溃疡性结肠炎的循证治疗

被引:3
作者
王翠云
丁一娟
机构
[1] 武汉大学人民医院消化内科
关键词
溃疡性结肠炎; 循证治疗; 随机对照试验; 系统评价; Meta分析;
D O I
暂无
中图分类号
R574.62 [结肠疾病];
学科分类号
100201 [内科学];
摘要
目的借助于循证医学的方法为溃疡性结肠炎患者选择药物治疗提供依据,并确定治疗目标及治疗方案。方法在充分评估病人的情况后,提出临床问题,从CochraneLibrary、PubMed、http://sumsearchuthscsa.edu/searchform4.htm、万方数据库检索相关证据,检索时间为2000-2010年。对所获证据进行评价,并结合病人意愿为患者制定治疗方案,随访患者。结果共检索出相关的随机对照试验79篇,系统评价和Meta分析35篇。通过对检索结果进行分析并结合患者的意愿,为患者制定了合理的治疗方案。经过2年的随访证实,该方案适合患者。结论采用循证治疗的方法,为成年男性溃疡性结肠炎患者确定合理的治疗方案和治疗目标,能有效地治疗溃疡性结肠炎。
引用
收藏
页码:164 / 168
页数:5
相关论文
共 13 条
[1]
溃疡性结肠炎缓解期单独服用益生菌制剂维持治疗的评价.[J].卢俊;吴建新;.临床内科杂志.2009, 01
[2]
Effects of probiotic on intestinal mucosa of patients with ulcerative colitis [J].
Cui, Hai-Hong ;
Chen, Cun-Long ;
Wang, Ji-De ;
Yang, Yu-Jie ;
Cun, Yong ;
Wu, Jin-Bao ;
Liu, Yu-Hu ;
Dan, Han-Lei ;
Jian, Yan-Ting ;
Chen, Xue-Qing .
WORLD JOURNAL OF GASTROENTEROLOGY, 2004, 10 (10) :1521-1525
[3]
益生菌对溃疡性结肠炎维持缓解的作用 [J].
麻继臣 ;
欧阳文 ;
王敏 .
中华消化杂志, 2009, (05)
[4]
Clinical Trial: A Novel High-dose 1 g Mesalamine Suppository (Salofalk) Once Daily Is as Efficacious as a 500-mg Suppository Thrice Daily in Active Ulcerative Proctitis [J].
Andus, Tilo ;
Kocjan, Andreas ;
Mueser, Moritz ;
Baranovsky, Andrey ;
Mikhailova, Tatyana L. ;
Zvyagintseva, Tatyana D. ;
Dorofeyev, Andrey E. ;
Lozynskyy, Yurii S. ;
Cascorbi, Ingolf ;
Stolte, Manfred ;
Vieth, Michael ;
Dilger, Karin ;
Mohrbacher, Ralf ;
Greinwald, Roland .
INFLAMMATORY BOWEL DISEASES, 2010, 16 (11) :1947-1956
[6]
A Meta-Analysis of the Efficacy of Sulfasalazine in Comparison with 5-Aminosalicylates in the Induction of Improvement and Maintenance of Remission in Patients with Ulcerative Colitis [J].
Nikfar, Shekoufeh ;
Rahimi, Roja ;
Rezaie, Ali ;
Abdollahi, Mohammad .
DIGESTIVE DISEASES AND SCIENCES, 2009, 54 (06) :1157-1170
[7]
A meta-analysis of antibiotic therapy for active ulcerative colitis [J].
Rahimi, Roja ;
Nikfar, Shekoufeh ;
Rezaie, Ali ;
Abdollahi, Mohammad .
DIGESTIVE DISEASES AND SCIENCES, 2007, 52 (11) :2920-2925
[8]
Topical treatment of distal active ulcerative colitis with beclomethasone dipropionate or mesalamine - A single-blind randomized controlled trial [J].
Gionchetti, P ;
D'Arienzo, A ;
Rizzello, F ;
Manguso, F ;
Maieron, R ;
Lecis, PE ;
Valpiani, D ;
Iaquinto, G ;
Annese, V ;
Balzano, A ;
Varoli, G ;
Campieri, M .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 2005, 39 (04) :291-297
[9]
Oral beclometasone dipropionate in the treatment of active ulcerative colitis: a double-blind placebo-controlled study [J].
Rizzello, F ;
Gionchetti, P ;
D'Arienzo, A ;
Manguso, F ;
Di Matteo, G ;
Annese, V ;
Valpiani, D ;
Casetti, T ;
Adamo, S ;
Prada, A ;
Castiglione, GN ;
Varoli, G ;
Campieri, M .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2002, 16 (06) :1109-1116
[10]
A prospective randomized controlled trial of intravenous ciprofloxacin as an adjunct to corticosteroids in acute, severe ulcerative colitis [J].
Mantzaris, GJ ;
Petraki, K ;
Archavlis, E ;
Amberiadis, P ;
Kourtessas, D ;
Christidou, A ;
Triantafyllou, G .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 2001, 36 (09) :971-974