ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2021, Vol. 13 ›› Issue (1): 66-.

• 临床研究 • 上一篇    下一篇

美沙拉嗪肠溶片联合双歧三联活菌胶囊治疗溃疡性结肠炎疗效观察

马洋   

  1. 475100 河南 开封,开封市儿童医院儿内科
  • 出版日期:2021-02-25 发布日期:2021-05-17
  • 通讯作者: 马洋,E-mail:ningbenggg49@163.com
  • 作者简介:马洋(1987-),男,医师。研究方向:儿科消化系统疾病的诊治。
  • 基金资助:
    2018年度河南省医学科技攻关计划(联合共建项目)(2018020651)

Curative effect of mesalazine enteric-coated tablets combined with bifid triple viable capsules in the treatment of ulcerative colitis

MA Yang   

  1. Department of Pediatrics, Kaifeng Children' s Hospital, Kaifeng 475100, China
  • Online:2021-02-25 Published:2021-05-17

摘要: 目的:探讨美沙拉嗪肠溶片联合双歧杆菌三联活菌胶囊治疗溃疡性结肠炎患儿的疗效。
方法:选取2016年5月至2019年10月本院收治的溃疡性结肠炎患儿90例为研究对象,随机分为观察组与对照组各45例。对照组患儿予以沙拉嗪肠溶片治疗,观察组联合双歧杆菌三联活菌胶囊治疗。治疗4周后比较两组患儿治疗效果,并评估其肠黏膜屏障功能,检测其炎性因子。
结果:观察组治疗疗效显著高于对照组,差异有统计学意义(P<0.05)。治疗后观察组乳果糖、甘露醇后尿液排泄率比值和内毒素均低于对照组,差异有统计学意义(P<0.05)。治疗后观察组超敏C反应蛋白、白细胞介素-6均显著低于对照组,差异有统计学意义(P<0.05)。
结论:美沙拉嗪肠溶片联合双歧杆菌三联活菌胶囊可有效改善溃疡性结肠炎患儿的肠道功能,促使患儿康复,联合用药效果优于单一用药。

关键词: 溃疡性结肠炎, 肠黏膜, 炎性因子, 疗效

Abstract: Objective:To explore the curative effect of mesalazine enteric-coated tablets combined with bifid triple viable capsules in the treatment of children with ulcerative colitis.
Methods:A total of 90 children with ulcerative colitis admitted to our hospital from May 2016 to October 2019 were selected as the research subjects, and they were randomly divided into the observation group(45 cases) and the control group(45 cases). The children in both groups were treated with mesalazine entericcoated tablets while the children in the observation group also took with bifid triple viable capsules. After 4 weeks of treatment, the treatment effects of the two groups were compared, the intestinal mucosal barrier function was evaluated, and the inflammatory factors were detected.
Results:The therapeutic effect of the observation group was significantly higher than that of the control group (P<0.05). After treatment, the ratio of lactulose with mannitol urine excretion rate and endotoxin in the observation group were lower than those in the control group (P<0.05). After treatment, the hypersensitivity C-reactive protein and interleukin-6 in the observation group were significantly lower than those in the control group (P<0.05).
Conclusion:Mesalazine enteric-coated tablets combined with bifid triple viable capsules can effectively improve the intestinal function and promote the rehabilitation of children with ulcerative colitis, and the combination of drugs is better than single drug.

Key words: Ulcerative colitis, Intestinal mucosa, Inflammatory factors, Curative effect