Abstract 【Objective】 To explore the clinical efficacy and safety of combination therapy with Vedolizumab and Mesalazine in the treatment of inflammatory bowel disease.【Methods】 A total of 84 patients with inflammatory bowel disease admitted to the First Affiliated Hospital of Nanyang Medical College from January 2021 to December 2022 were selected. They were randomly divided into a conventional group and a combination group using a random number table method, with 42 patients in each group. The conventional group was given Mesalazine, while the combination group was given Vedrizumab in addition to the conventional group. The treatment effect was observed in both groups at week 8. We compared the clinical efficacy, peripheral blood inflammatory factors [serum interleukin-4 (IL-4), interleukin-17 (IL-17)], and inflammatory bowel disease quality of life questionnaire (IBDQ) scores between two groups, and recorded the occurrence of adverse drug reactions during treatment.【Results】 The total effective rate of the combined group was 95.24%(40/42), which was higher than the conventional group's 78.57%(33/42), and the difference was statistically significant (χ2=5.126, P<0.05). After treatment, the serum levels of IL-4 and IL-17 in both groups of patients were lower than before treatment, and the combined group was lower than the conventional group, with statistical significance (P<0.05). The IBDQ scores of the conventional group and the combination group before treatment were (115.89±12.93) points and (113.27±11.85) points, respectively. After treatment, the scores of the two groups were (182.34±15.48) points and (198.15±7.26) points, respectively. After treatment, the IBDQ scores of the two groups of patients were higher than before treatment, and the combination group was higher than the conventional group, with a statistically significant difference (P<0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups (χ2=0.156, P=0.693). 【Conclusion】 The combination of Vedolizumab and Mesalazine in the treatment of inflammatory bowel disease can enhance the therapeutic effect, inhibit the synthesis of inflammatory factors, improve the quality of life of patients, and have good safety.
MA Zhenzhen,ZHU Bingyang,FANG Jintao. Clinical Efficacy and Safety Analysis of the Combination of Vedolizumab and Mesalazine in the Treatment of Inflammatory Bowel Disease[J]. JOURNAL OF CLINICAL RESEARCH, 2024, 41(1): 95-98.
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