Huang YZ, Zhang L. Effects of traditional Chinese medicine combined with 5-aminosalicylic acid in treatment of ulcerative colitis.
Shijie Huaren Xiaohua Zazhi 2013;
21:3445-3449. [DOI:
10.11569/wcjd.v21.i31.3445]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM: To evaluate the effects of traditional Chinese medicine combined with 5-aminosalicylic acid in the treatment of ulcerative colitis.
METHODS: One hundred and forty patients with ulcerative colitis were randomly divided into either an experimental group or a control group. Both groups were given routine nutritional support, local enema and diet therapy. The treatment group was additionally treated by traditional Chinese medicine combined with 5-aminosalicylic acid, and the control group was treated with 5-aminosalicylic acid alone. Clinical efficacy, clinical symptoms, and the changes in levels of cytokine tumor necrosis factor-α, (TNF-α) were compared between the two groups.
RESULTS: The effective rate (52.86% vs 32.86%) and overall response rate (94.29% vs 71.43%) were significantly higher in the treatment group than in the control group (both P < 0.05). The stool times (0.75 ± 0.31 vs 3.78 ± 1.89, 1.96 ± 0.88 vs 3.79 ± 1.76), thin stools (1.31 ± 0.19 vs 3.97 ± 0.71, 2.32 ± 1.09 vs 3.87 ± 1.79), mucous bloody stools (1.49 ± 0.60 vs 3.16 ± 1.42, 2.36 ± 0.22 vs 3.18 ± 1.66), and abdominal pain (1.33 ± 0.69 vs 3.21 ± 0.85, 2.19 ± 0.78 vs 3.12 ± 1.30) were significantly improved after treatment (all P < 0.05 or < 0.01). The curative effect was significantly better in the treatment group than in the control group (0.75 ± 0.31 vs 1.96 ± 0.88, 1.31 ± 0.19 vs 2.32 ± 1.09; 1.49 ± 0.60 vs 2.36 ± 0.22, 1.33 ± 0.69 vs 2.19 ± 0.78; all P < 0.05). The level of TNF-α was significantly lower in the treatment group than in the control group (15.37 ng/L ± 4.56 ng/L vs 23.35 ng/L ± 3.37 ng/L, P < 0.05). During a 3-month follow-up period, nine patients in the control group developed diarrhea, while no any adverse reaction occurred in the treatment group. There were no recurrences for the two groups.
CONCLUSION: Traditional Chinese medicine combined with 5-aminosalicylic acid is effective and safe in the treatment of ulcerative colitis and can reduce the level of TNF-α.
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