全胃肠外营养与中药治疗重度溃疡性结肠炎的效果
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摘要
目的研究全胃肠外营养与中药治疗重度溃疡性结肠炎的效果。方法选择我院2015年6月至2017年7月收治的80例重度溃疡性结肠炎患者为研究对象,按照随机数字表法将其分为研究组与对照组,各40例。研究组给予全胃肠外营养与人参治疗,对照组给予常规治疗,比较两组临床治疗效果。结果研究组总缓解率高于对照组,病死率低于对照组(P<0.05)。治疗后,两组IgG、PYY、MTL、α1-Gly、α2-Gly水平均改善,且研究组优于对照组(P<0.05)。结论人参与全胃肠外营养治疗重度溃疡性结肠炎效果显著,可快速缓解相关症状,降低病死率,改善组织学及病情发展,值得推广。
Objective To study the effect of total parenteral nutrition and traditional Chinese medicine in the treatment of severe ulcerative colitis. Methods Eighty patients with severe ulcerative colitis admitted in our hospital from June 2015 to July 2017 were selected as the study subjects. According to the random number table method, they were devided into study group and control group, with 40 cases in each group. The study group was treated with total parenteral nutrition and ginseng treatment, while the control group was treated with routine treatment. The therapeutic effects of the two groups were compared. Results The total remission rate in the study group was higher than that in the control group, and the mortality rate was lower than that in the control group(P<0.05). After treatment, the levels of IgG, PYY, MTL, α1-Gly and α2-Gly in the two groups improved, and those in the study group were better than the control group(P<0.05). Conclusion Ginseng and total parenteral nutrition is effective in the treatment of severe ulcerative colitis, which can quickly relieve the related symptoms,decrease the mortality, improve the histology and the development of the disease. It is worth popularizing.
Objective To study the effect of total parenteral nutrition and traditional Chinese medicine in the treatment of severe ulcerative colitis. Methods Eighty patients with severe ulcerative colitis admitted in our hospital from June 2015 to July 2017 were selected as the study subjects. According to the random number table method, they were devided into study group and control group, with 40 cases in each group. The study group was treated with total parenteral nutrition and ginseng treatment, while the control group was treated with routine treatment. The therapeutic effects of the two groups were compared. Results The total remission rate in the study group was higher than that in the control group, and the mortality rate was lower than that in the control group(P<0.05). After treatment, the levels of IgG, PYY, MTL, α1-Gly and α2-Gly in the two groups improved, and those in the study group were better than the control group(P<0.05). Conclusion Ginseng and total parenteral nutrition is effective in the treatment of severe ulcerative colitis, which can quickly relieve the related symptoms,decrease the mortality, improve the histology and the development of the disease. It is worth popularizing.
引文
[1]黄艳辉,陈二林,王玉洁,等.人参皂苷Rd治疗大鼠溃疡性结肠炎给药途径的研究[J].甘肃医药,2015,34(7):481-484.
[2]陈定宇.中西医结合联合饮食干预治疗慢性溃疡性结肠炎32例[J].福建医药杂志,2017,39(4):58-60.
[3]孙传兴.临床疾病诊断依据及治愈好转标准[M].北京:人民军医出版社,1999:75-76.
[4]郑芝田.胃肠病学[M].北京:人民卫生出版社,2000:789.
[5]刘莉.普外科溃疡性结肠炎患者围术期营养护理干预及效果评价[J].安徽医药,2015,19(4):808-810.
[6]苏乐乐,张吉翔,董卫国,等.肠外营养治疗的109例溃疡性结肠炎患者低钙血症发生率和相关因素分析[J].中华消化杂志,2018,38(1):53-56.
[7]徐仁应,周一泉,张晓敏,等.含中低剂量谷氨酰胺全肠外营养对炎症性肠病患者炎症指标改善的影响[J].中华临床营养杂志,2017,25(3):141-146.
[8]傅军伟,王明华,陆彩忠,等.苓蔻人参汤结合艾灸治疗慢性溃疡性结肠炎69例疗效观察[J].湖南中医杂志,2015,31(6):9-11.
[2]陈定宇.中西医结合联合饮食干预治疗慢性溃疡性结肠炎32例[J].福建医药杂志,2017,39(4):58-60.
[3]孙传兴.临床疾病诊断依据及治愈好转标准[M].北京:人民军医出版社,1999:75-76.
[4]郑芝田.胃肠病学[M].北京:人民卫生出版社,2000:789.
[5]刘莉.普外科溃疡性结肠炎患者围术期营养护理干预及效果评价[J].安徽医药,2015,19(4):808-810.
[6]苏乐乐,张吉翔,董卫国,等.肠外营养治疗的109例溃疡性结肠炎患者低钙血症发生率和相关因素分析[J].中华消化杂志,2018,38(1):53-56.
[7]徐仁应,周一泉,张晓敏,等.含中低剂量谷氨酰胺全肠外营养对炎症性肠病患者炎症指标改善的影响[J].中华临床营养杂志,2017,25(3):141-146.
[8]傅军伟,王明华,陆彩忠,等.苓蔻人参汤结合艾灸治疗慢性溃疡性结肠炎69例疗效观察[J].湖南中医杂志,2015,31(6):9-11.