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| Clinical effect of Shugan Jieyu Capsules combined with Mesalazin in the treatment of patients with ulcerative colitis |
| XU Xiaohong |
| Department of Pharmacy, Ganzi Tibetan Autonomous Prefecture People's Hospital, Sichuan Province, Ganzi Tibetan Autonomous Prefecture 626000, China |
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Abstract Objective To investigate curative effect of Shugan Jieyu Capsules combined with Mesalazin in the treatment of patients with ulcerative colitis. Methods Clinical data of 150 patients with ulcerative colitis admitted to Ganzi Tibetan Autonomous Prefecture People′s Hospital from June 2015 to January 2017 was analyzed retrospectively and divided into the observation group and the control group according to the method of administration, with 75 cases in each group. The control group was treated with oral Mesalazin, while the observation group was treated with Shugan Jieyu Capsules on the basis of the control group. The course of treatment was 3 months in both groups. The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were applied to compare the levels of anxiety and depression between the two groups before and after treatment. The modified Mayo scoring system was used to evaluate the degree of disease activity and the curative effect. The inflammatory bowel disease questionnaire (IBDQ) was used to evaluate the quality of life after treatment in both groups. The changes of blood inflammatory markers in the both groups were compared before and after treatment, and the adverse reactions were recorded. Results The total effective rate in the observation group was significantly higher than that of control group, with statistically significant difference (P ＜ 0.05). After treatment, the scores of SAS and SDS in the observation group were much lower than those of before treatment and those of control group, with statistically significant differences (P ＜ 0.05); the score of IBDQ was higher than that of before treatment and the score of Mayo was lower than that of before treatment, and the scores in the observation group improved much more remarkably, with statistically significant differences(P ＜ 0.05). After treatment, the levels of platelet count and C-reactive protein were significantly lower than those of before treatment, and the indicators above in the observation group were much more lower than those of control group, with statistically significant differences (P ＜ 0.05). There was no statistically significant difference in the level of platelet volume before and after treatment in the two groups (P ＞ 0.05). There was no statistically significant difference in incidence of adverse reactions between the groups (P ＞ 0.05). Conclusion Mesalazin combined with Shugan Jieyu Capsules can significantly reduce the level of inflammation in ulcerative colitis patients, thereby helping to relieve the extent of disease activity, improve the curative effect. It can effectively alleviate the anxiety and depression, improve the life quality of ulcerative colitis patients.
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