Effect of Yiqi Jianpi method combined with probiotics on serum inflammatory factors in patients with inflammatory bowel disease
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摘要: 目的 探讨益气健脾法联合益生菌对炎症性肠病患者血清炎症因子的影响。 方法 选取2015年4月—2016年9月在杭州市第一人民医院接受治疗的114例炎症性肠病患者作为研究对象。按照随机数字表法将全部患者分为研究组和对照组,每组57例。研究组采用自拟益气健脾方联合双歧杆菌三联活菌胶囊治疗。对照组采用双歧杆菌三联活菌胶囊治疗。观察2组临床症状改善情况,并进行中医症状评分、疾病活动(DAI)指数、黏膜镜像评分。于治疗前后,采用酶联免疫吸附法检测患者血清C反应蛋白(CRP)、肿瘤坏死因子α(TNF-α)、白介素6(IL-6)、白介素1β(IL-1β)的水平变化。 结果 研究组的疗效显著优于对照组,差异有统计学意义(P<0.05);2组治疗后中医症状评分、DAI指数、黏膜镜像评分均显著降低(P<0.05);治疗后,研究组的中医症状评分、DAI指数、黏膜镜像评分显著低于对照组,差异有统计学意义(P<0.05);2组治疗后CRP、TNF-α、IL-6、IL-1β均显著降低(P<0.05);治疗后,研究组的CRP、TNF-α、IL-6、IL-1β显著低于对照组,差异有统计学意义(P<0.05)。 结论 益气健脾法联合益生菌能显著改善炎症性肠病患者的临床症状,减轻炎症反应。Abstract: Objective To investigate the effect of Yiqi Jianpi method combined with probiotics on serum inflammatory factors in patients with inflammatory bowel disease. Methods A total of 114 cases of inflammatory bowel disease were selected from April, 2015 to September, 2016 in our hospital as the research object. All patients were divided into study group and control group according to the random number table method, with 57 cases in each group. The study group received Yiqi Jianpi method combined with triple viable capsule of bifidobacterium. The control group was treated with triple viable capsule of bifidobacterium. Observe the improvement of clinical symptoms in the two groups, and the TCM symptom score, disease activity (DAI) index, mucosal image score. Before and after treatment, the level of C reactive protein (CRP), tumor necrosis factor A (TNF-α), interleukin 6 (IL-6), interleukin 1 beta (IL-1 beta) were compared between the two groups. Results The efficacy of the study group was significantly better than that of the control group, and the difference was statistically significant (P < 0. 05). After treatment, the TCM symptom score, DAI index, and mucosal image score of the two groups were significantly decreased (P < 0. 05). After treatment, the TCM symptom score, DAI index, mucosal image score in the study group were significantly lower than those in the control group, with statistically significant difference (P < 0. 05). After treatment, CRP, TNF-α, IL-6, IL-1 of the both groups were significantly reduced (P < 0. 05).After treatment, the CRP, TNF-α, IL-6 and IL-1 in the study group were significantly lower than those in the control group and the difference had statistical significance (P < 0. 05). Conclusion Yiqi Jianpi method combined with probiotics can significantly improve the clinical symptoms in patients with inflammatory bowel disease as well as inflammatory reaction.
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Key words:
- Yiqi Jianpi method /
- Probiotics /
- Inflammatory bowel disease /
- Inflammatory factors
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