine granule,while the observation group was treated with Mei-Chang-An combined with mesalazine.After 1 month of treatment,the effect of the patients was evaluated,and the content of serum inflammatory factors and the improvement of clinical symptoms between the two groups were compared.Results:The contents of various serum inflammatory factors were similar in the two groups before treatment(P>0.05).After treatment,serum levels of IL-8,TNF-αand MIF in the observation group were lower than those in the control group(P<0.05).After 1 month of combined treatment,the improvement rates of diarrhea and abdominal pain in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:In the postoperative treatment of ulcerative colitis patients,the combination of MeiChang-An and mesalazine can improve the therapeutic effect and reduce the inflammatory reaction,which is worthy of promotion and application.
引文
1 步楠,王瑞,聂莹莹.美沙拉嗪肠溶胶囊联合美常安胶囊对溃疡性结肠炎患者临床疗效及炎症反应的影响.医药前沿,2017,7(4):104~105.
2 朱利华.用奥硝唑联合美沙拉嗪对溃疡性结肠炎患者进行治疗的效果探讨.当代医药论丛,2017,15(14):27~29.
3 慕志杰.双歧杆菌三联活菌胶囊、复方谷氨酰胺肠溶胶囊联合美沙拉嗪对溃疡性结肠炎的疗效观察.河南医学研究,2017,29(21):3908~3909.
4 周英勇,夏扣平,杨福奎.枯草杆菌二联活菌肠溶胶囊联合美沙拉嗪对溃疡性结肠炎炎症活动的改善作用.当代医学,2017,23(33):33~35.
5 吴晌犊.常美安配合美沙拉嗪对溃疡性结肠炎患者结肠黏膜ZO-1mRNA、Occludin mRNA及T细胞亚群比例的影响.中国医师杂志,2018,20(5):768.
6 钟俊锋.不同微生态制剂联合奥沙拉嗪治疗慢性复发型和活动期UC疗效观察.承德医学院学报,2017,34(1):34~35.