美沙拉嗪联合双歧三联活菌对溃疡性结肠炎患者TNF-α、IL-8及IL-10水平的影响

被引:24
作者
童霞 [1 ]
骆成俊 [1 ]
许晓梅 [1 ]
朱晓娟 [1 ]
张红 [2 ]
机构
[1] 四川省成都市第五人民医院消化内科
[2] 川北医学院附属医院消化内科
关键词
美沙拉嗪; 双歧三联活菌; 溃疡性结肠炎; 细胞因子;
D O I
10.13241/j.cnki.pmb.2015.23.036
中图分类号
R574.62 [结肠疾病];
学科分类号
100201 [内科学];
摘要
目的:探讨美沙拉嗪联合双歧三联活菌治疗溃疡性结肠炎(UC)的临床疗效及对患者TNF-α、IL-8及IL-10水平的影响。方法:选择2013年1月2014年1月我院收治的UC患者60例,随机分为研究组与对照组,每组30例。对照组患者应用美沙拉嗪治疗,研究组在此基础上联合双歧三联活菌治疗。观察两组临床疗效、血清TNF-α、IL-8及IL-10水平变化及药物不良反应。结果:研究组治疗的总有效率为86.67%,显著高于对照组的63.33%(P<0.05);治疗后,两组TNF-α、IL-8水平显著降低,IL-10水平显著升高(均P<0.01),研究组TNF-α、IL-8显著低于对照组,IL-10水平显著高于对照组(均P<0.05);研究组不良反应发生率为6.67%,明显低于对照组的33.33%(P<0.05)。结论:美沙拉嗪联合双歧三联活菌对UC患者黏膜的保护作用显著,且有效抑制UC相关的炎性反应,安全可靠,适于临床推广与应用。
引用
收藏
页码:4534 / 4536
页数:3
相关论文
共 9 条
[1]
The role of integrin antagonists in the treatment of inflammatory bowel disease [J].
Beniwal-Patel, Poonam ;
Saha, Sumona .
EXPERT OPINION ON BIOLOGICAL THERAPY, 2014, 14 (12) :1815-1823
[2]
Initial Surgical Management of Ulcerative Colitis in the Biologic Era [J].
Geltzeiler, Cristina B. ;
Lu, Kim C. ;
Diggs, Brian S. ;
Deveney, Karen E. ;
Keyashian, Kian ;
Herzig, Daniel O. ;
Tsikitis, Vassiliki L. .
DISEASES OF THE COLON & RECTUM, 2014, 57 (12) :1358-1363
[3]
Pustular psoriasis occurring after total colectomy for ulcerative colitis and relieved by administration of infliximab [J].
Saito, Kanami ;
Ito, Akiko ;
Ishikawa, Kazushi ;
Shimada, Hiromitsu ;
Takeo, Naoko ;
Hatano, Yutaka ;
Sugiura, Kazumitsu ;
Akiyama, Masashi ;
Inomata, Masafumi ;
Kitano, Seigo ;
Fujiwara, Sakuhei .
JOURNAL OF DERMATOLOGY, 2014, 41 (11) :1033-1034
[4]
Pediatric Ulcerative Colitis: A Practical Guide to Management [J].
Regan, Brian P. ;
Bousvaros, Athos .
PEDIATRIC DRUGS, 2014, 16 (03) :189-198
[5]
Dietary Agents and Phytochemicals in the Prevention and Treatment of Experimental Ulcerative Colitis.[J].Arpit Saxena;Kamaljeet Kaur;Shweta Hegde;Faizan Kalekhan;Manjeshwar Baliga;Raja Fayad.Journal of Traditional and Complementary Medicine.2014, 4
[6]
Fecal calprotectin and lactoferrin as predictors of relapse in patients with quiescent ulcerative colitis during maintenance therapy [J].
Yamamoto, Takayuki ;
Shiraki, Manabu ;
Bamba, Takuya ;
Umegae, Satoru ;
Matsumoto, Koichi .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2014, 29 (04) :485-491
[7]
Patient Preferences for Surgical Versus Medical Therapy for Ulcerative Colitis [J].
Bewtra, Meenakshi ;
Kilambi, Vikram ;
Fairchild, Angelyn O. ;
Siegel, Corey A. ;
Lewis, James D. ;
Johnson, F. Reed .
INFLAMMATORY BOWEL DISEASES, 2014, 20 (01) :103-114
[8]
Therapeutic effect of a hydroxynaphthoquinone fraction on dextran sulfate sodium-induced ulcerative colitis [J].
Zhang, Zi-Liang ;
Fan, Hua-Ying ;
Yang, Ming-Yan ;
Zhang, Zuo-Kai ;
Liu, Ke .
WORLD JOURNAL OF GASTROENTEROLOGY, 2014, 20 (41) :15310-15318
[9]
Performance of the Montreal classification for inflammatory bowel diseases [J].
Spekhorst, Lieke M. ;
Visschedijk, Marijn C. ;
Alberts, Rudi ;
Festen, Eleonora A. ;
van der Wouden, Egbert-Jan ;
Dijkstra, Gerard ;
Weersma, Rinse K. .
WORLD JOURNAL OF GASTROENTEROLOGY, 2014, 20 (41) :15374-15381